PALS FINAL REVIEW EXAM 2024 WITH
100% CORRECT ANSWERS ALREADY
GRADED A+
Mikey,BaB2-year-
oldBboy,BisBsittingBuprightBonBaBhospitalBbedBinBroomB3BofByourBemergencyBdepartment.BYourBinitialBimpres
sionBfromBtheBdoorBdoesBnotBraiseBimmediateBconcern.BOnByourBentryBtoBtheBroom,ByouBareBableBtoBlookBa
tBMikeyBmoreBcloselyBandBnoticeBonBinhalationBhisBnostrilsBareBflaring.BThisBisBaBsignBof:B-BcorrectBanswer-
RespiratoryBdistress
TheBproperBsiteBforBaBperipheralBpulseBassessmentBinBtheBinfantBpatientBis:B-BcorrectBanswer-brachial
YouBareBcalledBtoBtheBsceneBofBaB3-year-
oldBpatientBwhoBwasBfoundBanxious,B*cyanotic*BandBlethargicBafterBaBfallBdownBaBflightBofBstairs.BOnBasses
singBtheBpatient,ByouBfindBvitalBsignsBwithBaBrespiratoryBrateBofB30,BregularBpulseBrateBofB130,BregularBcapill
aryBrefillBtimeBofB4Bseconds,BandBaBbloodBpressureBofB102/61.BWhatBkindBofBshockBisBtheBpatientBexperienci
ng?B-BcorrectBanswer-compensateBshock?
ABmnemonicBthatBaidsBinBperformingBaBprimaryBassessmentBis:B-BcorrectBanswer-ABCDE
ABconsiderationBofBtreatmentBforBaBpediatricBpatientBwithBacuteBfulminantBmyocarditisBwhoBisBinBcardiacBa
rrestBorBatBaBhighBriskBofBcardiacBarrestBis:B-BcorrectBanswer-
ExtracorporealBmembraneBoxygenationB(ECMO)
WhichBofBtheBfollowingBisBtheBcorrectBmeaningBforBoneBofBtheBindividualBlettersBinBtheBAVPUBscale?B-
BcorrectBanswer-AlertB-
BTheBchildBisBalertBandBawakeBandBrespondsBtoBnormalBstimuliBbasedBuponBageBandBenvironment
TheBrecommendedBrouteBofBvascularBaccessBonBaBhypotensiveBpediatricBpatientBis:B-BcorrectBanswer-
centralBIV
YouBareBcalledBtoBtheBbedsideBofBaB12-year-
oldBmaleBpatientBwhoBwasBadmittedBafterBaBweekBofBpersistentBvomiting,BdiarrheaBandBlimitingBoralBintake
BofBbothBsolidsBandBliquids.BTheBpatient'sBairwayBisBpatent,BventilatoryBrateBisBwithinBnormalBlimitsBandBthe
Bpatient'sBcirculatoryBstatusBpresentsBwithBtachycardia,BaBbloodBpressureBofB70/40BandBaBcapillaryBrefillBtim
, eBofB5Bseconds.BTheBpatientBisBspeakingBincoherently.BTheBpatientBhasBnoBhistoryBofBcardiacBproblemsBorBc
ongenitalBdefects.BTheBappropriateBfluidBadministrationBdoseBforBthisBpatientBis:B-BcorrectBanswer-
20Bml/kgB0.9%BNaClBoverB10Bminutes
YouBsuspectByourB8-year-
oldBfemaleBpatientBofBbeingBhypovolemic.BHerBparentsBbroughtBherBtoBtheBemergencyBdepartmentBwithBp
ersistentBvomitingBandBdiarrheaBforB5Bdays.BTheBpatientBpresentsBwithB*mottledBskin*BandBreportsBofBperi
