PFCCS EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION

PFCCS EXAM STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION 1. PEWS (pediatric early warning score) - ANSWER Rating scale based on behavior, cardiovascular status and respiratory status Score determines intervention 2. Newborn heart and respiratory rate ( birth - 1 mo) - ANSWER R 40-60. HR 100-180 3. Infant heart rate and respiratory rate (1-12 mo) - ANSWER R 35-45. HR 100-180 4. Toddler heart rate and respiratory rate (13 mo- 3 y) - ANSWER R 25 35. HR 70-110 5. Preschool heart rate and respiratory rate (4-6y) - ANSWER R 21-23. HR 70-110 6. School age heart rate and respiratory rate (7-12 y) - ANSWER R 19-21. HR 70-110 7. Adolescent heart rate and respiratory rate (13-19y) - ANSWER R 16-18 HR 55-90 8. What position is best for a clinical exam? - ANSWER Position they spontaneously assume for comfort 9. A child's level of reactivity and responsiveness is usually a reflection of what? - ANSWER A reflection of the level of cerebral perfusion 10. in infants, how can alertness be evaluated? - ANSWER by observing their ability to fixate on objects, particularly a parents face. infant should turn towards sounds and should follow an objects horizontally and starting at one month of age should f follow an object vertically as well older children age 8 months to 2 years should exhibit answerer towards strangers and show clear recognition of parents and caregivers 11. hypopnea - ANSWER shallow breathing at least 10 seconds or more which reduces O2 by 30% 12. hyperpnea - ANSWER increase in depth and rate of breathing. differs from hyperventilating as breaths are deeper instead of just faster 13. Poiseuille's Law - ANSWER a law of physiology stating that resistance in and airway is inversely related to it's radius to the fourth power, so reducing the airway radius by 50% would increase the resistance 16 times 14. Primary Survey (ABCDE) - ANSWER Airway Breathing Circulation Disability Exposure 15. Cardiac tamponade symptom - ANSWER muffled heart sounds 16. In an acutely poisoned patient, gastric lavage carries the lowest risk of what complication? - ANSWER hypernatremia 17. Complications of gastric lavage - ANSWER Aspiration Esophageal or gastric perforation desat during procedure hyponatremia water intoxication 18. Which is the most important indicator for avoiding alveolar overdistention and barotrauma - ANSWER Peak inspiratory pressure 19. With carbon monoxide poisoning, pulse ox reading should be interpreted how? - ANSWER Higher than the true value 20. Infants presenting with cardiomegaly and cardiac shock symptoms should be started on what? - ANSWER Prostaglandin E1 21. Greatest risk for iatrogenic injury or death during transport? - ANSWER Communication errors? 22. DIRECT stands for - ANSWER Detection Intervention Reassessment Effective communication Teamwork 23. Moderate sedation drug for hypotensive patient - ANSWER ketamine 24. Drugs to be avoided with hypotensive patients - ANSWER Versed Ativan pentobarbital propofol 25. Patient in shock with 60 ml/kg on board, epi and dopamine. Next step for drug choice? - ANSWER Nitroprusside b/c shorter half-life than milrinone and therefore more appropriate for short-term use 26. The guideline for AKI:Kidney disease improving global outcome is used for what age in children - ANSWER 1 month and older 27. What is the normal one cause of AKI in pediatric population - ANSWER Volume depletion associated with hemolytic uremic syndrome 28. What is the most frequent causes and risk factors of AKI - ANSWER Sepsis 29. What should all patients be considered at risk for developing, especially critically ill patients - ANSWER AKI 30. 3 types of AKI - ANSWER Prerenal Intrarenal Postrenal 31. Prerenal aki vs intrinsic aki - ANSWER Tubular function is maintained vs tubular function is impaired 32. Postrenal AKI - ANSWER Occurs due to obstruction to urinary flow 33. What fluids does one use for fluid resuscitation in patients with AKI - ANSWER Start with NS then use colloids like 5% albumin 34. Pneumonic for emergency during Procedural sedation - ANSWER SOAP ME Suction Oxygen Advanced airway equipment Pharmacy for emergency meds Monitoring sedation level Equipment for ED resuscitation 35. Most useful drugs in Peds Emergencies (3) - ANSWER Ketamine Midazolam Fentanyl 36. Why is atropine used in pediatric population during intubation - ANSWER Control salivation and inhibits vagal tone 37. Ketamine - ANSWER Sedative and potent analgesic potent bronchodilator (preferred sedative for asthma and septic shock) 38. Neuromuscular blockade - ANSWER Never use alone end in -ium (vecuronium, rocuronium )