OBSTETRIC ANALGESIA AND ANESTHESIA

Question 1

_____________ is the most serious risk factor associated with surgery during pregnancy

Answer 1

Uterine asphyxia

Question 2

How should you treat the delayed gastric emptying time?

Answer 2

Prophylaxis with antacids

Question 3

How to avoid supine hypotension?

Answer 3

Uterine displacement

Question 4

A decreased FRV makes mother more prone to ______.

Answer 4

hypoxia

Question 5

How to prevent thromboembolism during c-section?

Answer 5

use pneumatic compression stocking

Question 6

What is the most frequent complication of spinal and epidural? how should you treat it?

Answer 6

Hypotension

left uterine displacement, IV hydration and ephedrine.

Question 7

what drug class do you give to stop premature contractions? name a drug used.

Answer 7

beta 2 agonist. Ritodine.

Question 8

Side effects of Ritodine on mom and fetus

Answer 8

hypokalemia, tachycardia, hyperglycemia

Question 9

what drug should you avoid with ritodine? why?

Answer 9

atropine, cause tachycardia and lead to pulmonary edema.

Question 10

Mag sulf can increase the sensitivity to both _____and _____. What should you do?

Answer 10

depolarizing, NDNMB

Decrease the dose

Question 11

Lidocaine (in high dose) causes uterine _______ and ____tone

Answer 11

vasoconstriction, increase

Question 12

Drugs to prevent aspiration?

Answer 12

H2 blockers and metoclopramide

Question 13

Most common morbidities are:

Answer 13

Hemorrhage

Preeclampsia

Question 14

Problems with general anesthesia include:

Answer 14

Rapid desaturation, laryngeal spasm/edema, aspiration

Question 15

Most common cause of polyhydramnios is _________________.

Answer 15

esophageal atresia

Question 16

___________ is most commonly injured during abdominal hysterectomy

Answer 16

Femoral nerve

Question 17

Which nerve can be injured during vaginal hysterectomy? what does the nerve injury lead to?

Answer 17

Common peroneal nerve, foot drop

Question 18

________ nerve is most commonly injured during vaginal delivery

Answer 18

Lumbosacral

Question 19

What’s the most common cause of anesthesia-related maternal mortality?

Answer 19

Airways complications