PALS Precourse Self-Assessment
Questions & Answers8
SVT converting to sinus rhythm after adenosine administration - ANSWERS-
Sinus bradycardia - ANSWERS-
Sinus bradycardia - version 2 - ANSWERS-
Normal sinus rhythm - ANSWERS-
Asystole - ANSWERS-
Wide complex tachycardia - ANSWERS-
Wide complex tachycardia - version 2 - ANSWERS-
Torsades de pointes - ANSWERS-
Supraventricular tachycardia - ANSWERS-
VF with successful defib and resumption of organized rhythm - ANSWERS-
Pulseless electrical activity - ANSWERS-
, Ventricular fibrillation - ANSWERS-
Sinus tachycardia - ANSWERS-
A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency
department by her parents. During your assessment, you find that the infant responds only to
painful stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are
rapid and weak. The infant has good bilateral breath sounds, cool extremities, and a capillary
refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30
mg/dL (1.65 mmol/L) - ANSWERS-Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W 2-4 ml/kg IV
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. The patient
is speaking in short phrases and tells you that he has asthma but does not carry an inhaler. He
has nasal flaring, severe suprasternal and intercostal retractions, and decreased air movement
with prolonged expiratory time and wheezing. You administer 100% oxygen by a nonrebreathing
mask. His spO2 is 92%. Which med do you prepare to give to this patient? - ANSWERS-Albuterol
(duh)
Paramedics are called to the home of a 1yo child. Their initial assessment reveals a child who
responds only to painful stimuli and has irregular breathing, faint central pulses, bruises over
the abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with 100% oxygen is
initiated. The child's heart rate is 36/min. Peripheral pulses cannot be palpated, and central
pulses are barely palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is
started. Upon arrival to the em - ANSWERS-Rapid bolus of 20ml/kg of isotonic crystalloid
You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min)
associated with respiratory distress. The bradycardia persists despite establishment of an
effective airway, oxygenation, and ventilation. There is no heart block present. Which is the first
drug you should administer? - ANSWERS-Epinephrine
Questions & Answers8
SVT converting to sinus rhythm after adenosine administration - ANSWERS-
Sinus bradycardia - ANSWERS-
Sinus bradycardia - version 2 - ANSWERS-
Normal sinus rhythm - ANSWERS-
Asystole - ANSWERS-
Wide complex tachycardia - ANSWERS-
Wide complex tachycardia - version 2 - ANSWERS-
Torsades de pointes - ANSWERS-
Supraventricular tachycardia - ANSWERS-
VF with successful defib and resumption of organized rhythm - ANSWERS-
Pulseless electrical activity - ANSWERS-
, Ventricular fibrillation - ANSWERS-
Sinus tachycardia - ANSWERS-
A previously healthy infant with a history of vomiting and diarrhea is brought to the emergency
department by her parents. During your assessment, you find that the infant responds only to
painful stimulation. The infant's respiratory rate is 40 breaths per minute, and central pulses are
rapid and weak. The infant has good bilateral breath sounds, cool extremities, and a capillary
refill time of more than 5 seconds. The infant's blood pressure is 85/65 mmHg, and glucose is 30
mg/dL (1.65 mmol/L) - ANSWERS-Administer a bolus of isotonic crystalloid 20 ml/kg over 5-20
minutes, and also give D25W 2-4 ml/kg IV
A 9yo boy is agitated and leaning forward on the bed in obvious respiratory distress. The patient
is speaking in short phrases and tells you that he has asthma but does not carry an inhaler. He
has nasal flaring, severe suprasternal and intercostal retractions, and decreased air movement
with prolonged expiratory time and wheezing. You administer 100% oxygen by a nonrebreathing
mask. His spO2 is 92%. Which med do you prepare to give to this patient? - ANSWERS-Albuterol
(duh)
Paramedics are called to the home of a 1yo child. Their initial assessment reveals a child who
responds only to painful stimuli and has irregular breathing, faint central pulses, bruises over
the abdomen, abdominal distention, and cyanosis. Bag-mask ventilation with 100% oxygen is
initiated. The child's heart rate is 36/min. Peripheral pulses cannot be palpated, and central
pulses are barely palpable. The cardiac monitor shows sinus bradycardia. Two-rescuer CPR is
started. Upon arrival to the em - ANSWERS-Rapid bolus of 20ml/kg of isotonic crystalloid
You are called to help treat an infant with severe symptomatic bradycardia (heart rate 66/min)
associated with respiratory distress. The bradycardia persists despite establishment of an
effective airway, oxygenation, and ventilation. There is no heart block present. Which is the first
drug you should administer? - ANSWERS-Epinephrine
