A 9-year-old male complains of pain in the middle of his chest. He tells you that the pain increases with deep inspiration. His
mother tells you that he
... [Show More] has had frequent coughing for the past week. She denies any other medical history and tells you he
is up-to-date with his vaccinations. His lungs are clear to auscultation. His vital signs are P 110, R 18, BP 110/70, and SpO2
is 97% on room air. You should suspect:
A. chest pain of a cardiac origin.
B. chest pain of a non-cardiac origin.
C. pertussis.
D. laryngotracheobronchitis. - ANSWER B. chest pain of a non-cardiac origin.
A 3-year-old female complains of pain in her chest. Her father tells you that she has mitral valve prolapse. Her skin is
cyanotic. Her lungs are clear on auscultation. Her vital signs are P 136 and irregular, R 30, BP 94/64, and SpO2 is 93% on
room air. You should administer:
A. nitroglycerin.
B. aspirin.
C. oxygen by nasal cannula.
D. oxygen by non-rebreather mask. - ANSWER C. oxygen by nasal cannula.
An 11-year-old male passed out while playing soccer. When you arrive, he is conscious and tells you he had dizziness and
sharp chest pain before he passed out. He points to his mid-sternum when you ask him the location of the pain. He denies
any pain currently. His vital signs are P 66, R 18, BP 114/72, and SpO2 is 95% on room air. You should:
A. administer oxygen by nasal cannula.
B. transport him in a position of comfort.
C. administer oxygen by non-rebreather mask.
D. transport him fully immobilized to a long backboard. - ANSWER B. transport him in a position of comfort.
A 6-month-old female is non-responsive to stimuli and has central cyanosis. Her father tells you she has had a cold. Her
vital signs are P 80, R 24 and shallow, and her capillary refill is three seconds. What should you suspect is causing her
bradycardia?
A. Hypoxia
B. Atherosclerosis
C. Myocardial ischemia
D. Sick sinus syndrome - ANSWER A. Hypoxia
A 7-year-old male passed out while playing soccer. He has a history of asthma. He is alert now and tells you he feels like
his heart is beating out of his chest. He is dyspneic, and you auscultate clear lung sounds. His pulse is too fast to count, and
the rest of his vital signs are R 32, BP 88/58, and SpO2 is 92% on room air. You should:
A. administer aspirin.
B. assist with the administration of albuterol.
C. administer oxygen.
D. assist with the administration of nitroglycerin. - ANSWER C. administer oxygen.
An unresponsive 10-month-old female is lying in her crib. You observe cyanosis in her lips and tongue. Her vital signs are P
76, R 18 and shallow, and her capillary refill is four seconds. You should first:
A. assist her ventilation.
B. assess her blood pressure.
C. assess her pulse oximetry.
D. begin chest compressions. - ANSWER A. assist her ventilation. [Show Less]