FISDAP OB/GYN AND PEDIATRICS EXAMINATION 2025
QUESTIONS WITH ANSWERS GUARANTEE A+
✔✔Preschoolers Possible Illnesses - ✔✔croup, asthma, poisoning, auto collisions,
burns, child abuse, ingestion of foreign bodies, drownings, epiglottitis, febrile sz,
meningitis
✔✔School Age - ✔✔6-12 years; respect modesty
✔✔School Age Possible Illnesses - ✔✔drownngs, MVC, bicycle accidents, falls, fx,
sports injuries, child abuse, burns
✔✔Adolescents - ✔✔13-18 years of age; body conscious
✔✔Adolescents Possible Illnesses - ✔✔mononucleosis, asthma, mvc, sports, drug and
alcohol problems, suicide gestures, sexual abuse
✔✔Pediatric Anatomical Airway Considersations - ✔✔narrow airways that are easily
blocked by secretions/obstructions; infants are obligate nose breathers; large tongue;
trachea softer and more flexible making it easier to collapse; epiglottis very floppy
✔✔Pediatric Chest and Lungs Considerations - ✔✔muscles tire easily and are flagile,
ribs are soft, pliable nad provide less protection; mediastinum very mobile;
diaphragmatic breathers; pulmonary contusions common; prone to pneumothorax
following barotrauma;
✔✔Pediatric Abdomen Considerations - ✔✔liver and spleen proportionately larger;
organs lie close together that leads to multiple organ injuries than adults
✔✔Pediatric Respiratory Considersations - ✔✔increase oxygen requirements,
decreased oxygen reserves lead to increase susceptibility to hypoxia
✔✔Pediatric Shock - ✔✔can maintain BP longer but still be at risk for hypoperfusion;
hypotension is a late sign of shoc and aminious for cardiopulmonary arrest; suspect if
tachycardic
✔✔Pediatric Assessment Triangle - ✔✔Appearance-mental status and muscle tone;
Breathing-respiratory rate and effort; Circulation-skin signs, color, capillary refill
✔✔Apperance (Mental Status) for Ped - ✔✔"The Tickles" (TICLS-RU) Tone,
Interactiveness, Consolability, Look/Gaze, Speech/Cry, Response to Pain,
Unresponsiveness
✔✔Tachypnea in Peds - ✔✔fear, pain, inadequate oxygenation, cold
, ✔✔Central Circulation Assessment in Ped - ✔✔capillary refill check in the sternum or
forehead;
✔✔Peripheral Circulation - ✔✔peripheral pulses indicates adequate end organ
perfusion
✔✔End Organ Perfusion - ✔✔decreased perfusion is an early sign of shock; decreased
cap refill time is indicate of low cardiac output
✔✔Pediatric Pt @ risk of cardiopulmonary arrest - ✔✔RR>60; 80< HR>180 (under 5
years of age); 60<HR>180 (over 5 years of age); Respiratory distress; Trauma; Burns;
Cyanosis; Altered LOC; Sz; Fever w/ petechiae
✔✔Petechiae - ✔✔small purple spots resulting from skin hemorrhages
✔✔Newborn HR and RR - ✔✔100-180; 30-60
✔✔Infant HR and RR - ✔✔100-160; 30-60
✔✔Toddler HR and RR - ✔✔80-110; 24-40
✔✔Preschooler HR; RR; BP - ✔✔70-110; 22-34; SBP: 78-116 w/ average 98 DBP:65
✔✔School Age HR; RR; BP - ✔✔65-110; 18-30; SBP: 80-122 w/ average 105 DBP: 69
✔✔Early Adolescence HR; RR; BP - ✔✔60-90; 12-26; SBP: 88-140 w/ average 114
DBP: 76
✔✔Pediatric Signs of Increased RR - ✔✔Retractions, Nasal Flaring, Head Bobbing,
Grunting, Wheezing, Gurgling, Stridor
✔✔Ped Suctioning Rules - ✔✔decrease suction pressure to less than 100 mmHg; less
than 10 seconds;
✔✔Pearls for Endotracheal Process for Peds - ✔✔Straight blade laryngoscope
preferred; best method of determining depth is direct visualization; cuff should be limited
to 20 cmH2O; cuffed endotracheal tube it may be necessary to elect a tube that is 0.5
mm smaller than an uncuffed tube
✔✔Endotracheal Tube Selection for tubes - ✔✔Use Braselow; use pt's little finger or
diameter of nasal opening; pt's age in years +16 ÷ 4=tube size
