PALS 2020 Exam Questions With step-by-step Answers

PALS 2020 Exam Questions With step-
by-step Answers

EPI dose in cardiac arrest (IV and IO) - CORRECT ANSWER-0.01mg/kg IV, q3-5min

(or 0.1mg/kg IO)



Amiodarone IV/IO dose Cardiac Arrest - CORRECT ANSWER-5mg/kg bolus (max 3
doses)



Lidocaine IV/IO dose Cardiac Arrest - CORRECT ANSWER-1mg/kg loading dose

Maintenance: 20-50mcg/kg/min infusion

(repeat your bolus dose if the infusion is initiated longer than 15mins after first bolus
dose)



Defib doses in Cardiac Arrest - CORRECT ANSWER-First shock: 2 J/kg

Second Shock: 4 J/kg

Subsequent: 4+ J/kg (max 10 J/kg or adult dose)



H's and T's of ACLS - CORRECT ANSWER-H(6) T(5)

H hypovolemia

H hypoxia

H hypoglycemia

H hypothermia

H hypo/hyperkalemia

H hydrogen ions (acidosis)



T tension pneumo

T tamponade

T toxins

, T2 thrombosis PE/Cardiac



Upper Airway Obstruction sounds - CORRECT ANSWER-stridor (usually inspiratory)

barking cough

hoarse



Lower Airway Obstruction Sounds - CORRECT ANSWER-wheezing (usually expiratory)

prolonged exp phase



Lung Tissue Disease: airway sounds - CORRECT ANSWER-grunting

crackles

decreased breath sounds



Up Air Obs: Croup Tx - CORRECT ANSWER-nebulized Epi

corticosteroids



Up Air Obs: Anaphylaxis tx - CORRECT ANSWER-IM epi

salbutamol

antihistamine

corticosteroids



Up Air Obs: Foreign Body Tx - CORRECT ANSWER-position of comfort

(c) specialty



Low Air Obstraction: Bronchiolitis tx - CORRECT ANSWER-nasal suction

bhronchodilator trail



Low Air Obstraction: Asthma Tx - CORRECT ANSWER-Salbutamol +/- ipratropium

corticosteroids