Author: Anonymous

Which of the following patients is at greatest risk for developing sepsis?  

An 8 year old female with DM type 1 presents with a 3 day history of abdominal pain and vomiting. She was treated in the ED one week ago for hypoglycemia. Examination reveals rapid breathing, dry mucus membranes, and poor peripheral perfusion. Appropriate management would include all of the following EXCEPT:

 A father brings his 2 year old son to the ED. He reports that the boy spent several hours in the garage with him while he was repairing the car. On questioning, the father states that over the course of the afternoon, the child seemed more sleepier than usual, then became lethargic, vomited, and seemed like he was “drunk”. On the way to the hospital he began having seizures. In the ED, the boy was given a dose of lorazepam (Ativan) to stop the seizures and was endotracheally intubated because of respiratory depression. His initial laboratory results are: Sodium: 138 mEg/L Potassium: 4.9 mEq/L Chloride 100 mEq/L Bicarbonate 6 mEq/L Glucose 120 mg/dL BUN 10 mg/dL Calcium 5.5 mEq/L   Of the following, the MOST likely cause of this child’s clinical condition is ingestion of

A 10 year old patient, diagnosed with sickle cell is admitted with acute chest syndrome. They are already on a PCA of morphine, yet are still experiencing pain. What drug can be added to help control pain?  

 A 3 year old, previously healthy, caucasian female presents to the ED and incidentally is found to have a blood pressure of 164/93 mm Hg. Upon further investigation of her history, the parents state that she has been increasingly irritable recently. On physical exam, she has 8 cafe au lait lesions measuring more than 3 cm x 2 cm. Of the following, which is the most likely etiology of her hypertension?

A 5-year-old female is very excited following a ride on the big Ferris Wheel. In the midst of her excitement, she suddenly loses consciousness and falls abruptly to the ground. Paramedics on the scene document pulseless ventricular tachycardia. The family history reveals a maternal uncle who died suddenly at 16 years of age. Following the PALS algorithm, what medication would the paramedics give during resuscitation?    

What should you suspect in a patient with DKA who develops headaches and lethargy after fluid resuscitation?

For the patient in question # 120: Following treatment of ventricular tachycardia, an ECG was obtained on the scene. What did the ECG most likely show?

You are the provider for an intubated patient in the pediatric intensive care unit. You have obtained a bedside anterior/posterior chest radiograph to confirm endotracheal tube placement. Based on your knowledge of proper instrumentation placement in pediatrics, which of the following statements is true:

What of the following values are needed to calculate a patient’s estimated GFR?