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PFCCS Final Exam – Questions & Correct Answers

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PFCCS Final Exam – Questions & Correct Answers

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  • July 26, 2024
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  • 2023/2024
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PFCCS Final Exam – Questions & Correct Answers

What bacteria can cause toxic shock syndrome Right Ans - Staphylococcus
aureus and Streptococcus pyogenes

What to assume child has if has fever and petechiae? How to treat it ? Right
Ans - Meningococcemia
TX: aggressive fluid resuscitation and Ax= cephalosporin

What is the diagnostic test for bacterial meningitis ? Right Ans - CSF
examination
IT IS A MED EMERGENCY

What is common in a pediatric patient who has hyponatremia Right Ans -
SIADH

Tx for symptomatic hyponatremia Right Ans - 3% saline

TX for hypernatremic dehydration Right Ans - isotonic fluids (0.9% NS)

By how much can sodium levels safely change an hour Right Ans - 0.5-1.0
mEq/L/h

What to give hyperkalemic patient to stabilize myocardium Right Ans -
Calcium gluconate

Other interventions to move potassium intercellularly (hyperkalemia)
Right Ans - Insulin/glucose
sodium bicarb
albuterol

Hypocalcemia tx Right Ans - - Calcium gluconate
- Calcium chloride ( CV line bc can cause tissue extravascation/necrosis)

What steps are in the primary survey during Trauma Right Ans - ABCDE
airway, breathing, circulation, disability, and environment exposure

Common life threats during trauma Right Ans - Tension pneumothorax
Open pneumothorax

, Massive hemothorax

Tension pneumothorax IV Right Ans - needle decompression then chest
tube

Open pneumothorax IV Right Ans - 3 sided occlusive dressing then chest
tube

Massive hemothorax IV Right Ans - volume resuscitation then chest tube

most common shock in trauma Right Ans - hemorrhagic shock

Pneumonic for possible cause of desaturations during trauma Right Ans -
D: dislodgment of ett tube
O: obstruction (kinked, pt biting tube etc)
P: Tension pneumothorax
E: equipment failure

What is the rule of nines for pediatric patients under 15 Right Ans - Lund
Browder chart

Signs of herniation in head trauma or seizure Right Ans - Pupil is fixed and
dilated

leading cause of disability injury in children is Right Ans - head trauma

Signs of Shaken baby syndrome or Abusive head trauma includes Right Ans
- Bilateral Subdural Hematoma
Retinal hemorrhages
Altered LOC

What is the most sensitive an specific test for TBI Right Ans - Head CT

TX for active seizures Right Ans - 1. benzos ( lorazepam)
2. Anticonvulsants (phenytoin, phenorbital)

Disaster related injuries and illnesses can be identified using which acronym
Right Ans - CBRNE
chemical, biological, radiation, nucelar, explosives

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