PEPP final Questions With Correct Answers
1. In a child with blunt trauma to the chest, you can suspect
___________________________________ in a child that presents with hypoxia and
respiratory distress. CORRECT ANSWER Pulmonary Contusion
2. Due to the flexibility of the ribs in young children and being poorly protected
by fat or muscle, during an impact the energy is CORRECT ANSWER CORRECT ANSWER directly
transferred to the lungs or heart on
impact; can result in serious injuries to the thoracic organs.
3. The solid organs of the upper abdominal cavity are (3) CORRECT ANSWER Liver, Spleen,
Kidneys
4. The most serious complications of extremity injuries are
__________________________________________ and blood loss into the soft tissues at
the fracture site. CORRECT ANSWER Neurovascular Injuries
5. A restrained child in a motor vehicle crash may have lap belt injuries involving
____________________________________________. CORRECT ANSWER Solid organs, bowels,
and spine
6. What is caused by a direct trauma to the brain itself? CORRECT ANSWER Primary brain injury
7. What is caused by an indirect insult to the brain tissue by hypoxia or is
chemia? CORRECT ANSWER Secondary Brain Injury
8. The most likely causes of abnormal appearance in a pediatric trauma patient
are (list six) CORRECT ANSWER 1) Closed head injury
2) Hypoxia
3) Hemorrhage
4) Pain from fractures
5) Burns
, 6) Soft Tissue Injuries
9. Effortless Tachypnea, or a rapid respiratory rate in the absence of increase
work of breathing, may be seen in a child with CORRECT ANSWER CORRECT ANSWER Traumatic
shock
10. Effortless tachypnea is a reflexive mechanism to compensate for? CORRECT ANSWER
Metabolic
Acidosis caused by hypoperfusion
11. An injured child, who's skin color and temperature are abnormal and is not
in a cold environment, suggests? CORRECT ANSWER Hypovolemia and poor perfusion
12. The most common cause for hypo perfusion and shock in pediatric trauma
patients is? CORRECT ANSWER hemorrhage from abdominal solid organ injury
13. Why is only one attempt made at getting a blood pressure in children older
than 3 years of age? CORRECT ANSWER Because of the technical challenges of obtaining a
reliable blood pressure (mainly
1/7
PEPP final
Study online at https CORRECT ANSWER//quizlet.com/_7oxdp0
due to having the right cuff size) and because skin signs, capillary refill time and pulse quality
are all good signs of
perfusion.
14. Reserve hyperventilation for patients with TBI who have signs of? CORRECT ANSWER
Impending
brain herniation
15. Consider hyperventilation if the child has a severe neurologic disability,
which is defined as? CORRECT ANSWER 1) a rating of 'P' or 'U' on the AVPU scale
2) a score of 9 or less on the Pediatric GCS
3) A fixed or dilated pupil or asymmetric pupils
1. In a child with blunt trauma to the chest, you can suspect
___________________________________ in a child that presents with hypoxia and
respiratory distress. CORRECT ANSWER Pulmonary Contusion
2. Due to the flexibility of the ribs in young children and being poorly protected
by fat or muscle, during an impact the energy is CORRECT ANSWER CORRECT ANSWER directly
transferred to the lungs or heart on
impact; can result in serious injuries to the thoracic organs.
3. The solid organs of the upper abdominal cavity are (3) CORRECT ANSWER Liver, Spleen,
Kidneys
4. The most serious complications of extremity injuries are
__________________________________________ and blood loss into the soft tissues at
the fracture site. CORRECT ANSWER Neurovascular Injuries
5. A restrained child in a motor vehicle crash may have lap belt injuries involving
____________________________________________. CORRECT ANSWER Solid organs, bowels,
and spine
6. What is caused by a direct trauma to the brain itself? CORRECT ANSWER Primary brain injury
7. What is caused by an indirect insult to the brain tissue by hypoxia or is
chemia? CORRECT ANSWER Secondary Brain Injury
8. The most likely causes of abnormal appearance in a pediatric trauma patient
are (list six) CORRECT ANSWER 1) Closed head injury
2) Hypoxia
3) Hemorrhage
4) Pain from fractures
5) Burns
, 6) Soft Tissue Injuries
9. Effortless Tachypnea, or a rapid respiratory rate in the absence of increase
work of breathing, may be seen in a child with CORRECT ANSWER CORRECT ANSWER Traumatic
shock
10. Effortless tachypnea is a reflexive mechanism to compensate for? CORRECT ANSWER
Metabolic
Acidosis caused by hypoperfusion
11. An injured child, who's skin color and temperature are abnormal and is not
in a cold environment, suggests? CORRECT ANSWER Hypovolemia and poor perfusion
12. The most common cause for hypo perfusion and shock in pediatric trauma
patients is? CORRECT ANSWER hemorrhage from abdominal solid organ injury
13. Why is only one attempt made at getting a blood pressure in children older
than 3 years of age? CORRECT ANSWER Because of the technical challenges of obtaining a
reliable blood pressure (mainly
1/7
PEPP final
Study online at https CORRECT ANSWER//quizlet.com/_7oxdp0
due to having the right cuff size) and because skin signs, capillary refill time and pulse quality
are all good signs of
perfusion.
14. Reserve hyperventilation for patients with TBI who have signs of? CORRECT ANSWER
Impending
brain herniation
15. Consider hyperventilation if the child has a severe neurologic disability,
which is defined as? CORRECT ANSWER 1) a rating of 'P' or 'U' on the AVPU scale
2) a score of 9 or less on the Pediatric GCS
3) A fixed or dilated pupil or asymmetric pupils
