
Vomiting in Children - An ED Approach.
Authored by Emma Saint-John
Health Sciences
University
Used 3+ times

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22 questions
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1.
MULTIPLE CHOICE QUESTION
20 sec β’ 1 pt
Which of the following is a surgical emergency in a vomiting child?
Bilious (green) vomiting
Non-bilious vomiting with diarrhoea
Vomiting after eating dairy/gluten
Vomiting that resolves with ondansetron
2.
MULTIPLE CHOICE QUESTION
20 sec β’ 1 pt
What is the most likely cause of projectile vomiting in a 6-week-old male?
Gastroenteritis
Appendicitis
Pyloric Stenosis
Diabetic Ketoacidosis
Answer explanation
πΉ Neonates (<1 month)
β Pyloric stenosis
β Sepsis
β Malrotation/volvulus (bilious vomiting!)
β Inborn errors of metabolism
πΉ Infants (1 month β 1 year)
β Gastroenteritis
β Milk protein allergy
β Intussusception
β UTI
πΉ Children (>1 year)
β Gastroenteritis
β Appendicitis
β DKA
β Migraine
β Raised ICP
3.
MULTIPLE CHOICE QUESTION
10 sec β’ 1 pt
True or False: Vomiting without diarrhoea is reassuring?
TRUE
FALSE
4.
MULTIPLE CHOICE QUESTION
20 sec β’ 1 pt
Which of the following is NOT a red flag for vomiting in children?
Watery diarrhoea with vomiting
Bilious vomiting
Vomiting with altered consciousness
Projectile vomiting in an infant
Answer explanation
5.
MULTIPLE CHOICE QUESTION
20 sec β’ 1 pt
What is the first-line treatment for mild dehydration in gastroenteritis?
Intravenous Fluids
Ondansetron
Nil by mouth
Oral rehydration solution (ORS)
Answer explanation
6.
MULTIPLE CHOICE QUESTION
20 sec β’ 1 pt
Which investigation is MOST appropriate for suspected intussusception?
CT Abdomen
Abdomen Ultrasound
Contrast / Gas Enema
Stool MCS
Answer explanation
7.
MULTIPLE CHOICE QUESTION
20 sec β’ 1 pt
A 4-year-old has green vomit, abdominal distension, and lethargy. What should you do FIRST?
Start IV fluids and escalate to surgery
Give oral ondansetron and observe
Trial of Fluids. Likely Discharge
Paracetamol / Supportive Cares and observe
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