1. In addition to fever, upper respiratory symptoms, muscle aches and headache, which of the following symptoms of influenza tend to be more common in children than in adults?
a b c d
a. cough
b. runny nose
c. vomiting and diarrhea
d.   bronchitis

2.     Influenza virus is transmitted person-to-perso n by:
a b c
a. respiratory aerosol
b. blood
c. body fluids

3.The property of the influenza virus that allows for slight changes in its antigenic makeup from season to season and therefore requires annual immunization to reduce infection rates is called
a b
a. antigenic drift
b.   antigenic shift

4. One of the more sensitive and early signs of clinically significant dehydration in children is
a b c d
a.  tachycardia
b. hypotension
c. hypoxia
d. altered mental status or behavior

5. The single most effective means of lowering high fever after a febrile seizure is
a b c d
a.   Tylenol
b.  clothing removal
c.   toweling down with water and fanning
d.   fanning alone

6. Hypoxia by pulse oximetry is defined by a hemoglobin saturation of
a b c
a. 98-100%
b. 96-98%
c. less than 95%

7. Signs of significant respiratory distress are
a b c d
a.  tachypnea
b.   tachycardia
c.   use of accessory muscles of respiration
d.   all of the above

8. Options for preventing or treating influenza in firefighters include
a b c d
a.   annual influenza vaccination
b.   antiviral medication to shorten the disease course
c.   selected medications aimed at symptom relief
d.   all of the above

And for the paramedics and MICN's among you ………

9.   The intravenous dose of midazolam (Versed) for a refractory febrile seizure in a 10kg one year old child is
a b
a.   1mg, 0.2cc of 5mg/cc 
b.   2mg, 0.4cc of 5mg/cc

10. The safest combination of drug therapies for a patient with a history of CHF now with  acute dyspnea, diffuse crackles, hypertension and a recent diagnosis of pneumonia is

a b c
a. albuterol, nitroglycerine and morphine
b.albuterol and nitroglycerine
c.  nitroglycerine and morphine