1. You respond to a motor vehicle-versus-pedestrian accident. Upon arrival, you see a young child, who appears to be 5-years-old, lying in the middle of the street, approximately 15' from the car. Based on this child's age, which of the following do you suspect to be the PRIMARY injury?
A.Head injury
B.Lower leg injury
C.Pelvic injury
D.Upper extremity injury


2. A 2-year-old child has fallen 20' from a second story window. Obvious injuries include a large laceration to the top of the head with active bleeding and deformity to the facial bones. You should be MOST concerned with:
A.controlling the bleeding to the head.
B.the buildup of pressure within the skull.
C.whether or not the child was pushed from the window.
D.the status of the child's airway and the quality of breathing.


3. Chest trauma in children in most often the result of:
A.blunt-force injuries.
B.penetrating injuries.
C.significant falls.
D.seatbelt injuries.


4. When assessing a 5-year-old patient for signs and symptoms of shock, which of the following parameters are more reliable in children than adults?
A.Blood pressure
B.Heart rate
C.Capillary refill
D.Mental status


5. A child has sustained blunt trauma to the abdomen. One of the problems associated with abdominal injuries in children is:
A.associated rib fractures.
B.an early drop in blood pressure.
C.greater than 5% blood volume loss, which causes shock.
D.the accumulation of excess air in the stomach.


6. After assessing and providing the appropriate management for a child who was involved in a motor vehicle accident, you prepare to immobilize the child. This is BEST accomplished by:
A.using sandbags for lateral immobilization of the head.
B.not using an extrication collar as it may interfere with breathing.
C.using a special pediatric immobilization device to secure the head.
D.immobilizing the child on his or her side in case vomiting occurs.


7. Which of the following statements regarding the use of the pneumatic antishock garment (PASG) in children is FALSE?
A.Placing both legs of the child into one leg of the garment is contraindicated.
B.An indication for the use of the PASG is when the child has bilateral femur fractures.
C.Pelvic fractures or clear signs of decompensated shock are indications for the PASG.
D.Inflating the abdominal compartment is important, as it will increase cerebral blood flow.


8. Why should young children, who are restrained in a child safety seat, be placed in the back seat of an automobile?
A.Because that lessens the chance of them being ejected through the windshield
B.Because they can be severely injured or killed if the airbag deploys during a crash
C.Because it will allow the back of the front seat to act as a cushion during a crash
D.Because their legs are highly prone to injury if they collide with the dashboard


9. You are called to the home of a 3-year-old boy. The mother states that she was in the bathroom when she heard the child crying. When she came out to investigate, she saw the child coming from the kitchen and his face appeared very red. When you assess the child, you see blisters that are beginning to form around the mouth. What has MOST likely happened?
A.Child abuse
B.A probable chemical ingestion
C.A bite or sting from an insect
D.Carbon monoxide poisoning


10. You are called to the same home for the third time in a month for an injured 4-year-old child. According to the boyfriend of the child's mother, "Johnny fell from his bike again." In assessing this child, which of the following signs would be MOST indicative of possible abuse?
A.Old bruises to the lower legs
B.A scar to the child's chin
C.The child willingly offers information
D.Bruises of various colors to the back


11. When immobilizing an infant following a traumatic injury, it may be necessary to:
A.place a towel under the infant's head to ensure a neutral head position.
B.place a towel under the infant's shoulders to ensure a neutral head position.
C.immobilize the infant on his or her stomach due to their propensity for vomiting.
D.immobilize the infant's head in a slightly flexed position, as this is more comfortable.


12. A 6-year-old child has been accidentally burned. He has partial-thickness burns covering approximately 14% of his body surface area. This burn would be classified as:
A.minor.
B.moderate.
C.critical.
D.life-threatening.


13. After being submerged under water for approximately 5 minutes, bystanders are performing rescue breathing on a 3-year-old child. You and your EMT-B partner arrive at the scene, assess the child, and note that he is apneic with a weak, slow pulse rate. The primary injury that this child has suffered as a result of the submersion is:
A.spinal trauma.
B.hypothermia.
C.water in the lungs.
D.a lack of oxygen.


14. A child was struck by a car while riding his bicycle. He is found to be unconscious with snoring respirations. At a glance, you see bright red blood spurting from an open wound to the child's groin area. Your immediate action is to:
A.apply direct pressure to the bleeding.
B.provide assisted breathing with a BVM device.
C.maintain the airway with a jaw-thrust maneuver.
D.suction the child's oropharynx for 10 seconds.


15. After rescuing a 7-year-old boy from a swimming pool, you assess the airway and attempt ventilation, but you meet resistance. You should:
A.apply gentle pressure to the abdomen to force water from the lungs.
B.call for an ALS ambulance to perform endotracheal intubation.
C.provide oropharyngeal suction to remove water from the mouth.
D.look inside the child's mouth for any solid airway obstructions.


16. If you suspect that a child has been a victim of sexual abuse:
A.call police to arrest the parents.
B.do not allow the child to wash, urinate, or defecate.
C.carefully examine the child and note any abnormal findings.
D.carry out a citizen's arrest if the person responsible is present.



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