In a case of severe kyphoscoliosis, which of the following chest radiograph findings would be expected?
1. Enlarged heart
2. Areas of atelectasis
3. Increased lung opacity
4. Thoracic deformity
a. 1, 4
b. 2, 3
c. 2, 3, 4
d. 1, 2, 3, 4
D
With severe kyphoscoliosis, the thoracic deformity, an enlarged heart, atelectasis, and increased lung opacity would appear on a chest radiograph.
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Your patient is a five-year-old female who awoke with a harsh cough, sore throat, drooling, and high fever. She has shallow respirations of 40 and inspiratory stridor. She is completely focused on breathing, leaning forward on her outstretched arms. Which of the following is the best course of action?
A) Start an IV for administration of succinylcholine and midazolam for RSI, intubate the trachea, and ventilate at a rate of 24 to 28 per minute. B) Provide high-concentration oxygen by nonrebreather mask, start an IV and repeat a full set of vital signs every 5 minutes en route to the emergency department. C) Inspect the hypopharynx for edema and be prepared for immediate surgical cricothyrotomy if airway obstruction is imminent. D) Provide blow-by oxygen, humidified if possible; transport without delay and avoid procedures that might upset her.
Use of the automated external defibrillator is contraindicated in patients who:
A) are between 1 and 8 years of age. B) experienced a witnessed cardiac arrest. C) are apneic and have a weak carotid pulse. D) have a nitroglycerin patch applied to the skin.