emergency medicine II final exam
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1. airway management in peds: most important part of peds resus!
2. peds head trauma has higher incidence of: diffuse brain edema
3. Sepsis: bacteremia with invasive, systemic infection
4. focal neuro changes in peds head trauma: RARE an uncommon finding
5. what are the most sensitive indicators for serious injury in peds head
trauma: level of consciousness and arousability
6. antibiotic choice for sepsis in a 4 yo: ceftriaxone
7. check what in peds head trauma: fontanel
8. rules for ordering a head CT on a 1 year old: severe mechanism, LOC >5 min,
skull fx, abnormal behavior/mental status, >3cm scalp hematoma
9. criteria for severe mechanism of head injury: MVA rollover, no seatbelts or
seats, fall from 3 ft <2 yo, 5 feet for > 2 yo
10. scalp hematoma: concerning findings would prompt CT
11. features of sepsis: altered circulation, decreased cerebral blood flow, DIC,
petechia, labored resp, irritable, lethargic, hypothermia
12. lab data found in sepsis: Low WBC and plts
13. sepsis dx made with: high clinical suspicion
14. sepsis workup: CBC, UA and culture, blood culture, LP and CXR
15. sepsis tx: ABCs, safety net, restore O2, admit to PEDS ICU, IV abx
16. ex of a complication of primary bacteremia: meningitis
17. meningitis highest incidence in what age group: younger
18. meningitis pathogens: H. flu, N. meningititdis, Strep pneumo
19. clinical features of meningitis: mental state change is best clue, fever may not
be present, 25% have seizures
20. meningitis dx made by: LP, clinical suspicion, CSF analysis (low glucose,
WBCs)
21. risk decreases with age in: bacteremia
22. most important part of peds resus is: airway management
23. Meningitis treatment: ABCs, intubation/airway, empirical abx for age, PICU
admit
24. Bacteremia most common pathogens: strep pneumococcus and H. flu
25. bacteremia increased risk if < _____: 3 month old
26. Bacteremia Management: ceftriaxone 50mg/kg IM, close followup, blood cul-
tures, urine, xray
27. peds airway characteristics: large tongue, small airway radius, high glottis,
increased lymphoid tissue, small nasopharynx diameter
28. to dx child abuse you need ....: a high index of suspicion
29. T/F in regards to child abuse, 90% of the time the assailant is in the exam
room with you: TRUE
1/5
, emergency medicine II final exam
Study online at https://quizlet.com/_d5igve
30. T/F MOST victims of child abuse have been abused prior to discovery: -
TRUE
31. sexual abuse of children: assailant known >90% of the time, high index of
suspicion, most are abused for years
32. physical abuse of children: hx not consistent with injury pattern, children
<6mos are rarely capable of injury or poisoning, parental behavior is inappropriate
33. T/F abdominal injury is common cause of death in physical child abuse: -
TRUE
34. child neglect: abnormal behavior, poor interpersonal relationships, under-
weight, usually <3 yo
35. T/F as a provider, YOU are protected by the law and MUST report suspicious
activity/injury: TRUE
36. child abuse management: ABCs, always be the childs advocate, social ser-
vice/law enforcement notify
37. labs to collect if suspected child abuse: cbc, platelets, PT/PTT, STD screen-
ing, HIV, hepatitis
38. is a TIA benign?: NO it is an early warning of impending CVA
39. TIA: transient ischemic attack, a neuro deficit lasting <24 hours
40. is an aggressive evaluation mandatory with a TIA?: YES
41. Labs for TIA: CT, MRI, US all used to evaluate pt for etiology of TIA
42. subarachnoid hemorrhage more common in M or F: FEMALES
43. subarachnoid hemorrhage characteristics: "worst headache of my life" sen-
tinel headache may occur prior to large bleed
44. subarachnoid hemorrhage diagnostic: LP used for diagnosis BUT CT is the
initial imaging preference
45. Cerebellar hemorrhage severity: LIFE THREATENING
46. is there a need for thrombolytics or K in a cerebellar hemorrhage: NO
47. immediate decompression is mandatory with...: cerebellar hemorrhage
48. neuro screening exam: assists in determining WHERE the lesion is located in
the CNS (YES)
49. altered mental status two classifications: metabolic/toxic AND structural (this
will determine who takes care of the patient med or surg)
50. common causes of altered mental status: alcohol, hypoglycemia, hypoxia,
drugs, NOT peripheral neuropathy
51. essential treatment and diagnosis with altered mental status: safety net,
ABCs, head CT, EKG (all of them!)
52. altered mental status etiology: bilateral cortical involvement, interruption of the
RAS
2/5
Study online at https://quizlet.com/_d5igve
1. airway management in peds: most important part of peds resus!
