اختبارات المرحلة الثالثة
614 subscribers
1 link
تواصل @H_F_35
@l2looo
Download Telegram
In pediatric anesthesia, cuffed endotracheal tubes are generally reserved for children above the age of:
Anonymous Quiz
7%
2 years
19%
4 years
7%
6 years
52%
8 years
15%
10 years
1
What is a common complication if an excessively large endotracheal tube is selected for a pediatric patient?
Anonymous Quiz
0%
Severe hypercapnia
26%
Excessive air leak resulting in failure to ventilate
67%
Post-intubation croup due to mucosal damage
0%
Pneumothorax
7%
Pulmonary hemorrhage
When preparing to intubate an infant, how can the anesthesiologist easily correct the flexed head position caused by a prominent occiput?
Anonymous Quiz
21%
By placing a thick pillow under the head
54%
By slightly elevating the shoulders with towels
4%
By placing the child in a prone position
4%
By applying cricoid pressure
18%
By fully extending the neck backwards
Which type of laryngoscope blade is recommended to best aid the intubation of the anterior larynx in neonates and young infants?
Anonymous Quiz
11%
Curved Macintosh blade
50%
Straight blade
4%
McCoy blade
0%
Wisconsin blade
36%
Video laryngoscope with an acutely angled blade
Mucosal trauma resulting from trying to force an endotracheal tube through the cricoid cartilage in a pediatric patient primarily leads to:
Anonymous Quiz
0%
Tracheomalacia
89%
Postoperative edema, stridor, and airway obstruction
4%
Vocal cord paralysis
4%
Laryngospasm
4%
Bronchospasm
During an awake intubation in a neonate, what is the most important preparatory step to help prevent hypoxemia?
Anonymous Quiz
14%
Administering a high dose of propofol
61%
Applying positive end-expiratory pressure (PEEP)
25%
Adequate preoxygenation
0%
Passing a nasogastric tube
Calculate the accrued preoperative fluid deficit for a 5-kg infant who has been fasting from all oral or IV fluids for exactly 4 hours (assuming a standard 4 mL/kg/hmaintenance requirement):
Anonymous Quiz
0%
20 mL
0%
40mL
15%
60 mL
62%
80 mL
23%
100 mL
When replacing a pediatric patient's preoperative fluid deficit, what percentage of the total calculated deficit is typically administered during the first hour of surgery?
Anonymous Quiz
8%
10%
20%
25%
4%
33%
44%
50%
24%
100%
Because most children do not arrive in the operating room with an intravenous line already in place, which technique is most commonly used to initiate anesthesia?
Anonymous Quiz
0%
Intramuscular ketamine
67%
Inhalational induction with Sevoflurane
19%
Oral midazolam premedication alone
4%
Rectal thiopental
11%
Subcutaneous local anesthetic
If a 10-kg child has a calculated total fluid deficit of 100 mL, how much of this deficit should be replaced in the second hour of surgery according to standard deficit replacement guidelines?
Anonymous Quiz
0%
10 mL
56%
25 mL
4%
33 mL
26%
50 mL
15%
100 mL
In pediatric anesthesia, a neonate is defined as a patient in which of the following age groups?
Anonymous Quiz
84%
0–1 months (up to 44 weeks post-conception)
3%
1–12 months
3%
1–3 years
6%
3–5 years
3%
6–12 years
Which of the following is a major physiological difference in the respiratory system of children compared to adults?
Anonymous Quiz
3%
Slower respiratory rate
17%
Higher lung compliance
13%
Decreased chest wall compliance
23%
Lower functional residual capacity
43%
Lower metabolic rate and oxygen consumption
A child’s tidal volume is relatively fixed. What is the approximate normal tidal volume in a pediatric patient?
Anonymous Quiz
0%
1-3 ml/kg
9%
3-5 ml/kg
70%
5-7 ml/kg
6%
8-10 ml/kg
15%
10-12 ml/kg
Because apneas are particularly common in premature infants, all ex-premature babies should be monitored for apneas after surgery until they reach what post-conceptional age?
Anonymous Quiz
30%
44 weeks
12%
48 weeks
6%
52 weeks
45%
60 weeks
6%
72 weeks
Total body water makes up approximately what percentage of a neonate's body weight at birth?
Anonymous Quiz
2%
50%
7%
60%
7%
70%
63%
80%
20%
90%
Neonates are highly predisposed to hypoglycemia during the perioperative period primarily because of:
Anonymous Quiz
6%
Increased insulin production
81%
Relatively reduced glycogen stores
0%
High fat storage
0%
Decreased metabolic rate
13%
Immature renal function
Compared to adults, the minimum alveolar concentration (MAC) values for volatile anesthetics in infants and children are generally:
Anonymous Quiz
29%
Decreased
24%
Increased
10%
Exactly the same
34%
Highly variable and unmeasurable
2%
Independent of age
Neonates and infants are more sensitive to non-depolarizing neuromuscular blocking drugs primarily due to:
Anonymous Quiz
2%
Increased muscle mass
2%
Decreased total body water
42%
An immature neuromuscular junction
0%
Highly bound plasma proteins
53%
Increased pseudocholinesterase activity
To prevent aspiration while avoiding harmful prolonged starvation, solids (including breast and formula milk) should NOT be given for at least how many hours before the anticipated start of elective induction in children?
Anonymous Quiz
8%
2 hours
28%
4 hours
49%
6 hours
9%
8 hours
5%
12 hours