odsBwhereB"sheBjustBstoppedBbreathing!"BaccordingBtoBherBparents.BTheBpatientBisBbeingBmanagedBwithBaB
BVMBandBsupplementalBoxygen.BWhatBisBtheBbestBrouteBofBestablishingBvascularBaccessBforBtheBpurposeBof
BfluidBresuscitation?B-BcorrectBanswer-IV
WhichBofBtheBfollowingBcannotBbeBadministeredBthroughBanBETT?B-BcorrectBanswer-SodiumBbicarbonate
YouBareBexaminingBtheBrhythmBstripBofBaBpatientBwhoBpresentsBwithBbradycardia.BWhichBofBtheBfollowingBc
haracteristicsBmayByouBnoticeBinBtheBrhythm?B-BcorrectBanswer-
TheBmostBobviousBsignBofBbradycardiaBonBanBECGBisBslowBheartBrate.BTheBcharacteristicsBofBP-
wavesBandBtheBQRSBcomplexBmayBvary.BWhenBlookingBatBanBEKG,BtheBfollowingBcharacteristicsBareBseenBwi
thBbradycardiaBpatients:BSlowBheartBrate,BP-
wavesBmayBnotBbeBnoticeable,BQRSBcomplexBmayBbeBwideBorBnarrow,BandBP-
wavesBandBQRSBcomplexBmayBnotBbeBrelatedBtoBbradycardia.
HowBdoBchildren'sBmetabolicBratesBcompareBtoBadults'?B-BcorrectBanswer-higher
Children'sBdemandBforBoxygenBisB___________Badults.B-BcorrectBanswer-greater
WhichBofBtheBfollowingBmustByouBmonitorBwhileBfluidBresuscitatingBaBpatient?B-BcorrectBanswer-
UrineBoutput
WhatBtypeBofBpressureBisBmonitoredBtoBobtainBrightBventricularBcardiacBpreload?B-BcorrectBanswer-
CentralBvenousBpressureB(CVP)
DefineBshock:B-BcorrectBanswer-
WhenBoxygenBandBnutrientBsupplyBtoBbodyBtissueBisBinsufficientBcomparedBtoBmetabolicBtissueBneeds
100% CORRECT ANSWERS ALREADY
GRADED A+
Mikey,BaB2-year-
oldBboy,BisBsittingBuprightBonBaBhospitalBbedBinBroomB3BofByourBemergencyBdepartment.BYourBinitialBimpres
sionBfromBtheBdoorBdoesBnotBraiseBimmediateBconcern.BOnByourBentryBtoBtheBroom,ByouBareBableBtoBlookBa
tBMikeyBmoreBcloselyBandBnoticeBonBinhalationBhisBnostrilsBareBflaring.BThisBisBaBsignBof:B-BcorrectBanswer-
RespiratoryBdistress
TheBproperBsiteBforBaBperipheralBpulseBassessmentBinBtheBinfantBpatientBis:B-BcorrectBanswer-brachial
YouBareBcalledBtoBtheBsceneBofBaB3-year-
oldBpatientBwhoBwasBfoundBanxious,B*cyanotic*BandBlethargicBafterBaBfallBdownBaBflightBofBstairs.BOnBasses
singBtheBpatient,ByouBfindBvitalBsignsBwithBaBrespiratoryBrateBofB30,BregularBpulseBrateBofB130,BregularBcapill
aryBrefillBtimeBofB4Bseconds,BandBaBbloodBpressureBofB102/61.BWhatBkindBofBshockBisBtheBpatientBexperienci
ng?B-BcorrectBanswer-compensateBshock?
