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S1

6-year-old female suffered a RSA after which


she was found unresponsive with multiple head
lacerations. During the initial assessment, her
heart rate was 35 and flexor posturing was
noted.
The correct impression on this childs head CT
is ?
What is Cushings triad?
Decorticate posturing corresponds with what
numerical value on the Glasgow Coma Scale?

S2
A 7-year-old male presents because of new-onset seizure
activity. the childs past medical history includes
hemophilia. After stabilizing the patient, you obtain a
head CT.
What is the correct interpretation of the above head CT?
What specific finding is noted on the left upper head CT?
What specific finding is noted on the right upper head
CT?
What specific finding is noted on the left lower head CT?

S3
A frantic mother called when she found her
14-m child fell off the neighbors trampoline
onto the cement sidewalk. Pertinent physical
examination findings included dilated pupils
and bradycardia.
What is the correct impression for the above
head CT?
What is the common manifestation of head
trauma, especially in pediatrics, that is of
primary concern for this child?

S4
Following a head injury, a 4-year-old girl was brought
to the emergency department with history of
vomiting and a severe headache. The patient was
poorly responsive, with a Glasgow Coma Scale of 6
The correct impression of the childs head CT is:
While in your ED, the child begins to show signs of
seizure activity. What is the drug of choice to treat
the active seizure?
What score indicates severe neurological injury, and
the need to obtain a definitive airway for the patient?

S5
an unresponsive previously healthy 11-yearold girl.
The school nurse reported that the child had
complained of a headache all morning. She vomited
twice and then became unresponsive. When she
arrived in your ED, you first notice her extensor
posturing. Her vital signs remain stable. The
remarkable physical findings include her extensor
posturing, in addition to the sluggish reactivity of her
pupils
What is the correct impression on the above head CT?
What additional findings are noticed on the head CT?

S6
a newborn infant on examination is observed to have
posturing with tactile stimulation. The following are the
vital signs that were assessed in your presence: weight 7.7
lb, heart rate 140, respiratory rate 35,oxygen saturation at
100% on room air, and a temperature of 98.6F.
What is the correct impression of the head CT?
The posturing referred to in this case is referred to as?
Causes of the above-mentioned posturing include which of
the following?
Which of the findings from a non traumatic lumbar
puncture can help diagnose a subarachnoid hemorrhage

S7
A 6-year-old male presents to the pediatric
urgent care center after colliding with a moving
van while riding his bicycle. Since the accident,
the child is complaining of a headache,
nausea,and vomiting. The patients examination
findings include nuchal rigidity with a depressed
mental status.
The correct reading of this head CT is as follows?
What other location is blood noticed on the head
CT?

S8
a 4-month-old child whom the paramedics recently brought in
for respiratory failure. One of the pertinent physical findings on
exam is retinal hemorrhages
The correct reading of this childs head CT is as follows?
What other finding on the CT gives clue to the etiology of this
childs illness?
The physical findings in infants with the diagnosis in question
include?
The diagnosis in question may have which of the following
associated brain injuries?
Infants are prone to these types of injuries because of which of
the following reasons?

S9
A 21-month-old child presents to the emergency
department with unexplained vomiting and lethargy. When
the father picked the child up that morning, he noticed the
child to be limp, and not active or playful.. On examination,
you notice extreme tenderness over the childs left clavicle
and left distal arm.
What is the correct interpretation of this X-ray?
What other significant findings are seen in this head CT?
A common cause of this childs most likely diagnosis is?
When a child presents with unexplained vomiting and
lethargy, what must be included in your differential
diagnosis?

S10
A 9-month-old female is brought to your
emergency department with history of closed
head trauma yesterday The child has not seen
any medical personnel prior to this visit. It is
apparent on examination that the child has a
right-sided scalp hematoma.
The correct impression of the childs head CT
is:
What other findings are apparent on this head
CT?

S11
A 2-year-old boy fell off a couch onto a tile floor. The
childs mother reports that the child cried
immediately after the fall then stopped crying, but is
now less active and more quiet than usual. There is
no history of loss of consciousness.
The correct interpretation of the above head CT is as
follows:
What finding on the head CT distinguishes this
diagnosis from others?
The following are characteristics of the diagnosis in
question?

The correct interpretation of the above


head CT is as
Follows:
What finding on the head CT distinguishes
this diagnosis from others?
The following are characteristics of the
diagnosis in
question:

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