- A 10-year-old girl develops abdominal pain and bilious vomiting several days after injuring herself over the handlebars of her bicycle. The MOST likely diagnosis is:
Your answer:
duodenal hematoma
pancreatic contusion
liver laceration
diaphragmatic injury with eventration of bowel
gastric perforation
- Retinal hemorrhages can be seen in all of the following EXCEPT:
Your answer:
resuscitation/CPR
shaken baby syndrome
vaginally-delivered newborns
low-speed traffic collisions
coagulopathy/sepsis
- A 10-year-old trauma victim presents unconscious and hypotensive. Multiple attempts at peripheral IV access are unsuccessful. The next access of choice is:
Your answer:
internal jugular vein
saphenous vein cutdown
femoral vein
external jugular vein
intraosseous line
- Some states have instituted mandatory helmet laws for children for the following devices:
Your answer:
bicycle
skateboard
in-line skates
scooter
all of the above
- A 5-year-old boy presents with elbow pain following a fall on his outstretched arm. Elbow xrays reveal small anterior and posterior fat pads but no obvious cortical break of bone. The presumptive diagnosis is:
Your answer:
occult radial head fracture
lateral epicondyle fracture
elbow sprain
nursemaid’s elbow
nondisplaced supracondylar fracture
- The most commonly injured abdominal organ in pediatric blunt trauma is:
Your answer:
liver
kidney
spleen
small bowel
pancreas
- All of the following are appropriate medications prior to intubating an unresponsive normotensive 5- year-old trauma victim with obvious head trauma EXCEPT:
Your answer:
ketamine
lidocaine
etomidate
thiopental
fentanyl
- A 10-month-old is struck by a car while in his mother’s arms. On arrival, the infant is moving all his extremities spontaneously, opens eyes to pain only, and is screaming inconsolably. His Glasgow Coma Scale (GCS) score is:
Your answer:
14
10
15
8
12
- The most common cause of death in children under 14 years of age is:
Your answer:
suicide
meningitis
unintentional trauma
cancer
child abuse
- At what minimum level of microscopic hematuria should radiographic evaluation be initiated in suspected genitourinary trauma in children?
Your answer:
100 RBC/hpf
50 RBC/hpf
500 RBC/hpf
1,000 RBC/hpf
20 RBC/hpf
- Which of the following is TRUE concerning traumatic thoracic injuries in children?
Your answer:
thoracic injuries are usually not associated with other organ injuries
pulmonary contusion is rarely seen without an associated rib fracture
diaphragmatic injuries can be reliably diagnosed with chest CT
tension pneumothorax more of a concern due to increased mediastinal mobility compared
rib fractures are more common than in adults
- A hypotensive pediatric trauma victim with suspected abdominal injury is given 20cc/kg of normal saline with no change in blood pressure. The most appropriate next step in management is:
Your answer:
operative exploration
MAST trousers
another 20 cc/kg of normal saline
PRBC transfusion
5% albumin infusion
- All of the following concerning the pediatric cervical spine is true EXCEPT:
Your answer:
mild subluxation of C2 on C3 anteriorly can be a normal variant
interspinous ligaments are more flexible than adults
the pre-dens space can be larger than adults
most fractures occur in the lower cervical spine
facet joints are flatter than adults
- Which is the following is TRUE concerning submersion injuries?
Your answer:
prophylactic antibiotics are recommended
most submersion events in America occur in natural bodies of water
alcohol use is associated with submersion injuries in 50% of cases in adolescents and adults
electrolyte abnormalities are commonly seen following ocean submersion events
Hemlich maneuver is recommended as part of standard initial management
- What is the name of this type of fracture?
Your answer:
Smith
Colles
Monteggia
Galeazzi
Ghazala