A 5-year-old child being treated for severe traumatic brain injury (TBI) suddenly develops a dilated right pupil, hypertension, and bradycardia. What is the most appropriate immediate intervention?
A 15-year-old patient is prescribed gabapentin for chronic neuropathic pain following a traumatic injury. When counseling the family, you discuss the potential side effects of this medication. Which of the following is a common side effect of gabapentin that should be monitored for?
A 16-year-old is being evaluated for brain death following a catastrophic anoxic brain injury. The clinical examination for brain death is being performed. Which of the following findings is a fundamental component required for the diagnosis of brain death?
A 7-year-old child is involved in a car crash and presents with bilateral lower extremity weakness. A CT scan and plain radiographs of the spine show no fractures, dislocations, or other bony abnormalities. What is the most likely diagnosis explaining this presentation?
A 14-year-old girl is diagnosed with postural orthostatic tachycardia syndrome. She experiences significant lightheadedness and fatigue upon standing. What is the most important initial, non-pharmacologic management strategy for this patient?
A 5-year-old child requires emergent endotracheal intubation. The provider is preparing the equipment and needs to select the appropriately sized uncuffed endotracheal tube. Using the standard pediatric formula, what is the correct tube size?
A 2-month-old infant is being seen for a well-child check. The practitioner notes a heart rate of 190 beats/min and a respiratory rate of 50 breaths/min. The infant is awake, alert, feeding well, and has a normal physical exam. How should these vital signs be interpreted?
A 4-year-old child sustains a traumatic head injury after a fall. During the primary survey, you assess his neurologic status using the Glasgow Coma Scale. He does not open his eyes to any stimuli, makes incomprehensible sounds in response to pain, and withdraws his arm when a painful stimulus is applied. What is his total Glasgow Coma Scale score?
A 6-month-old presents with a two-day history of vomiting and diarrhea. On examination, he is irritable with a heart rate of 180 beats/minute, cool extremities, and a capillary refill time of 4 seconds. His blood pressure is 88/56 mmHg. Which of the following most accurately describes this infant’s condition?
A 4-year-old child sustains a significant spinal injury in a fall. What is the primary anatomical reason that this child is more vulnerable to injury in the upper cervical spine (occiput-C3) compared to an adolescent?
