CRITICAL CARE PARAMEDIC PRACTICE
QUESTIONS WITH DETAILED EXPLANATIONS
2026
◉ Low BUN levels can indicate.
Answer: liver failure
◉ anterior fontanelle closes at.
Answer: 12-18 months
◉ posterior fontanelle closes at.
Answer: 2 months
◉ a child's primary emotion in the EMS setting is...
Answer: fear
◉ circulating volume in the child is...
Answer: 75-80 ml/kg
◉ fluid bolus dose for pediatric.
Answer: 20cc/kg repeat as needed
,◉ in pediatrics under 10 years old ______ is the narrowest part of the
airway.
Answer: cricoid cartilage
◉ ETT size formula for pediatric.
Answer: (age + 16) / 4
◉ Ett depth of insertion formula for pediatric.
Answer: Age/2 + 12, 10+ age in years
◉ cardioversion dose for pediatric.
Answer: .5-1j/ kg
◉ What is Wadell's triad?.
Answer: common injuries when a child is struck by motor vehicle,
injury to head trunk and extremities
◉ ___ is the most commonly injured organ, and ___ is the primary
injury in abuse.
Answer: skin, head
,◉ the largest cause of traumatic death in pediatrics.
Answer: MVAs
◉ for each degree above 37c, the heart rate increases __ bpm and the
RR increases by __ breaths per minute.
Answer: 20bpm, 10 breaths per minute
◉ Normal PIP for infant ventilator setting.
Answer: 15-20, use the lowest pip that creates chest expansion
◉ normal PEEP for infant ventilator setting.
Answer: 3-5cm H2O
◉ I:E ratio for children.
Answer: 1:1
◉ Tidal volume for a child on the ventilator setting.
Answer: 6-10ml/kg
◉ If you have a sudden onset of respiratory distress, dysphagia,
drooling, and cough up blood in a child you should suspect...
Answer: Epiglottitis
, ◉ X ray finding that you would expect to see on the lateral neck x-ray
to confirm Epiglottitis is....
Answer: thumbprint sign
◉ ____ is noted on an AP neck xray and indicates croup
(laryngotracheobronchitis).
Answer: steeple sign
◉ appropriate site of insertion for IO in peds.
Answer: medial surface of tibia below tibial tuberosity
◉ If a pt develops widened QRS and goes into cardiac arrest after
administration of Succs you should suspect ___ and consider
administering ___.
Answer: hyperkalemia crisis, consider calcium and sodium bicarb
◉ Drug of choice to treat malignant hyperthermia.
Answer: dantrolene
◉ Hamman's sign is.
Answer: associated with tracheobronchial injury, it is a crunching
sound auscultated over anterior chest synchronized with heart beat
QUESTIONS WITH DETAILED EXPLANATIONS
2026
◉ Low BUN levels can indicate.
Answer: liver failure
◉ anterior fontanelle closes at.
Answer: 12-18 months
◉ posterior fontanelle closes at.
Answer: 2 months
◉ a child's primary emotion in the EMS setting is...
Answer: fear
◉ circulating volume in the child is...
Answer: 75-80 ml/kg
◉ fluid bolus dose for pediatric.
Answer: 20cc/kg repeat as needed
,◉ in pediatrics under 10 years old ______ is the narrowest part of the
airway.
Answer: cricoid cartilage
◉ ETT size formula for pediatric.
Answer: (age + 16) / 4
◉ Ett depth of insertion formula for pediatric.
Answer: Age/2 + 12, 10+ age in years
◉ cardioversion dose for pediatric.
Answer: .5-1j/ kg
◉ What is Wadell's triad?.
Answer: common injuries when a child is struck by motor vehicle,
injury to head trunk and extremities
◉ ___ is the most commonly injured organ, and ___ is the primary
injury in abuse.
Answer: skin, head
,◉ the largest cause of traumatic death in pediatrics.
Answer: MVAs
◉ for each degree above 37c, the heart rate increases __ bpm and the
RR increases by __ breaths per minute.
Answer: 20bpm, 10 breaths per minute
◉ Normal PIP for infant ventilator setting.
Answer: 15-20, use the lowest pip that creates chest expansion
◉ normal PEEP for infant ventilator setting.
Answer: 3-5cm H2O
◉ I:E ratio for children.
Answer: 1:1
◉ Tidal volume for a child on the ventilator setting.
Answer: 6-10ml/kg
◉ If you have a sudden onset of respiratory distress, dysphagia,
drooling, and cough up blood in a child you should suspect...
Answer: Epiglottitis
, ◉ X ray finding that you would expect to see on the lateral neck x-ray
to confirm Epiglottitis is....
Answer: thumbprint sign
◉ ____ is noted on an AP neck xray and indicates croup
(laryngotracheobronchitis).
Answer: steeple sign
◉ appropriate site of insertion for IO in peds.
Answer: medial surface of tibia below tibial tuberosity
◉ If a pt develops widened QRS and goes into cardiac arrest after
administration of Succs you should suspect ___ and consider
administering ___.
Answer: hyperkalemia crisis, consider calcium and sodium bicarb
◉ Drug of choice to treat malignant hyperthermia.
Answer: dantrolene
◉ Hamman's sign is.
Answer: associated with tracheobronchial injury, it is a crunching
sound auscultated over anterior chest synchronized with heart beat
