Megacode 10

1 Parents brought their 18-month-old boy to the emergency room by car because "he isn't breathing right." The parents say the boy has always been in good health. Your initial impression is that the boy has a barking cough and prominent inspiratory stridor. He exhibits chest retractions and is highly agitated. He is not moving air very well, though breath sounds can be heard in both lungs. You suspect which of the following conditions?

1 Parents brought their 18-month-old boy to the emergency room by car because "he isn't breathing right." The parents say the boy has always been in good health. Your initial impression is that the boy has a barking cough and prominent inspiratory stridor. He exhibits chest retractions and is highly agitated. He is not moving air very well, though breath sounds can be heard in both lungs. You suspect which of the following conditions?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

2 Based on the diagnosis of severe croup, which of the following should be done?

2 Based on the diagnosis of severe croup, which of the following should be done?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

3 What is the appropriate dose of dexamethasone?

3 What is the appropriate dose of dexamethasone?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

4 You watch the child as he is receiving treatment. He is becoming listless, increasingly tachycardic, and slightly cyanotic. His pulse oximetry reading is 90%. What is your immediate concern?

4 You watch the child as he is receiving treatment. He is becoming listless, increasingly tachycardic, and slightly cyanotic. His pulse oximetry reading is 90%. What is your immediate concern?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

5 You decide to intervene based on these concerns. Which of the following is your next course of action?

5 You decide to intervene based on these concerns. Which of the following is your next course of action?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

6 You have placed a stat consult to the pediatric anesthesiologist for possible intubation. The young boy appears to lose consciousness. You check for a pulse and cannot feel one within 10 seconds. The heart monitor still shows normal sinus rhythm. What rhythm do you suspect?

6 You have placed a stat consult to the pediatric anesthesiologist for possible intubation. The young boy appears to lose consciousness. You check for a pulse and cannot feel one within 10 seconds. The heart monitor still shows normal sinus rhythm. What rhythm do you suspect?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

7 The blood pressure is undetectable when assessed with an automated cuff. The defibrillator shows an organized rhythm. Which of the following is your first intervention?

7 The blood pressure is undetectable when assessed with an automated cuff. The defibrillator shows an organized rhythm. Which of the following is your first intervention?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

8 What other intervention will you perform within the first two minutes?

8 What other intervention will you perform within the first two minutes?

  • Key A
    A
  • Key B
    B
  • Key C
    C
  • Key D
    D

9 The pediatric anesthesiologist is preparing to intubate. Do you apply firm cricoid pressure during intubation?

9 The pediatric anesthesiologist is preparing to intubate. Do you apply firm cricoid pressure during intubation?

  • Key A
    A
  • Key B
    B

10 Receive Your Score!
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10 Receive Your Score!
Enter your email address and your results will instantly be available on the next page. We will also email you a copy of your graded exam.

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