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Pediatric Emergencies Flashcards

7 cards from real Paramedics Exam practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A 9-month-old infant has a respiratory rate of 65 breaths/min, nasal flaring, and subcostal retractions. What is the most likely diagnosis?

    Answer: Bronchiolitis

    Bronchiolitis in infants typically presents with tachypnea, nasal flaring, retractions, and wheezing, most commonly caused by RSV.

  2. When inserting a nasopharyngeal airway in a pediatric patient, which measurement determines the correct size?

    Answer: Distance from the tip of the nose to the earlobe

    A nasopharyngeal airway is sized by measuring from the tip of the nose to the earlobe to ensure appropriate length.

  3. A 5-year-old is found with altered mental status and blood glucose of 38 mg/dL. You establish IV access. What is the appropriate dextrose dose?

    Answer: D25W 2 mL/kg IV (0.5 g/kg)

    For pediatric hypoglycemia, D25W at 2 mL/kg (0.5 g/kg) is the standard dose; D50 is avoided due to osmotic injury risk.

  4. A 3-year-old has ingested an unknown substance. Parents show you the bottle, which contains a caustic drain cleaner. Which intervention is contraindicated?

    Answer: Inducing vomiting with syrup of ipecac

    Inducing vomiting after caustic ingestion is contraindicated because re-exposure of the esophagus and airway can worsen burns.

  5. A 6-week-old presents with projectile vomiting after every feeding for one week. On exam, you note an olive-shaped mass in the right upper quadrant. What condition does this suggest?

    Answer: Pyloric stenosis

    Pyloric stenosis classically presents in infants 2–8 weeks old with projectile non-bilious vomiting and a palpable 'olive' mass at the pylorus.

  6. What is the preferred intraosseous access site in a child under 6 years of age?

    Answer: Proximal tibia, 1-2 cm below the tibial tuberosity

    The proximal tibia 1–2 cm below the tibial tuberosity is the preferred IO site in young children due to its flat, accessible surface and large marrow cavity.

  7. A 12-year-old athlete collapses on the field and has no pulse. AED analysis shows VF. After delivering one shock, what is the immediate next step?

    Answer: Resume CPR immediately for 2 minutes

    After defibrillation, CPR should be resumed immediately for 2 minutes before rechecking rhythm, as early compressions improve post-shock outcomes.