SOLVED

11) Which of the following is NOT a sign of respiratory distress in the pediatric patient? A) Grunting B) Tachypnea C) Tachycardia D) Central cyanosis 12) Which of the following is a factor in the relatively high number of burn deaths in children? A) Their skin is thinner than adult skin, and it requires less exposure to heat to induce full-thickness burns. B) Their high body-surface-area-to-volume ratio causes them to lose fluids more quickly when the skin is damaged. C) They have less subcutaneous fat than adults, which results in increased heat loss when the skin is damaged. D) All of the above are factors. 13) Which of the following may result from using oropharyngeal airways in pediatric patients? 1. Airway obstruction 2. Hypoxia 3. Soft tissue trauma 4. Vomiting 5. Bradycardia A) 1, 3, and 4 B) 2, 3, and 4 C) 3 and 4 D) All of the above 14) Which of the following differences in the pediatric respiratory system should be considered when assessing the pediatric patient? 1. You will most likely note that the child’s abdomen rises and falls during respiration, more than that of an adult. 2. Breath sounds from functional areas of the lung may be transmitted through the chest wall such that a pneumothorax may go undetected. 3. The resiliency of the pediatric ribs causes them to absorb most of the energy from blunt trauma, thereby protecting the underlying organs. 4. Although a child’s smaller ribs fracture more easily, it is uncommon to see rib fractures in the abused child. 5. The pediatric patient will more readily display mediastinal shift with a tension pneumothorax. A) 1, 4, and 5 B) 1, 2, 3, and 5 C) 1, 2, and 5 D) 2, 3, and 4 15) Toddlers are represented in which of the following age groups? A) two years to four years B) one year to two years C) one month to two years D) one year to three years 16) Which of the following is NOT an appropriate activity for paramedics providing education aimed at reducing childhood morbidity and mortality? A) Speaking to parent groups, such as parents of children involved in athletics B) Presenting at elementary schools C) Participating in community health fair activities D) Counseling parents of seriously injured children at the scene or during transport 17) Which of the following affects the lower airway? A) Epiglottitis B) Pneumonia C) Croup D) Pharyngitis 18) Your four-year-old female patient has injuries suspicious of abuse. Statistically, who is most likely the abuser? A) Her mother, who is a stay-at-home mom B) Her father, who works in a local steel mill C) Her seven-year-old brother, with whom she shares a bedroom D) Her teenaged aunt, who babysits her two evenings a week 19) Your 12-month-old patient has burns covering the full length of both lower extremities circumferentially. Which of the following is the most accurate estimate of the percentage of total body surface area involved? A) 20 percent B) 36 percent C) 14 percent D) 28 percent 20) Which of the following anatomic differences dictate changes in airway management for the pediatric patient? 1. The occiput is proportionally larger. 2. The face is small and has a flat nose. 3. The trachea is softer and more flexible. 4. The larynx is lower, at the level of the sternal notch. A) 1 and 2 B) 1, 2, and 3 C) 1 and 3 D) 1, 2, 3, and 4