ABmnemonicBthatBaidsBinBperformingBaBprimaryBassessmentBis:B-BcorrectBanswer-ABCDE
ABconsiderationBofBtreatmentBforBaBpediatricBpatientBwithBacuteBfulminantBmyocarditisBwhoBisBinBcardiacBa
rrestBorBatBaBhighBriskBofBcardiacBarrestBis:B-BcorrectBanswer-
ExtracorporealBmembraneBoxygenationB(ECMO)
WhichBofBtheBfollowingBisBtheBcorrectBmeaningBforBoneBofBtheBindividualBlettersBinBtheBAVPUBscale?B-
BcorrectBanswer-AlertB-
BTheBchildBisBalertBandBawakeBandBrespondsBtoBnormalBstimuliBbasedBuponBageBandBenvironment
TheBrecommendedBrouteBofBvascularBaccessBonBaBhypotensiveBpediatricBpatientBis:B-BcorrectBanswer-
centralBIV
YouBareBcalledBtoBtheBbedsideBofBaB12-year-
oldBmaleBpatientBwhoBwasBadmittedBafterBaBweekBofBpersistentBvomiting,BdiarrheaBandBlimitingBoralBintake
BofBbothBsolidsBandBliquids.BTheBpatient'sBairwayBisBpatent,BventilatoryBrateBisBwithinBnormalBlimitsBandBthe
Bpatient'sBcirculatoryBstatusBpresentsBwithBtachycardia,BaBbloodBpressureBofB70/40BandBaBcapillaryBrefillBtim
, eBofB5Bseconds.BTheBpatientBisBspeakingBincoherently.BTheBpatientBhasBnoBhistoryBofBcardiacBproblemsBorBc
ongenitalBdefects.BTheBappropriateBfluidBadministrationBdoseBforBthisBpatientBis:B-BcorrectBanswer-
20Bml/kgB0.9%BNaClBoverB10Bminutes
YouBsuspectByourB8-year-
oldBfemaleBpatientBofBbeingBhypovolemic.BHerBparentsBbroughtBherBtoBtheBemergencyBdepartmentBwithBp
ersistentBvomitingBandBdiarrheaBforB5Bdays.BTheBpatientBpresentsBwithB*mottledBskin*BandBreportsBofBperi
odsBwhereB"sheBjustBstoppedBbreathing!"BaccordingBtoBherBparents.BTheBpatientBisBbeingBmanagedBwithBaB
BVMBandBsupplementalBoxygen.BWhatBisBtheBbestBrouteBofBestablishingBvascularBaccessBforBtheBpurposeBof
BfluidBresuscitation?B-BcorrectBanswer-IV
WhichBofBtheBfollowingBcannotBbeBadministeredBthroughBanBETT?B-BcorrectBanswer-SodiumBbicarbonate
YouBareBexaminingBtheBrhythmBstripBofBaBpatientBwhoBpresentsBwithBbradycardia.BWhichBofBtheBfollowingBc
haracteristicsBmayByouBnoticeBinBtheBrhythm?B-BcorrectBanswer-
TheBmostBobviousBsignBofBbradycardiaBonBanBECGBisBslowBheartBrate.BTheBcharacteristicsBofBP-
wavesBandBtheBQRSBcomplexBmayBvary.BWhenBlookingBatBanBEKG,BtheBfollowingBcharacteristicsBareBseenBwi
thBbradycardiaBpatients:BSlowBheartBrate,BP-
wavesBmayBnotBbeBnoticeable,BQRSBcomplexBmayBbeBwideBorBnarrow,BandBP-
wavesBandBQRSBcomplexBmayBnotBbeBrelatedBtoBbradycardia.
HowBdoBchildren'sBmetabolicBratesBcompareBtoBadults'?B-BcorrectBanswer-higher
Children'sBdemandBforBoxygenBisB___________Badults.B-BcorrectBanswer-greater
WhichBofBtheBfollowingBmustByouBmonitorBwhileBfluidBresuscitatingBaBpatient?B-BcorrectBanswer-
UrineBoutput
WhatBtypeBofBpressureBisBmonitoredBtoBobtainBrightBventricularBcardiacBpreload?B-BcorrectBanswer-
CentralBvenousBpressureB(CVP)
DefineBshock:B-BcorrectBanswer-
WhenBoxygenBandBnutrientBsupplyBtoBbodyBtissueBisBinsufficientBcomparedBtoBmetabolicBtissueBneeds