QUESTIONS WITH ANSWERS GUARANTEE A+
✔✔Preschoolers Possible Illnesses - ✔✔croup, asthma, poisoning, auto collisions,
burns, child abuse, ingestion of foreign bodies, drownings, epiglottitis, febrile sz,
meningitis
✔✔School Age - ✔✔6-12 years; respect modesty
✔✔School Age Possible Illnesses - ✔✔drownngs, MVC, bicycle accidents, falls, fx,
sports injuries, child abuse, burns
✔✔Adolescents - ✔✔13-18 years of age; body conscious
✔✔Adolescents Possible Illnesses - ✔✔mononucleosis, asthma, mvc, sports, drug and
alcohol problems, suicide gestures, sexual abuse
✔✔Pediatric Anatomical Airway Considersations - ✔✔narrow airways that are easily
blocked by secretions/obstructions; infants are obligate nose breathers; large tongue;
trachea softer and more flexible making it easier to collapse; epiglottis very floppy
✔✔Pediatric Chest and Lungs Considerations - ✔✔muscles tire easily and are flagile,
ribs are soft, pliable nad provide less protection; mediastinum very mobile;
diaphragmatic breathers; pulmonary contusions common; prone to pneumothorax
following barotrauma;
✔✔Pediatric Abdomen Considerations - ✔✔liver and spleen proportionately larger;
organs lie close together that leads to multiple organ injuries than adults
✔✔Pediatric Respiratory Considersations - ✔✔increase oxygen requirements,
decreased oxygen reserves lead to increase susceptibility to hypoxia
✔✔Pediatric Shock - ✔✔can maintain BP longer but still be at risk for hypoperfusion;
hypotension is a late sign of shoc and aminious for cardiopulmonary arrest; suspect if
tachycardic
✔✔Pediatric Assessment Triangle - ✔✔Appearance-mental status and muscle tone;
Breathing-respiratory rate and effort; Circulation-skin signs, color, capillary refill
✔✔Apperance (Mental Status) for Ped - ✔✔"The Tickles" (TICLS-RU) Tone,
Interactiveness, Consolability, Look/Gaze, Speech/Cry, Response to Pain,
Unresponsiveness
✔✔Tachypnea in Peds - ✔✔fear, pain, inadequate oxygenation, cold
, ✔✔Central Circulation Assessment in Ped - ✔✔capillary refill check in the sternum or
forehead;
✔✔Peripheral Circulation - ✔✔peripheral pulses indicates adequate end organ
perfusion
✔✔End Organ Perfusion - ✔✔decreased perfusion is an early sign of shock; decreased
cap refill time is indicate of low cardiac output
✔✔Pediatric Pt @ risk of cardiopulmonary arrest - ✔✔RR>60; 80< HR>180 (under 5
years of age); 60<HR>180 (over 5 years of age); Respiratory distress; Trauma; Burns;
Cyanosis; Altered LOC; Sz; Fever w/ petechiae
✔✔Petechiae - ✔✔small purple spots resulting from skin hemorrhages
✔✔Newborn HR and RR - ✔✔100-180; 30-60
✔✔Infant HR and RR - ✔✔100-160; 30-60
✔✔Toddler HR and RR - ✔✔80-110; 24-40
✔✔Preschooler HR; RR; BP - ✔✔70-110; 22-34; SBP: 78-116 w/ average 98 DBP:65
✔✔School Age HR; RR; BP - ✔✔65-110; 18-30; SBP: 80-122 w/ average 105 DBP: 69
✔✔Early Adolescence HR; RR; BP - ✔✔60-90; 12-26; SBP: 88-140 w/ average 114
DBP: 76
✔✔Pediatric Signs of Increased RR - ✔✔Retractions, Nasal Flaring, Head Bobbing,
Grunting, Wheezing, Gurgling, Stridor
✔✔Ped Suctioning Rules - ✔✔decrease suction pressure to less than 100 mmHg; less
than 10 seconds;
✔✔Pearls for Endotracheal Process for Peds - ✔✔Straight blade laryngoscope
preferred; best method of determining depth is direct visualization; cuff should be limited
to 20 cmH2O; cuffed endotracheal tube it may be necessary to elect a tube that is 0.5
mm smaller than an uncuffed tube
✔✔Endotracheal Tube Selection for tubes - ✔✔Use Braselow; use pt's little finger or
diameter of nasal opening; pt's age in years +16 ÷ 4=tube size
