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1. Which of the following is the most common acccesible site for intraosseus needle insertion?
A. Anteromedial Distal Tibia
B. Anteromedial Proximal Tibia
C. Anterolateral Proximal Tibia
D. Anterolateral Distal Tibia

2. This is done after every IO insertion.

A. Give 0.5 milligram/kg dose of 2% lidocaine with epinephrine
B. 10-mL normal saline flush after the IO route is established
C. Plain radiograph of the area where IO is established
D. Both A and B

3. Which of the following can increase the distention of the internal jugular vein prior to insertion
of central venous access?
A. Reverse Trendelenberg
B. Valsalva Maneuver
C. Head Tilt
D. Liver Compression

4. A baby was delivered via spontaneous a delivery in the Emergency Room. The mother has no
prenatal check-up and recalled that her LMP was September 30, 2020. (Use 05/06/2021 as
present date) Patient is for insertion of umbilical cathether. What is the appropriate size of
catheter to be used?
A. 3.5
B. 4.0
C. 4.5
D. 5.0

5. Which of the following has the highest rate of mechanical complication when used as central
venous access?
A. Femoral Vein
B. Internal Jugular Vein
C. External Jugular Vein
D. Subclavian Vein

6. This opioid is contraindicated to children <6 years old.

A. Oxycodone
B. Hydrocodone
C. Tramadol
D. Codeine
7. It is the most commonly used benzodiazepine for procedural sedation or anxiolysis in children.
A. Ketamine
B. Midazolam
C. Nitrous Oxide
D. Propofol

8. This analgesic is most effective for wounds that are not deeper than the subcutaneous tissues.
This is contraindicated in patients <3 months old and over inner mucosal surfaces.
A. LET
B. Lidocaine
C. EMLA
D. Sucrose

9. Post sedation Discharge Criteria includes:

A. Vital signs within normal age-related parameters
B. Drowsy but easily arousable
C. Ability to sit unaided
D. Can tolerate oral fluids
E. A and C
F. All of the above

10. A 14-year-old boy was brought to ER due to a bicycle accident. X-ray showed close complete
fracture of his right middle 3rd clavicle. What is the DOC for this patient?
A. Nitrous oxide
B. Dexmetomidine
C. Fentanyl
D. Subdissociative dose ketamine