• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/25

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

25 Cards in this Set

  • Front
  • Back
567....A 1-month-old infant with a strong family history of sickle-cell anemia is brought to the emergency room with an incarcerated inguinal hernia. Which of the following should be carried out before surgery?
...A. Sickle cell prep
...B. Hemoglobin electrophoresis
...C. Peripheral smear
...D. Hematology consultation
...E. None of the above
567. (E)
568....In the newborn, the cricoid cartilage is at which level relative to the cervical spine?
...A. C3
...B. C4
...C. C5
...D. C6
...E. C7
568. (B)
569....A 5-month-old infant is scheduled for an elective operative reduction of a right inguinal hernia. Spinal anesthesia is performed. The first sign of a high spinal in this patient would be
...A. Hypotension
...B. Tachycardia
...C. Hypoxia
...D. Bradycardia
...E. Asystole
569. (C)
570....What percentage of a term newborn’s total body weight consists of water?
...A. 25%
...B. 40%
...C. 60%
...D. 75%
...E. 90%
570. (D)
571....What is the maximum Fio2 that can be administered to the mother without increasing the risk of retinopathy of prematurity in the fetus in utero?
...A. 0.35
...B. 0.50
...C. 0.65
...D. 0.80
...E. 1.0
571. (E)
572....Which of the following patients is LEAST likely to develop retinopathy of prematurity?
...A. A term infant, 46 weeks postconceptual age, exposed to 100% oxygen for 6 hours
...B. A premature infant 29 weeks postconceptual age exposed to a Pao2 of 150 mm Hg for 1 hour
...C. A premature infant 28 weeks postconceptual age never exposed to supplemental oxygen
...D. A cyanotic infant with tetralogy of Fallot, 34 weeks postconceptual age, receiving supplemental oxygen
...E. A term infant at 39 weeks postconceptual age receiving 100% oxygen for 2 hours after birth
572. (A)
573....A 5-week-old male infant is brought to the emergency room with projectile vomiting. At the time of admission the patient is lethargic with a respiratory rate of 12 breaths/min and has had no urine output in the preceding 3 hours. A diagnosis of pyloric stenosis is made and the patient is brought to the operating room (OR) for pyloromyotomy. The most appropriate anesthetic management would be
...A. Induction with IM ketamine, glycopyrrolate, and succinylcholine with cricoid pressure followed by immediate intubation
...B. Inhalation induction with halothane with cricoid pressure
...C. Awake intubation
...D. Awake saphenous IV catheter followed by rapid sequence induction with ketamine, atropine, and succinylcholine
...E. Postpone surgery
573. (E)
574....Which figure of esophageal atresia or tracheoesophageal fistula is the most common?
574. (C)
575....A 4-year-old boy is scheduled for completion of a hypospadias repair. The child is anxious. He has a history of a viral illness with a cough 2 weeks before surgery that has resolved. Anesthesia is induced with halothane, nitrous oxide, and oxygen. During the inhalation induction the patient’s rhythm changes from sinus tachycardia to multifocal ventricular ectopy. The most likely explanation for this patient’s heart rhythm is
...A. Undiagnosed viral myocarditis
...B. Hypoxia
...C. Halothane irritability
...D. Pheochromocytoma
...E. Prolonged QT syndrome
575. (C)
576....Preterm neonates are at an increased risk for retinopathy of prematurity until what postconceptual age?
...A. 36 weeks
...B. 38 weeks
...C. 42 weeks
...D. 44 weeks
...E. 60 weeks
576. (D)
577....Reasons for selecting a cuffed endotracheal tube over an uncuffed endotracheal tube include all of the following EXCEPT
...A. Fewer intubations and endotracheal tubes are needed
...B. Lower gas flows can be used
...C. Less chance for airway fires
...D. Spontaneous breathing is easier
...E. Aspiration of gastric contents is less likely
577. (D)
578....An otherwise healthy 4-year-old male patient is undergoing elective tonsillectomy. Before induction of general anesthesia, the patient is breathing at a rate of 20 breaths/min. An inhalation induction is begun with sevoflurane, nitrous oxide, and oxygen. Sixty seconds later, the patient is noted to breathe at a rate of 40 breaths/min. This rapid respiratory rate most likely represents
...A. Hypoxia
...B. Hypercarbia
...C. The excitement stage of anesthesia
...D. Malignant hyperthermia
...E. Pulmonary embolism
578. (C)
579....A healthy 1-month-old neonate is anesthetized for an inguinal hernia repair. An inhalation induction with sevoflurane is carried out and the patient is intubated. Before making the surgical incision the systolic blood pressure is noted to be 65 mm Hg and the heart rate is 130 beats/min. The most appropriate intervention for this patient’s blood pressure would be
...A. Administration of ephedrine
...B. Administration of phenylephrine
...C. 50-mL fluid bolus
...D. Administration of epinephrine
...E. None of the above
579. (E) COMPARISON OF CARDIOVASCULAR VARIABLES