2. peds head trauma has higher incidence of: diffuse brain edema
3. Sepsis: bacteremia with invasive, systemic infection
4. focal neuro changes in peds head trauma: RARE an uncommon finding
5. what are the most sensitive indicators for serious injury in peds head
trauma: level of consciousness and arousability
6. antibiotic choice for sepsis in a 4 yo: ceftriaxone
7. check what in peds head trauma: fontanel
8. rules for ordering a head CT on a 1 year old: severe mechanism, LOC >5 min,
skull fx, abnormal behavior/mental status, >3cm scalp hematoma
9. criteria for severe mechanism of head injury: MVA rollover, no seatbelts or
seats, fall from 3 ft <2 yo, 5 feet for > 2 yo
10. scalp hematoma: concerning findings would prompt CT
11. features of sepsis: altered circulation, decreased cerebral blood flow, DIC,
petechia, labored resp, irritable, lethargic, hypothermia
12. lab data found in sepsis: Low WBC and plts
13. sepsis dx made with: high clinical suspicion
14. sepsis workup: CBC, UA and culture, blood culture, LP and CXR
15. sepsis tx: ABCs, safety net, restore O2, admit to PEDS ICU, IV abx
16. ex of a complication of primary bacteremia: meningitis
17. meningitis highest incidence in what age group: younger
18. meningitis pathogens: H. flu, N. meningititdis, Strep pneumo
19. clinical features of meningitis: mental state change is best clue, fever may not
be present, 25% have seizures
20. meningitis dx made by: LP, clinical suspicion, CSF analysis (low glucose,
WBCs)
21. risk decreases with age in: bacteremia
22. most important part of peds resus is: airway management
23. Meningitis treatment: ABCs, intubation/airway, empirical abx for age, PICU
admit
24. Bacteremia most common pathogens: strep pneumococcus and H. flu
25. bacteremia increased risk if < _____: 3 month old
26. Bacteremia Management: ceftriaxone 50mg/kg IM, close followup, blood cul-
tures, urine, xray
27. peds airway characteristics: large tongue, small airway radius, high glottis,
increased lymphoid tissue, small nasopharynx diameter
28. to dx child abuse you need ....: a high index of suspicion
29. T/F in regards to child abuse, 90% of the time the assailant is in the exam
room with you: TRUE
1/5
, emergency medicine II final exam
Study online at https://quizlet.com/_d5igve
30. T/F MOST victims of child abuse have been abused prior to discovery: -
TRUE
31. sexual abuse of children: assailant known >90% of the time, high index of
suspicion, most are abused for years
32. physical abuse of children: hx not consistent with injury pattern, children
<6mos are rarely capable of injury or poisoning, parental behavior is inappropriate
33. T/F abdominal injury is common cause of death in physical child abuse: -
TRUE
34. child neglect: abnormal behavior, poor interpersonal relationships, under-
weight, usually <3 yo
35. T/F as a provider, YOU are protected by the law and MUST report suspicious
activity/injury: TRUE
36. child abuse management: ABCs, always be the childs advocate, social ser-
vice/law enforcement notify
37. labs to collect if suspected child abuse: cbc, platelets, PT/PTT, STD screen-
ing, HIV, hepatitis
38. is a TIA benign?: NO it is an early warning of impending CVA
39. TIA: transient ischemic attack, a neuro deficit lasting <24 hours
40. is an aggressive evaluation mandatory with a TIA?: YES
41. Labs for TIA: CT, MRI, US all used to evaluate pt for etiology of TIA
42. subarachnoid hemorrhage more common in M or F: FEMALES
43. subarachnoid hemorrhage characteristics: "worst headache of my life" sen-
tinel headache may occur prior to large bleed
44. subarachnoid hemorrhage diagnostic: LP used for diagnosis BUT CT is the
initial imaging preference
45. Cerebellar hemorrhage severity: LIFE THREATENING
46. is there a need for thrombolytics or K in a cerebellar hemorrhage: NO
47. immediate decompression is mandatory with...: cerebellar hemorrhage
48. neuro screening exam: assists in determining WHERE the lesion is located in
the CNS (YES)
49. altered mental status two classifications: metabolic/toxic AND structural (this
will determine who takes care of the patient med or surg)
50. common causes of altered mental status: alcohol, hypoglycemia, hypoxia,
drugs, NOT peripheral neuropathy
51. essential treatment and diagnosis with altered mental status: safety net,
ABCs, head CT, EKG (all of them!)
52. altered mental status etiology: bilateral cortical involvement, interruption of the
RAS
2/5
