Pediatric Airway Exam
1. Which fact makes it more important to suction secretions in infants?
a.
They have large passages
b.
They are nose breathers
c.
They have harder cartilage
d.
They are displaced easily
2. How would you describe the shape of the epiglottis in children?
a.
T
b.
L
c.
U
d.
O
3. Where is the narrowest portion of the airway in children up to the age of 8 years?
a.
Cricoid cartilage
b.
Pharynx
c.
Trachea
d.
Vocal chords
4. Which of the following common childhood airway diseases is caused by the
influenza virus?
a.
Epiglottitis
b.
Asthma
c.
Croup
d.
Bronchiolitis
5. Which of the following common childhood airway diseases is caused by the
Haemophilus influenza type B?
a.
Epiglottitis
b.
Asthma
c.
Croup
d.
Bronchiolitis
6. Which of the following common childhood airway diseases is caused by a virus
and is generally seen in children under the age of two?
a.
Epiglottitis
b.
Asthma
c.
Croup
d.
Bronchiolitis
7. Which of the following common childhood airway diseases presents with a hoarse
voice and a bark-like cough and wheezing?
a.
Epiglottitis
b.
Asthma
c.
Croup
d.
Bronchiolitis
8. Which of the following common childhood airway diseases presents with a sore
throat, fever, muffled voice and drooling?
a.
Epiglottitis
b.
Asthma
c.
Croup
d.
Bronchiolitis
9. Which of the following common childhood airway diseases presents with the
symptoms of a cold that worsens over a few days coupled with tachypnea?
a.
Epiglottitis
b.
Asthma
c.
Croup
d.
Bronchiolitis
10. How many back blows should be performed when clearing an obstructed airway
in an infant?
a.
2
b.
3
c.
4
d.
5
11. How should you position a child more than 1 year old if they become unconscious
while trying to clear an obstructed airway?
a.
On their back with arms by their side
b.
On their back with arms above their head
c.
On their side with arms by their side
d.
On their side with arms above their head
12. How many chest thrusts should be administered to an infant when clearing an
obstructed airway?
a.
5 chest thrusts
b.
2 chest thrusts
c.
2 chest thrusts
d.
1 per second
13. How should you characterize your approach to pediatric patients?
a.
Airway management in children is the same as in adults
b.
Children are just little adults
c.
Children have features that make their care unique
d.
Children’s tongues are smaller in comparison to adults
14. You arrive at the scene of a 4 year old whose mom states he was fine 4 hours ago,
but now has a temperature of 105 degrees. Upon examination, you find he is
drooling and has high pitched noisy respirations. How would you transport this
patient:
a.
Place the patient on the stretcher and transport after establishing an
IV.
b.
Allow the patient to transport on his mother's lap after establishing an
IV.
c.
d.
Transport by air ambulance.
Transport in the most non-threatening position and not attempt to
place an IV.
15. You arrive at the scene of a 6 y/o with difficulty breathing. You note that the
patient is retracting and has nasal flaring. Pulse oximeter reads: 89% on room air.
What does this tell you?
a.
This is a sign of impending respiratory failure.
b.
This child should be transported by air ambulance.
c.
This child has asthma and this is a normal finding.
d.
This child is in complete respiratory failure.
16. You are preparing a nebulizer with Albuterol for a 10-year-old child who is
wheezing. 1 cc of Albuterol= 5 mg. According to the article, how much should
this patient receive?
a.
0.25 cc.
b.
2.5cc.
c.
0.50 cc.
d.
1.5 cc.
17. As you listen to the lung sounds of an ill child, you hear expiratory wheezing with
a prolonged expiratory phase. You advise the receiving emergency department
that your patient is experiencing breathing problems probably due to _________
airway disease.
a.
lower
b.
upper
c.
inner
d.
outer
18. Your patient is a child who has had cold-like symptoms for several days and
suddenly developed a barking cough. What do you think the barking cough is
from?
a.
asthma
b.
croup
c.
epiglottitis
d.
pneumonia
19. Which of the following conditions would produce drooling, rapid onset of fever
and stridor?
a.
asthma
b.
Croup
c.
epiglottitis
d.
pneumonia
20. Intercostal retractions occur:
a.
Between the ribs
b.
Below the ribs
c.
Above the clavicle and sternum
d.
Below the xiphoid process
21. Pre-hospital treatment of asthma includes ventilatory support, administration of
________________, and administration of an anti-bronchospasm medication such
as Albuterol, Metaproterenol or subcutaneous epinephrine and rapid transport to
the hospital.
a.
humidified oxygen
b.
non-humidified oxygen