Font size
WorksheetsPediatric Cardiology
Total questions: 30
Worksheet time: 6mins
Positive inotropic medications work by
increasing the force of ventricular contraction
increasing the conduction speed in the AV node
increasing the heart rate
decreasing the conduction speed in the AV node
Generally, all inotropic medications work to improve cardiac contraction by increasing intracellular concentrations of
(a)
Which of the following is an endogenous catecholamine precursor of epinephrine?
Dopamine
Amiodarone
Isoproterenol
Milrinone
Digoxin
In children, dobutamine mainly affects
Beta 2 adrenergic receptors
Beta 1 adrenergic receptors
Alpha 1 adrenergic receptors
Alpha 2 receptors
Beta 3 adrenergic receptors
What is unique in the neonate compared to infants and older children?
Neonates have less acid secretion in the stomach
Neonates have more acid secretion in the stomach
GI transit time in neonates is slower
GI transit time in older children is more rapid
At moderate concentrations, dopamine affects
Beta1 receptors
Beta2 receptors
Alpha1 receptors
Beta3 receptors
Alpha2 receptors
What is shock?
Inadequate delivery of oxygen to tissues
Low blood pressure
MAP < 65
inadequate delivery of CO2 and HCO3 to tissues
How does a child compensate for low cardiac output?
Increase heart rate
Increase SVR
Increase heart rate and increase SVR
Increase heart rate and decrease SVR
Decrease SVR
Most common presentation of pediatric shock?
(a)
What is the most common cause of distributive shock in children?
Toxicologic
Sepsis
Anaphylaxis
Adrenal
Neurogenic
What is the most common presentation in pediatric septic shock?
Cold shock
Warm shock
Neurogenic shock
Obstructive shock
The umbilical cord has
one artery
two arteries
three arteries
four arteries
The umbilical arteries carry
oxygenated blood
deoxygenated blood
In utero, the dominant ventricle of the heart is the
left ventricle
right ventricle
A newborn ECG will demonstrate
left axis deviation
right axis deviation
extreme left axis deviation
left atrial enlargement
right atrial enlargement with 1st degree AV block
According to Alabama protocols, pediatric bradycardia is usually secondary to
hypoxia or hypoglycemia
hypercapnia or hypoxia
hyperglycemia
Closed head injury
Congenital heart disease or hyperglycemia
For stable pediatric bradycardia, what is the recommended medication?
Push dose epinephrine
Push dose calcium chloride
Push dose glucagon
Push dose Levophed
Push dose dobutamine
What is the dose for Push Dose Epinephrine in the pediatric cardiac dysrhythmias protocol?
1 mcg/kg
0.1 mcg/kg
0.01 mcg/kg
0.1 mg/kg
What is the max dose for push dose epinephrine in the pediatric cardiac dysrhythmias protocol?
10 mcg
1 mcg
1 mg
0.1 mcg
100 mcg
What is the MINIMUM dose of atropine for pediatric stable bradycardia?
0.5 mg
0.1 mg
1 mg
0.25 mg
0.5 mg/kg
For a wide complex pediatric tachydysrhythmia, what is the dose of amiodarone?
150 mg/kg
5 mg/kg
1 mg/kg
10 mg/kg
50 mg/kg
In a pediatric with sepsis and signs of hypoperfusion, how many times may you repeat a 500 mL bolus before calling OLMD?
Once
Twice
Four times
Five times
Zero
In pediatric septic shock, you will want to set your norepinephrine drip to
0.05-2 mcg/kg/min
0.1-1 mcg/kg/min
5-20 mg/kg/min
5-20 mcg/kg/min
0.15-1 mcg/kg/min
According to Alabama protocols, a child with sepsis should receive vasopressor therapy to maintain a goal of
MAP >=60 mmHg
normal BP for age
normal HR for age
MAP >=75 mmHg
According to Alabama protocols, a child with sepsis should receive vasopressor therapy to maintain a goal of
MAP >=60 mmHg
normal BP for age
normal HR for age
MAP >=75 mmHg
A newborn is in shock. Where should you place the pulse oximeter probe?
Right upper extremity
Left upper extremity
Left earlobe
Right earlobe
Left foot
A child in ventricular fibrillation should initially be shocked with
1 J/kg
2 J/kg
3 J/kg
4 J/kg
8 J/kg
A child presents in shock secondary to an adrenal crisis. The correct dose of SoluMedrol is
1 mg/kg
2 mg/kg
4 mg/kg
0.1-1 mg/kg
0.1 mg/kg
The adrenal glands in a child produce
aldosterone, cortisol, and androgens
epinephrine, norepinephrine, and serotonin
cortisol, epinephrine and dopamine
norepinephrine, dobutamine, isoproterenol
aldactone, adrogens, serotonin
Fluid resuscitation in septic shock should be dosed based on
actual body weight
ideal body weight
predicted body weight
