Facharzt FMH Kinder- und Jugendmedizin Practice Questions - Facharzt FMH für Kinder- und Jugendmedizin Spécialiste FMH en pédiatrie Exam - Facharzt FMH Kinder- und Jugendmedizin Practice Questions - Facharzt FMH für Kinder- und Jugendmedizin Spécialiste FMH en pédiatrie Exam

Question 1

A 3-year-old child presents to the emergency department with high fever, lethargy, cool extremities with mottled skin, delayed capillary refill time of 4 seconds, heart rate of 175 beats/min, and blood pressure of 72/44 mmHg (cold septic shock). Peripheral IV access has been established. In accordance with Pediatric Advanced Life Support (PALS) and international pediatric sepsis guidelines, what is the most appropriate initial resuscitation strategy?

Immediate rapid IV infusion of 50 mL/kg of 0.45% sodium chloride with 5% dextrose over 10 minutes Immediate initiation of an intravenous sodium bicarbonate infusion to correct metabolic acidosis Rapid administration of a 10 to 20 mL/kg bolus of balanced isotonic crystalloid over 10 to 20 minutes with frequent cardiopulmonary reassessment High-dose intravenous loop diuretic therapy to prevent non-cardiogenic pulmonary edema

Correct Answer:

Rapid administration of a 10 to 20 mL/kg bolus of balanced isotonic crystalloid over 10 to 20 minutes with frequent cardiopulmonary reassessment

Question 2

A 4-year-old boy develops sudden generalized urticaria, facial angioedema, stridor, wheezing, repetitive vomiting, and lethargy within 10 minutes of consuming cashew nuts. What is the immediate first-line pharmacotherapy of choice?

Intramuscular epinephrine (0.01 mg/kg, 1:1,000 solution) administered into the anterolateral mid-thigh Intravenous clemastine or diphenhydramine administered over 15 minutes Oral dexamethasone liquid (0.6 mg/kg) administered with oral hydration Inhaled nebulized budesonide suspension (1 mg) combined with nebulized saline

Correct Answer:

Intramuscular epinephrine (0.01 mg/kg, 1:1,000 solution) administered into the anterolateral mid-thigh

Question 3

A 2-year-old girl is brought to the pediatric resuscitation bay in generalized convulsive status epilepticus. The seizure has persisted for 12 minutes despite two weight-appropriate doses of buccal midazolam administered prior to arrival. Intravenous access is established. According to standard pediatric status epilepticus algorithms, which intravenous second-line antiepileptic therapy should be initiated immediately?

Continuous intravenous infusion of propofol with immediate neuromuscular paralysis Oral ethosuximide via nasogastric tube Intravenous calcium gluconate bolus combined with magnesium sulfate Intravenous levetiracetam (60 mg/kg, max 4500 mg) infused over 5 to 10 minutes

Correct Answer:

Intravenous levetiracetam (60 mg/kg, max 4500 mg) infused over 5 to 10 minutes

Question 4

A 15-year-old adolescent presents 5 hours after an acute intentional ingestion of 16 grams of paracetamol (acetaminophen). The patient is currently asymptomatic with normal physical examination findings. A 4-hour post-ingestion serum paracetamol level returns at 220 mg/L (1450 µmol/L), which plots above the treatment threshold on the Rumack-Matthew nomogram. What is the most appropriate management?

Discharge home with psychiatric follow-up after an observation period of 6 hours Initiate intravenous N-acetylcysteine (NAC) therapy immediately according to standardized dosing protocols Administer oral activated charcoal alone and repeat liver function tests in 24 hours Perform emergency hemodialysis to clear unconjugated paracetamol metabolites

Correct Answer:

Initiate intravenous N-acetylcysteine (NAC) therapy immediately according to standardized dosing protocols

Question 5

A 2-year-old child is brought to the emergency department 3 hours after ingesting an unknown quantity of adult ferrous sulfate tablets. The child has had multiple episodes of vomiting with blood-streaked emesis, abdominal pain, and lethargy. Abdominal radiography reveals multiple radiopaque densities in the stomach. Serum iron measured 4 hours post-ingestion is 96 µmol/L (536 µg/dL). What is the specific antidote indicated for this patient?

Oral penicillamine therapy combined with high-dose vitamin C Oral activated charcoal via nasogastric tube at 1 g/kg Intravenous dimercaprol (British anti-Lewisite) administered intramuscularly Intravenous deferoxamine infusion titrated to clinical improvement and disappearance of vin rosé urine

Correct Answer:

Intravenous deferoxamine infusion titrated to clinical improvement and disappearance of vin rosé urine

Question 1

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Prepare with the Facharzt FMH Kinder- und Jugendmedizin Practice Questions - Facharzt FMH für Kinder- und Jugendmedizin Spécialiste FMH en pédiatrie Exam practice quiz. This question bank includes 100 questions covering infant, year-old, child, presents, and severe. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Facharzt FMH Kinder- und Jugendmedizin Practice Questions - Facharzt FMH für Kinder- und Jugendmedizin Spécialiste FMH en pédiatrie Exam

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Facharzt FMH Kinder- und Jugendmedizin Practice Questions - Facharzt FMH für Kinder- und Jugendmedizin Spécialiste FMH en pédiatrie Exam

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