2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
NPLEX II - Emergency Medicine (Anderson)
Questions and Correct Answers | Latest
Update
Croup
✓ -:- Inflammation below the epiglottis, usually 3 mo -3 yrs, while asleep,
complication of viral infxn, dyspnea, inspiratory stridor, seal bark -->
breathe cold moist air for 5 min
Seal bark
✓ -:- Stridor breathing = airway compromise! Doesn't have to be croup -
can be a FB, asthma, etc.
Croup Tx
✓ -:- Supportive care, watch child, have parents watch for fever, dyspnea;
PE for tonsillitis
Croup on x-ray
✓ -:- Steeple sign (for croup = laryngotracheobronchitis), which is
narrowing of the subglottic airway
1|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
Epiglottitis
✓ -:- 3-10 yo, d/t having tiny airway; can be from H. influ or beta
hemolytic strep inxn;
fever, dyspnea, inspiratory stridor, drooling, head down --> don't open their mouths or
bring their heads back
Epiglottitis Tx
✓ -:- Send to hospital, NOT in parent's car bc no airway management
capabilities; will be given Abx
Epiglottitis on x-ray
✓ -:- Thumbprint sign, big swollen epiglottis
Emergency oxygen**
✓ -:- Adult RR <12 or >20
Child RR <15 or >30
Infant RR <25 or >50
2|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
Flow rates for devices
✓ -:- Nasal cannula = 1-6L, 24-44% O2
Resuscitation mask = 6-15L, 35-55% O2
Non-rebreather mask = 10-15L, 90%+ O2
BVM = 15L+, 90%+ O2 (bag valve mask)
Sign of upper airway obstruction
✓ -:- Possible retractions of the thorax: intercostal, suprasternal,
supraclavicular; and stridor, blueish flush, drooling, LOC
Most common reason for choking
✓ -:- Tongue obstruction in unconscious victim (head tilt, chin lift)
What do you do if pt is coughing strongly?
✓ -:- Do not intervene; support if they fall over; encoura ge them to keep
coughing
3|P a g e | G r a d e A + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
Heimlich alternative for pregnant or obese
✓ -:- 5 chest thrusts: fists on sternum; upward/inward thrusts; f
unsuccessful, support chest with one hand and give back blows with the
other
If enter room and find unconscious victim, what do you do?
✓ -:- Assess the victim (RAPCAB);
Give CPR if needed;
After giving compressions: look for object in throat, then give breaths
Choking, conscious infant
✓ -:- Position with head downward
5 back blows (check for expelled object)
5 chest thrusts (check for expelled object)
Repeat
Choking, unconscious infant
✓ -:- RAPAB
4|P a g e | G r a d e A + | 2 0 2 0 2 5
NPLEX II - Emergency Medicine (Anderson)
Questions and Correct Answers | Latest
Update
Croup
✓ -:- Inflammation below the epiglottis, usually 3 mo -3 yrs, while asleep,
complication of viral infxn, dyspnea, inspiratory stridor, seal bark -->
breathe cold moist air for 5 min
Seal bark
✓ -:- Stridor breathing = airway compromise! Doesn't have to be croup -
can be a FB, asthma, etc.
Croup Tx
✓ -:- Supportive care, watch child, have parents watch for fever, dyspnea;
PE for tonsillitis
Croup on x-ray
✓ -:- Steeple sign (for croup = laryngotracheobronchitis), which is
narrowing of the subglottic airway
1|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
Epiglottitis
✓ -:- 3-10 yo, d/t having tiny airway; can be from H. influ or beta
hemolytic strep inxn;
fever, dyspnea, inspiratory stridor, drooling, head down --> don't open their mouths or
bring their heads back
Epiglottitis Tx
✓ -:- Send to hospital, NOT in parent's car bc no airway management
capabilities; will be given Abx
Epiglottitis on x-ray
✓ -:- Thumbprint sign, big swollen epiglottis
Emergency oxygen**
✓ -:- Adult RR <12 or >20
Child RR <15 or >30
Infant RR <25 or >50
2|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
Flow rates for devices
✓ -:- Nasal cannula = 1-6L, 24-44% O2
Resuscitation mask = 6-15L, 35-55% O2
Non-rebreather mask = 10-15L, 90%+ O2
BVM = 15L+, 90%+ O2 (bag valve mask)
Sign of upper airway obstruction
✓ -:- Possible retractions of the thorax: intercostal, suprasternal,
supraclavicular; and stridor, blueish flush, drooling, LOC
Most common reason for choking
✓ -:- Tongue obstruction in unconscious victim (head tilt, chin lift)
What do you do if pt is coughing strongly?
✓ -:- Do not intervene; support if they fall over; encoura ge them to keep
coughing
3|P a g e | G r a d e A + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
Heimlich alternative for pregnant or obese
✓ -:- 5 chest thrusts: fists on sternum; upward/inward thrusts; f
unsuccessful, support chest with one hand and give back blows with the
other
If enter room and find unconscious victim, what do you do?
✓ -:- Assess the victim (RAPCAB);
Give CPR if needed;
After giving compressions: look for object in throat, then give breaths
Choking, conscious infant
✓ -:- Position with head downward
5 back blows (check for expelled object)
5 chest thrusts (check for expelled object)
Repeat
Choking, unconscious infant
✓ -:- RAPAB
4|P a g e | G r a d e A + | 2 0 2 0 2 5
