Pediatric Protocol Exam Questions

Protocol Exam Questions and Answers

• Question 1: Recommended pediatric dose for Zofran?

  • 0.15mg/kg

• Question 2: Not recommended for pediatric abdominal pain?

  • Morphine

• Question 3: Drugs used for nasotracheal intubation?

  • Lidocaine, Oxymetazoline, Phenylephrine (all of the above)

• Question 4: Adjunctive therapy for cardioversion analgesia?

  • Diazepam 0.5mg/kg

• Question 5: Sedation dose of Etomidate for pacing?

  • 0.2mg/kg

• Question 6: What to avoid with suspected croup cases?

  • Nebulized epinephrine

• Question 7: Moderate hypothermic temperature range?

  • 82° -90°

• Question 8: Maximum dose for Ketamine in severe aggravated behavioral cases?

  • 200mg

• Question 9: Location without NIR services?

  • Mountain View, Summerlin

• Question 10: Immediate action for unresponsive patient?

  • Start CPR

• Question 11: Best position for cord presentation during delivery?

  • Left lateral

• Question 12: Ratio for newborn CPR?

  • 3:1

• Question 13: When should APGAR score be assessed?

  • At birth, and 1 and 5 minutes

• Question 14: Correct dose of Amiodarone for wide complex tachycardia in adults?

  • 150mg over 10 minutes (of the options)

• Question 15: Drug contraindicated for IN administration?

  • Midazolam

• Question 16: Initial dose of Adenosine for pediatric narrow complex stable tachycardia?

  • 0.1mg/kg

• Question 17: Maximum dose of Fentanyl for post-intubation analgesia in adults?

  • 100mcg

• Question 18: Maximum dose of Ketamine for pediatric induction?

  • 4mg/kg

• Question 19: Maximum dose of Etomidate for pediatric induction?

  • 20mg

• Question 20: Agent NOT recommended for pacing or cardioversion sedation?

  • Ketamine

• Question 21: Maximum dose of Midazolam for pediatric post-intubation sedation?

  • 10mg

• Question 22: Preferred treatment for seizures in pregnant patients?

  • Magnesium sulfate

• Question 23: Magnesium sulfate dose for preeclampsia?

  • 2mg/50mL over 10 minutes

• Question 24: Maximum dose of Amiodarone for monomorphic VT in pediatrics?

  • 10mg/kg

• Question 25: Correct defibrillation energy dose for pediatric Torsades?

  • 2j/kg

• Question 26: Initial Atropine dose for pediatric bradycardia?

  • 0.02mg/kg

• Question 27: What defines moderate hypothermia?

  • 82º-90°F

• Question 28: Initial treatment for pediatric SVT (stable)?

  • Vagal maneuvers

• Question 29: Analgesic dose of Fentanyl for pacing?

  • 1mcg/kg

• Question 30: Condition requiring D10 for altered mental status?

  • BGL < 60

• Question 31: Spinal stabilization contraindication?

  • Penetrating trauma to the head, all of the above

• Question 32: Maximum dose of Ketamine for adult induction?

  • 300mg

• Question 33: First step for a suspected sepsis patient?

  • Assess for signs of infection and vitals criteria

• Question 34: Recommended action for mechanical CPR?

  • Minimize interruptions

• Question 35: Correct magnesium sulfate dose for pediatric Torsades?

  • 25mg/kg

• Question 36: Correct administration method for Ondansetron?

  • Selective serotonin blocking agent

• Question 37: APGAR score for specific newborn characteristics?

  • 8

• Question 38: Dose of Diazepam for pediatric post-intubation sedation?

  • 0.2mg/kg IV

• Question 39: First-line treatment for suspected croup?

  • Nebulized saline

• Question 40: Treatment for refractory eclamptic seizures?

  • Diazepam

• Question 41: Standard dose of Etomidate for adult induction?

  • 0.3mg/kg

• Question 42: Treatment for pediatric narrow complex tachycardia if Adenosine fails?

  • Vagal maneuver

• Question 43: Defibrillation dose for pediatric V-tach?

  • 2j/kg

• Question 44: Medication for left Trendelenburg during cord prolapse?

  • None (position is intervention)

• Question 45: IV induction agent with a maximum 30mg adult dose?

  • Etomidate

• Question 46: Preferred Midazolam dose for sedation during pacing?

  • 0.1mg/kg

• Question 47: Maximum dose of Diazepam for adult post-intubation sedation?

  • 10mg

• Question 48: Action needed for pediatric altered mental status with BGL > 60?

  • Cardiac monitoring

• Question 49: Pediatric dose for Adenosine in narrow complex tachycardia?

  • 0.1mg/kg

• Question 50: Maximum dose of Magnesium sulfate for preeclampsia?

  • 4mg over 20 minutes

• Question 51: Agent NOT used for nasotracheal intubation?

  • Phenylephrine

• Question 52: Correct Diazepam dose for sedation during cardioversion?

  • 5mg

• Question 53: Pediatric dose of Magnesium sulfate for Torsades?

  • 20mg/kg

• Question 54: Definition of unstable tachycardia in pediatrics?

  • Poor perfusion with wide QRS complex

• Question 55: Action for patient with altered mental status and BGL < 60?

  • Recheck BGL in 15 minutes

• Question 56: Dose of Midazolam for post-intubation sedation?

  • 0.1mg/kg max 5mg

• Question 57: First action for pediatric SVT (stable)?

  • Perform a vagal maneuver

• Question 58: Initial cardioversion dose for pediatric monomorphic VT?

  • 0.5-1j/kg

• Question 59: Adjunctive therapy NOT used during pacing?

  • Morphine