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You are asked to put a CVP line in a patient who has been struck by a car. As you consent the family for this procedure, the mother asks what the risks are. You answer would include what of the following?

You are examining a term female neonate who was born after an uneventful pregnancy to a 31 year old, gravida 2 para 1 mother by normal spontaneous vaginal delivery. On examination, the infant weighs 2.56kg and has mild diffuse hypotonia. He also has slightly short fingers and toes, simian creases, flat facial profile, upslanting palpebral fissures, and small ears. Of the following, the most likely diagnosis is:

Two weeks after undergoing surgical closure of an atrial septal defect, a 2 year old male presents with several days of irritability and anorexia. On physical exam, he is pale and mildly tachypneic. His pulses are weak and irregular. The auscultated heart rate is regular at 160 bpm. The most likely diagnosis is:

Rhythm Strips   A.    B. C.   D.

Your 2 year old patient is intubated and ventilated. He suddenly decompensates, dropping his saturations to 50% and becomes bradycardic to 60 bpm. What is your next course of action?  

A 16-year-old boy is referred to with a history of malaise and fatigue. He has not been sleeping well and complains of cough and nighttime sweating. On examination, you note some enlarged nontender lymph nodes in the posterior cervical chain, as well as a large supraclavicular node. Review of his growth chart shows a 12% weight loss from his annual visit only a few months ago. A chest x-ray shows an anterior mediastinal mass and hilar adenopathy. Which of the following is the most likely diagnosis?

A 10-year-old with Sickle Cell anemia is admitted to your floor with fever, cough, tachypnea and diminished breath sounds over both lower lobes. His CXR shows infiltrates and consolidation in both lower lobes and his lab work shows leukocytosis and a decreased hemoglobin. Treatment for this patient includes:

An adolescent who is admitted to your floor presents with tall, thin stature, pectus excavatum, and joint hypermobility. Your differential diagnosis should include which of the following diagnoses? Select all that apply:

An adolescent who presents with agitation, disorientation, and hypertension has hypernatremia and an elevated urine sodium. Which of the following is the MOST likely cause?  

All of the following clinical circumstances increase caloric requirements except: