Pediatric Emergencies Quiz

What is the state of unresponsiveness due to diffuse lesions of hemispheres / brain stems?

• Coma

• Shock

• Asthma & Croup

• Epiglottitis

What is the failure of circulation of oxygen to tissues resulting in lactic acidosis, cellular dysfunction and cell death?

• Hypovolaemic shock

• Septic shock

• Obstructive shock

• Cardiogenic shock

What are the classic signs of shock?

• Tachycardia

• Hypotension

• Weak pulse

• All of the above

What is the management for hypovolaemia?

• Rapid volume replacement

• Antibiotics

• Minimal volume support

• Drainage

What is the assessment for asthma severity?

• Mild

• Severe

• Life threat

• All of the above

What are the symptoms of mild croup?

• Stridor only when crying

• No hypoxia and comfortable

• Stridor at rest

• Recession and tachypnoea

What is the management for moderate/severe croup?

• Keep calm and nurse in warm room

• Oxygen if oxygen saturations <92%

• Budesonide (Pulmicort) 2mg nebulised

• Dexamethasone (single dose) 0.6mg/kg

What are the criteria for admission in croup?

• Stridor at rest

• Transport or phone difficulties

• Great distance from hospital

• Parental anxiety

What are the clinical signs of meningococcal infection?

• Fever with headache

• Stiff neck or pain in neck

• Petechial rash (non blanching)

• Photophobia

What is the management for a relatively well child suspected of meningococcal infection?

• Insert 2 iv lines

• Immediately start iv Ceftriaxone 80 mg/kg

• Assess Glasgow Meningococcal Scoring

• Inform CDC within 2 hrs