Ped

Question 1

Correct statement regarding neonatal physiology is
A. Neonates have a greater volume of distribution for water-soluble drugs
B. Total body water is higher in adults
C. Dose of propofol (mg/kg) is lower in neonates than in adults
D. Neonates have a higher body fat content than adults

Answer 1

A. Neonates have a greater volume of distribution for water-soluble drugs

Question 2

A 4-year-old child weighing 16 kg is scheduled for hernia repair under general anesthesia. Assuming he was NPO for 8 hours, his total fluid deficit will be
about \_\_\_\_\_ (mL):
A.   380           B.   420           C.   460           D.   500

Answer 2

B. 420

Question 3

The total dose of midazolam that may be given orally as premedication is           
A.   0.2 mg/kg, maximum 10 mg           
B.   0.2 mg/kg, maximum 20 mg           
C.   0.5 mg/kg, maximum 15 mg           
D.   0.5 mg/kg, maximum 20 mg

Answer 3

D. 0.5 mg/kg, maximum 20 mg

Question 4

A newborn baby of 37 weeks of gestation has a heart rate of 90 bpm, is crying, is pink with blue extremities, and shows some flexion. Her Apgar score
would be
A. 6 B. 7 C. 8 D. 9

Answer 4

B. 7

Question 5

After initial evaluation of the baby described above, the next step in managing her would be
A. Provide positive-pressure ventilation
B. Chest compressions
C. Warming blanket
D. Cardiology consult

Answer 5

A. Provide positive-pressure ventilation

Question 6

All of the following drugs can be given through endotracheal tube, except           
A.   Epinephrine           
B.   Lidocaine           
C.   Surfactant           
D.   Calcium

Answer 6

D. Calcium

Question 7

The disease or syndrome with known association with malignant hyperthermia is
A. Huntington chorea
B. Fabry disease
C. King Denborough syndrome (KDS)
D. Burns

Answer 7

C. King Denborough syndrome (KDS)

Question 8

An 8-year-old child is brought to the emergency room with testicular torsion. The parents tell you he ate a sandwich 6 hours ago. Surgeon wants to
operate immediately. Your response should be
A. Take him to the OR, deem it emergent, rapid-sequence intubation
B. Wait for 2 more hours, deem it urgent, rapid-sequence intubation
C. He is adequately fasting, elective, intubation
D. Wait for 2 hours, elective, intubation

Answer 8

A. Take him to the OR, deem it emergent, rapid-sequence intubation

Question 9

Which of the following statements about pediatric airway is true?
A. More caudal position of larynx as compared to adult
B. More acute angulation of epiglottis
C. Glottic opening is the narrowest part of airway
D. Longer trachea as compared to adults

Answer 9

B. More acute angulation of epiglottis

Question 10

A 10-week-old baby, who was born prematurely at 30 weeks of gestation, undergoes circumcision uneventfully under general anesthesia. After the baby recovers from anesthetics in postanesthesia care unit, he can/should be
A. Admitted and monitored for 24 hours
B. Discharged home with parents
C. Discharged home if parents live within a 30-minute radius
D. Admitted to the ICU

Answer 10

A. Admitted and monitored for 24 hours

Question 11

Hypertrophic pyloric stenosis i          
A.   Metabolic acidosis           
B.   Metabolic alkalosis           
C.   Hyperkalemia           
D.   Hyperchloremia

Answer 11

B. Metabolic alkalosis

Question 12

A child with which of the following diseases/syndromes should be evaluated for heart disease?
A. Omphalocele
B. Gastroschisis
C. Hypertrophic pyloric stenosis
D. Tracheobronchitis

Answer 12

A. Omphalocele

Question 13

The earliest and the most pathognomic feature of malignant hyperthermia (MH) is           
A.   Increased temperature           
B.   Increased end-tidal CO2           
C.   Increased heart rate           
D.   Increased respiratory rate

Answer 13

B. Increased end-tidal CO2

Question 14

Down syndrome is associated with all of the following, except
A. Large tongue
B. Atlantooccipital instability
C. Hyperthyroidism
D. Increased incidence of seizures

Answer 14

C. Hyperthyroidism

Question 15

The first sign of intrathecal injection following the placement of caudal epidural with 0.25% bupivacaine in a 1-year-old child would be
A. Hypotension
B. Bradycardia
C. Falling oxygen saturation
D. Tachycardia

Answer 15

C. Falling oxygen saturation

Question 16

A 2-year-old child weighing 13 kg is scheduled for inguinal hernia repair. The calculated dose of 0.25% bupivacaine for a caudal epidural would be
approximately \_\_\_\_\_\_ (mL):
A.   13           B.   7           C.   10           D.   20

Answer 16

B. 7

Question 17

All the following are physiologic changes that occur at birth, except
A. Closure of foramen ovale
B. Closure of ductus arteriosus
C. Decreased right-ventricular afterload
D. Decreased left-ventricular afterload

Answer 17

D. Decreased left-ventricular afterload