Multiple Choice Questions (MCQ)

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Category: Emergency Medicine--->Paediatric resuscitation
Page: 1

Question 1# Print Question

Regarding current paediatric resuscitation guidelines in the pre-hospital and hospital environment, which ONE of the following statements is TRUE?

A. Infants more than a few hours beyond birth should receive CPR with a compression-ventilation ratio of 3:1
B. A 10-year-old child should be treated according to paediatric resuscitation guidelines
C. A 2-week-old infant in cardiac arrest secondary to hypoxaemia may be treated initially with positive pressure ventilation and oxygen
D. LMAs have been shown to be superior to bag–valve–mask (BVM) ventilation during resuscitation of children

Question 2# Print Question

Prevention of cardiopulmonary arrest in children is an important aspect of paediatric critical care. In this regard, which ONE of the following is FALSE?

A. Early warning systems, such as a medical emergency team (MET), allow prompt medical assessment and treatment, preventing cardiopulmonary arrest
B. The introduction of a MET is associated with a decrease in the number of respiratory arrests and the total number of arrests
C. Cardiorespiratory arrest in children is usually preceded by a recognizable phase of deterioration and is usually of cardiac origin
D. Children with fluid refractory septic shock should be managed with a sepsis protocol

Question 3# Print Question

Regarding paediatric arrhythmia in the setting of critical illness and cardiorespiratory arrest, which ONE of the following is INCORRECT

A. The initial cardiac rhythm discovered is often asystole
B. The incidence of VF as the initial rhythm is approximately 20%
C. Up to 10% of sudden infant death syndrome (SIDS) deaths in infants may be attributable to inherited channelopathies
D. In the setting of VF or pulseless VT, doses higher than 4 J/kg, if delivered with a biphasic defibrillator are safe and effective

Question 4# Print Question

 In recognizing cardiopulmonary arrest in infants and commencing appropriate CPR, which ONE of the following is TRUE?

A. Radial pulse palpation is an important part of assessment and CPR should be commenced immediately if a pulse is not identified within 10 seconds
B. The depth of compression should be less than a third of the anteroposterior dimension of the chest to avoid harm from compressions
C. The two-finger technique is more effective in providing cardiac output in infants than the two-thumb technique
D. 50% of a compression cycle should be devoted to compression and 50% to relaxation to enable recoil of the chest wall

Question 5# Print Question

Intravenous access during resuscitation is a vital part of management. Which ONE of the following is TRUE?

A. All resuscitative drugs may be given via the intravenous, intraosseous (IO) or endotracheal route
B. Current evidence suggests that newer IO devices, such as drills and bone injection guns, improve the outcome in paediatric resuscitation
C. IO blood can be used reliably for biochemical, haematological and venous blood gas analyses
D. IO access is often achieved more rapidly and successfully than IV access in cardiopulmonary arrest in children

Category: Emergency Medicine--->Paediatric resuscitation
Page: 1 of 4