Aquifer Pediatrics exam 2023/2024 with 100% correct answers

List your differential diagnosis for a two-year-old with acute onset altered mental status. - correct answer Infection (sepsis, meningitis, encephalitis) Toxic ingestion Trauma seizure Pneumonic for altered mental status (AEIOU TIPS) - correct answer Alcohol, ingested toxins Epilepsy, encephalitis, endocrine, electrolytes Infection (meningitis/sepsis) Overdose, opiates, oxygen deprived Uremia (renal failure) Trauma, temperature Insulin Psychosis Stroke, shock, space occupying lesions What should be the steps in your initial assessment? (Select the top five.) The best options are indicated below. Your selections are indicated by the shaded boxes. A. Obtain more history from the mother B. Assess the patency of her airway C. Observe for cyanosis or respiratory depression D. Check the vital signs E. Order a CT scan of the head F. Check for evidence of circulatory compromise G. Order a serum drug screen H. Perform a complete neurological exam I. Obtain a fingerstick glucose test - correct answer Do the ABCDs and check glucose level Initial stabilization in a patient with Tachycardia, Hypotension, Hypoxia, and Hypoglycemia - correct answer Immediate treatment to address tachycardia, hypotension, hypoxia, and hypoglycemia should include A bolus of 20 cc/kg normal saline to treat tachycardia and hypotension Administration of oxygen A bolus of 10% or 25% solution of dextrose (D10 or D25). Given this information and considering your initial differential diagnosis, which of the following diagn