PALS PEDIATRIC ADVANCED LIFE SUPPORT
CERTIFICATION EVALUATION 2026 QUESTIONS
AND SOLUTIONS GRADED A+
▶ Which medication is treatment of choice for highly motivated opioid use
disorder patients?? Answer:Naltrexone
▶ Inappropriate use of opioids may indicate? Answer:the patient's pain is
not well managed
▶ S/S of opioid intoxication? Answer:miosis (pinpoint pupils), hypotension,
bradycardia, low RR, unconsciousness
▶ S/S of opioif withdrawal? Answer:anxiety, lacrimation, muscle aches,
abdominal cramps, diarrhea, seizures
▶ When detoxing a patient from opioids, which medication is more effective
at suppressing and controlling withdrawal symptoms as the taper nears
completion- methadone or buprenorphine?? Answer:Buprenorphine
▶ Drugs used in opioid withdrawal? Answer:Suboxone, Clonidine, bentyl
▶ S/S Cocaine Intoxication? Answer:Auditory hallucinations, agitation,
violent behavior, muscle twitching, HTN, bradycardia
▶ S/S cocaine overdose? Answer:can cause acute heart failure, stroke,
seizures
▶ S/S of cocaine withdrawal? Answer:extreme fatigue, anhedonia (loss of
pleasure), depression, fatigue, brain fog, intense cravings,
▶ Medications used to treat cocaine induced chest pain and MI?
Answer:nitroglycerin, aspirin
▶ Medication to avoid in cocaine induced chest pain and MI?
Answer:metoprolol (betablockers are contraindicated in this population
because it further lowers coronary blood flow thereby increasing ischemia)
CERTIFICATION EVALUATION 2026 QUESTIONS
AND SOLUTIONS GRADED A+
▶ Which medication is treatment of choice for highly motivated opioid use
disorder patients?? Answer:Naltrexone
▶ Inappropriate use of opioids may indicate? Answer:the patient's pain is
not well managed
▶ S/S of opioid intoxication? Answer:miosis (pinpoint pupils), hypotension,
bradycardia, low RR, unconsciousness
▶ S/S of opioif withdrawal? Answer:anxiety, lacrimation, muscle aches,
abdominal cramps, diarrhea, seizures
▶ When detoxing a patient from opioids, which medication is more effective
at suppressing and controlling withdrawal symptoms as the taper nears
completion- methadone or buprenorphine?? Answer:Buprenorphine
▶ Drugs used in opioid withdrawal? Answer:Suboxone, Clonidine, bentyl
▶ S/S Cocaine Intoxication? Answer:Auditory hallucinations, agitation,
violent behavior, muscle twitching, HTN, bradycardia
▶ S/S cocaine overdose? Answer:can cause acute heart failure, stroke,
seizures
▶ S/S of cocaine withdrawal? Answer:extreme fatigue, anhedonia (loss of
pleasure), depression, fatigue, brain fog, intense cravings,
▶ Medications used to treat cocaine induced chest pain and MI?
Answer:nitroglycerin, aspirin
▶ Medication to avoid in cocaine induced chest pain and MI?
Answer:metoprolol (betablockers are contraindicated in this population
because it further lowers coronary blood flow thereby increasing ischemia)
