Which of the following would be an abnormal finding in a patient with

glomerulonephritis? - Answer Clear urine There is a decrease in urine output for

patient's with glomerulonephritis. Urine would be concentrated and dark brown/teacolored.

Clear urine There is a decrease in urine output for patient's with glomerulonephritis.

Urine would be concentrated and dark brown/tea-colored. - Answer Administration of

nebulized epinephrine Moderate to severe croup is treated with dexamethasone and

nebulized epinephrine.

The neurosurgeon has decided to perform an invasive procedure in the emergency

department to monitor the intracranial pressure on a 5-year-old patient. The family does

not speak English and has identified their religion as Muslim. Which of the following

interventions is most supportive of the family? - Answer Allow the extended to family

members to serve as interpreters during the procedure.

Which of the following patient presentations should increase suspicion of potential child

maltreatment? - Answer Bruising to the left ear of a newborn from sleeping on his side

Any bruise in a non-exploratory location in children younger than 4 years and any

bruising in a child younger than 4 months (TEN-4) are cause for suspicion of abuse

Bruising to the left ear of a newborn from sleeping on his side Any bruise in a nonexploratory location in children younger than 4 years and any bruising in a child younger

than 4 months (TEN-4) are cause for suspicion of abuse - Answer Commotio cordis

Commotio cordis occurs when the chest is struck during the refractory period of the

cardiac conduction cycle, resulting in a ventricular dysrhythmia or asystole. This type of

injury usually occurs in recreational sports such as baseball or ice hockey

A 12-year-old who was recently started on anti-psychotic medication for schizophrenia

is brought to the emergency department with severe muscle rigidity and hyperthermia.

These symptoms are most likely caused by which of the following? - Answer

Neuroleptic malignant syndrome These are classic symptoms of neuroleptic malignant

syndrome, which is a rare reaction to antipsychotic medications.

Which of the following patients should be evaluated first - Answer An 18-month-old with

bilious emesis Bilious emesis in an 18-month-old is always considered an emergent

symptom indicative of a life-threatening bowel obstruction.