580....A 5-year-old boy is anesthetized for elective repair of an umbilical hernia. General anesthesia is induced and maintained with sevoflurane, nitrous oxide, and oxygen via an anesthesia mask. At the conclusion of the operation, the patient is taken to the recovery room and subsequently discharged to the outpatient ward. Before discharge, the patient’s mother noted that the urine was dark brown in appearance. The most appropriate action at this time would be
...A. Discharge the patient with instructions to return if urine color does not normalize
...B. Discharge the patient in 3 hours if no other signs or symptoms are manifested
...C. Obtain serum creatinine and blood urea nitrogen (BUN) levels and discharge the patient if they are normal
...D. Admit the patient to rule out acute tubular necrosis
...E. Evaluate the patient for malignant hyperthermia
580. (E)
581....At what inspiratory pressure should an endotracheal tube leak in an infant?
...A. 5 to 15 cm H2O
...B. 15 to 25 cm H2O
...C. 25 to 35 cm H2O
...D. 35 to 45 cm H2O
...E. 45 to 55 cm H2O
581. (B)
582....A premature newborn delivered at 32 weeks of gestation is brought to the OR for repair of a left-sided congenital diaphragmatic hernia. After awake tracheal intubation, general anesthesia is maintained with halothane, O2, and fentanyl. Shortly thereafter, the anesthesiologist notes difficulty with ventilation. The Sao2 subsequently falls to 65% and the heart rate decreases to 50 beats/min. What would be the most appropriate step to take at this time?
...A. Pull the endotracheal tube from the right mainstem bronchus
...B. Ventilate with positive end-expiratory pressure (PEEP) and administer furosemide
...C. Pass an oral gastric tube to decompress the stomach
...D. Place a chest tube on the right side
...E. Pull out the endotracheal tube and reintubate the patient
582. (D)
583....Symptoms of infantile pyloric stenosis occur most frequently between the ages of
...A. 1 and 2 weeks
...B. 2 and 6 weeks
...C. 6 and 12 weeks
...D. 3 and 6 months
...E. 6 and 12 months
583. (B)
584....In a 12-year-old child, the length of an oral endotracheal tube (from the lips to the midtrachea) should be
...A. 12 cm
...B. 14 cm
...C. 16 cm
...D. 18 cm
...E. 20 cm
584. (D)
585....In which of the following conditions would a preoperative evaluation of the heart with echocardiogram be indicated before anesthesia and surgery?
...A. Necrotizing enterocolitis
...B. Pyloric stenosis
...C. Gastroschisis
...D. Omphalocele
...E. Hypospadias
585. (D)
586....An otherwise healthy 14-day-old neonate is transported to the OR well hydrated for surgery for a bowel obstruction. A rapid sequence induction is planned. Compared with the adult dose, the dose of succinylcholine administered to this patient should be
...A. Diminished because of the immature nervous system
...B. The same as the adult dose
...C. Increased because of increased acetylcholine receptors
...D. Decreased because of decreased acetylcholine receptors
...E. Increased because of a greater volume of distribution
586. (E)
587....The most common cause of neonatal bradycardia (heart rate less than 100 beats/min) is
...A. Congenital heart disease
...B. Maternal drug intoxication (narcotics, alcohol, magnesium, barbiturates, digitoxin)
...C. Fever
...D. Postpartum cold stress
...E. Hypoxemia
587. (E)
588....A 10-week-old infant born at 31 weeks of gestation is anesthetized for repair of an inguinal hernia. General anesthesia is induced by mask with sevoflurane, an endotracheal tube is placed, and anesthesia is maintained with isoflurane, nitrous oxide, and oxygen. At the end of the procedure, the endotracheal tube is removed and the patient is transported to the recovery room. What is the best postoperative pain management for this patient?
...A. Ilioinguinal-iliohypogastric nerve block and discharge home with instructions to parents
...B. Caudal block with 0.25% bupivacaine, 1 mL/kg, and admit to a pediatric ward for overnight observation
...C. Caudal block with 0.25% bupivacaine, 2 mL/kg, and admit to a pediatric ward for overnight observation
...D. Oral pain medication and discharge home with instructions to the parent
...E. Fentanyl, 1 mL IV, and admit to a pediatric ward for overnight observation
588. (B)
589....A 6-year-old, 20-kg girl develops pulseless ventricular tachycardia after induction of anesthesia with halothane, nitrous oxide, and oxygen for a tonsillectomy. The anesthesiologist intubates the child, administers 100% oxygen, and starts chest compressions. When the defibrillator quickly arrives in the OR the defibrillator should be charged to what energy level for the initial shock?
...A. 20 joules (J)
...B. 40 joules (J)
...C. 60 joules (J)
...D. 80 joules (J)
...E. 120 joules (J)
589. (B)
590....The spinal cord of newborns extends to the
...A. L1 vertebra
...B. L2 vertebra
...C. L3 vertebra
...D. L5 vertebra
...E. S1 vertebra
590. (C)
591....The most common initial symptom of esophageal atresia (EA) and tracheoesophageal fistula (TEF) is
...A. Respiratory distress at delivery (e.g., retractions, tachypnea)
...B. Pneumonia
...C. Hypoxia
...D. Regurgitation during feeding
...E. Projectile vomiting
591. (D)