Your 2 year old patient is intubated and ventilated. He suddenly decompensates, dropping his saturations to 50% and becomes bradycardic to 60 bpm. What is your next course of action?  

A 16-year-old boy is referred to with a history of malaise and fatigue. He has not been sleeping well and complains of cough and nighttime sweating. On examination, you note some enlarged nontender lymph nodes in the posterior cervical chain, as well as a large supraclavicular node. Review of his growth chart shows a 12% weight loss from his annual visit only a few months ago. A chest x-ray shows an anterior mediastinal mass and hilar adenopathy. Which of the following is the most likely diagnosis?

A 5 month old infant recently adopted from Southeast Asia presents to the Emergency Department with pallor, failure to thrive, frontal bossing, hepatomegaly, splenomegaly, and jaundice. In considering differential diagnoses, the most helpful diagnostic study results to indicate Beta Thalassemia would be:

A common presenting sign with retinoblastoma is:

A 4.8 kg newborn is being discharged on 24 kcal/oz formula. Which of the following will give the newborn 120 kcal/kg/day intake?

You are caring for a 12 y.o. boy with ODD with ADHD on the RNF for an asthma exacerbation.  What medication would you expect to see on his medication list from home?

You are the NP in the Recovery Room. You are caring for a 3 year old patient who recently underwent a PICC line. Anesthesia used Ketamine during this procedure. Your patient is experiencing fear and hallucinations. As the NP you suspect an emergence phenomenon. What medication can you order to treat this?  

A 5 day old infant presents with severe tachypnea and mild cyanosis. On examination, he has poor peripheral perfusion, hepatomegaly, and a 2/6 systolic ejection murmur at the LUSB. He became acidotic over the next few hours. His CXR shows a reticular pattern with a small heart size. The most likely diagnosis is:  

A 3 year old has been found unconscious with an empty bottle of his grandmother’s tricyclic antidepressants (TCA’s). After stabilizing the airway, you next order:

All of the following clinical circumstances increase caloric requirements except: