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A 3 y/o is being ventilated post-orthopedic surgery. He suddenly drops his oxygen saturation, has irregular slow breathing, and the ventilator is alarming. What is the first step in management?

A 12 y/o is admitted for incision and drainage of a large lesion located on her perineal area. She has been febrile for the past 3 days. What is the most appropriate management at this point?

A 6 y/o previously healthy female presents with hyperglycemia, ketonuria, metabolic acidosis,  and hyperkalemia consistent with diabetic ketoacidosis. Isotonic fluids and an insulin drip at 0.1unit/kg/hr have been initiated. An important concept in the ongoing management of this patient is:

Initial examination for the presence of unilateral choanal atresia in a newborn is BEST achieved by: 

The most appropriate indications for beginning dialysis for a child with acute renal failure include:

A previously healthy 13 y/o male has a mild pneumonia characterized by a nonproductive cough. There are patchy bilateral infiltrates on CXR. Which of the following antibiotics is most appropriate for treatment in this case?  

A 10 y/o returns to the ED after discharge the day before from the hospital where he had a femur fracture repair. He is currently in a hip-spica cast and complaining of severe pain. His right legs and toes are cool to touch and edematous, with a decreased palpable pedal pulse. His is tachypneic and tachycardic. What is most important to be done FIRST?

A 5 y/o presents to the ED with a disseminated rash and fever. The rash is vesicular with a “teardrop” appearance to the lesions. The child has not been immunized against varicella. The child has been on high-dose steroids for over a year for another medical condition. Which of the following is the most appropriate management of this patient?  

An 11 y/o male presents with difficulty walking. He had been fine until 7 days ago when he noticed some tingling in his feet. Over the next few days he began tripping more and he had difficulty climbing the stairs at school. This morning he had difficulty getting out of a chair. His past history is unremarkable except for a recent viral illness. On examination, he is alert, with normal mental status. He has normal strength in his arms but he is weak in his lower extremities. Reflexes are absent. He has normal sensation in his extremities but has hand and feet paresthesia with difficulty walking. Which of the following is the most likely diagnosis?

Which of the following interventions is MOST appropriate to complete first when there is concern about hearing in a child who is receiving chemotherapy for a relatively new oncologic diagnosis?