Pediatrics Recalls By Subject – Emergency

A 7-year-old boy was brought to the emergency room unconscious after being in a motor vehicle accident. He wasn’t wearing a seat belt. Examination reveals an occipital hematoma on the head, and a right arm and calf deformity.

Which of the following is the most appropriate next step?

A 16-year-old boy with a history of asthma, presents with acute chest pain after basketball training. Examination reveals a hemodynamically and respiratory stable teenager, with normal oxygen saturation in room air, and decreased breath sounds on the right. Chest x-ray is attached.

Which of the following is the most appropriate next step?

A 2-year-old boy is brought unconscious to the emergency room after drowning in a pool. An airway was established and positive pressure ventilation was given through a bag and mask, with supplemental oxygen. Examination is significant for a very weak and slow pulse, and the cardiac monitor picture is attached.

Which of the following is the most appropriate next step?

A 9-year-old boy was stung by a bee and arrives at the emergency department with widespread redness on the surface of the skin, itching, and general weakness. On admission: pulse 190, blood pressure 60/40 mmHg, 40 breaths per minute, saturation 90%, capillary refill of 1 second.

What will be the immediate next step in the treatment?

A 5-year-old boy is brought to the ER following a motor vehicle accident. On arrival he seems in pain but fully conscious. Vital signs – pulse 55/min, room air saturation 98%, blood pressure 140/90 mmHg. Neurological examination is normal. In light of the above, which of the following is the most important test?

While eating at a restaurant you are called to treat a 5-year-old boy that is suffocating while eating. You note that the child is conscious, coughing, and suffocating.

Which of the following is the most correct order of actions?

A 4-week-old infant is evaluated for projectile vomiting without bile content for the past 24 hours. The infant is in no distress, wants to eat, but vomits right after. He has passed a normal bowel movement about 4 hours prior to admission.
Abdominal ultrasound demonstrates the finding in the photo below.

Which of the following is the definitive treatment for the most likely diagnosis?

A preterm infant is delivered via an emergency cesarean section at 25-weeks’ gestation due to placental abruption.

He requires intubation and is treated with surfactant. At 3 days of age a routine brain ultrasound is performed.

Which of the following condition is this test screening for?

A 4-year-old male hospitalized in the pediatrics suddenly loses consciousness and stops breathing. What is the size of the tube that you will request to insert into the child during CPR (tube diameter without balloon)?

You hear shouting at the beach and see a gathering of people. When you approach them, you see a child of about 5 years old lying on the sand, fully wet, unresponsive, and not breathing. You are the only qualified medical specialist around. What is the first immediate action required for you to take?

A 7-year-old was brought into the ER in a stupor. Not talking. Opens eyes in response to pain stimulation and reaches out towards pain area; what is the child’s GCS (Glasgow coma scale) score?

A 13-year-old boy had a loss of consciousness episode during a football game.
Workup included the attached ECG strip, after which beta blocker treatment was initiated.

A few months later he has had an additional episode of loss of consciousness.
Which of the following is the most appropriate treatment?

A 17-year-old who is followed up by a cardiologist due aortic root dilatation, presents with sudden respiratory distress and left chest pain. He has no fever or additional complaints. Examination reveals he is 180 cm high and weighs 63 Kg. Blood pressure is 120/75, room air saturation is 91%, 105 beats/min, and respiratory rate of 20/min. Heart sounds are normal, his

chest is symmetrical, with slightly reduced breath sounds on the left. Chest X-ray is below.

Which of the following treatments, in addition to supplementary oxygen, is most appropriate for this patient?

A two-month-old girl, unconscious. In her examination, she is limp, pale, pulse 58 beats per minute and superficial breaths. The team initiates an Ambu mask ventilation with oxygen, but the heart rate is not increasing.

What is the next step in case management?

A 3-year-old girl, burnt by boiling water. In her examination, red skin with blisters in the forearm. The girl is aIert, no other signs of distress. The burn is spread over less than 5% of the body area. What is the most correct recommendation for further case management at this stage?

A 6-year-old boy, bitten on the arm by a dog. Examination one hour after the event: surface wound that is not large, with irregular margins and no signs of infection. Normal vaccination history, the dog is inoculated and is supervised by its owners. What is the most important initial step when treating a bite wound?

Which of the following is an indication for treatment with an intraosseous infusion?

A 2-year-old male is brought to the ER after being found with an open bottle of toilet cleaner. The parents note that he has vomited several times since the incident, and he is complaining of abdominal pain and burning in the mouth. Upon physical examination, he exhibits drooling and tachypnea.

What is the most recommended immediate treatment in this case?

An 8-year-old female presents with severe bilateral headache. The headache is associated with nausea and photosensitivity. The patient’s mother reports that the episodes often occur after nights of poor sleep. There is no history of vomiting or awakening due to pain.
What is the recommended initial treatment in this case?

A 3-year-old male is evaluated in the emergency department after ingesting several antihypertensive tablets he found on table at home. On initial examination, the child is somnolent, with bradycardia and hypotension.
What is the most appropriate antidote for this condition?

A full-term female newborn, stopped breathing after her birth, loses tonus and has cyanosis. Examination – no respiration and no response to stimuli, pulse 70 beats per minute. What is the next step in case management?