Dive into the intricate world of obstetric anesthesia with our engaging quiz designed for medical professionals seeking to enhance their knowledge and expertise. This quiz meticulously covers the principles of obstetric anesthesia, from understanding the physiological changes during pregnancy to mastering the nuances of pain management during labor and delivery.
Whether you're a seasoned anesthesiologist, an obstetrician, or a medical student eager to deepen your understanding, this quiz offers a comprehensive assessment of essential concepts and practices. Explore scenarios that mirror real-life obstetric situations, testing your ability to make critical decisions for the well-being of both the mother and the newborn.
Elevate your proficiency in obstetric anesthesia by taking this quiz, where each question is crafted to enhance your skills and contribute to safe and effective care in obstetrics.
True
False
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True
False
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Fetus
Mother
Neither is more important than the other
Myself!!!
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MAC sedation
Regional Anesthesia
General Anesthesia
All the above are equally good options
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Pt with a known difficult airway
Pt with Aortic stenosis
Pt with history of asthma and bronchitis
Pt who is terrified of general anesthesia
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Placenta Previa
HELLP Syndrome
Abruptio Placentea
Uterine Atony
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Decrease MAC
Increase MAC
No effect on MAC
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Sitting while leaning forward
Laying flat
Laying on the left side
Standing and walking
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Deep extubation
All pregnant pts should remain intubated until cleared by OB/GYN
Awake extubation
Extubate of jet stylet so re-intubation easier if necessary
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Avoid regional blocks due to difficulty in locating anatomical landmarks
Administer anxiolytic and opioids as soon as possible to initiate pain control
Talk to them about how to lose the baby weight (and then some) after birth
Make every effort to initiate early regional anesthetic
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They have a greater sensitivity to anesthetics
Optimal positioning for 2nd – 3rd trimester pts is supine
Pts have a greater circulating blood volume
Pts are more susceptible to thromboembolic problems
Blood Patch, at same interspace prior epidural was performed
Oral/IV hydration
IV Caffeine
Maintaining pt in upright position, on bedrest
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Succinylcholine
Rocuronium
Cisatracurium
Pancuronium
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Amniotic Fluid Embolism
Placenta Previa
Uterine Rupture
Abruptio Placentae
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Mrs. A what has severe mitral stenosis.
Mr. B who has advanced HIV disease
Mrs. C who weighs 350 pounds.
Mr. D who suffers from chronic back pain.
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Hemolysis
Elevated liver Enzymes
Hypotension
Greater susceptibility to bleeding
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Increased intragastric pressure
Lower esophageal sphincter tone
Delayed Gastric emptying
All the above contribute.
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L3-L5
S1-S4
T10-L1
T6-T8
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Pts will need larger ETT’s
O2 dissociation curve shifts to right
Decrease in FRC
Respiratory Alkalosis may be normal
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Reverse trendelenburg
Lithotomy
Supine and slightly lateral
Trendelenburg
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Maintaining deep maternal sedation and fetal relaxation during procedures
Prevention of preterm labor
Avoidance of teratogenic medications, such as nitrous oxide
Maintaining optimal uteroplacental perfusion
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Labetolol
Magnesium Sulfate
Hydralyzine
Sodium Nitroprusside
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AAaggghh!! Scary!!!!
Butterface!
You know, for a dude he is pretty hot...
All the above
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Fetal Distress
Failed regional block
Dystocia
Cephalopelvic disproportion
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Vecuronium
Ephedrine
Sevoflurane
Versed
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General
MAC
Regional
Don't know, Don't care
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T6
T2
T4
T8
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Amniotic Fluid Embolism
Uterine Rupture
Umbilical Cord prolapsed
Abruptio Placentae
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Administration of steroids
Administration of antibiotics
Suction
All the above
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Precipitous labor
Fetal Distress
Pt hemorrhaging
Failed regional block
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Metaclopromide
Bicitra
Calcium Carbonate
Pepcid
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True
False
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Until pt begins to feel an ‘electric shock’ sensation
3-5 cm
1-2 cm
5-10 cm
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10-20 cc’s
5-10 cc’s
25-30 cc’s
Depends upon size of pt and severity of headache
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15 , 34
16, 32
20, 37
24, 40
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Must keep FiO2 low to prevent pulmonary alveolitis
Pt is prone to electrolyte imbalances and cardiac arrhythmias
Pt is at increased risk of bleeding since Mag will cause a low plt count
Duration of action of muscle relaxants will be prolonged
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T10-L1
L3-L5
S1-S4
T6-T8
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Glycopyrolate
Fentanyl
Ephedrine
Metaclopromide
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Decreased plasma concentration
No change in plasma concentration
Increase in plasma concentration
Look.... Honestly I am sooooooo not motivated to study right now.
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3rd
2nd
1st
Equally sensitive during all trimesters
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First 4 months of pregnancy
3rd – 5th months of pregnancy
First two months of pregnancy
Throughout the entire pregnancy
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Aspiration
Amniotic Fluid Embolism
Uterine rupture and Hemorrhage
Myocardial Infarction
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Perform retrograde intubation
Insert LMA and then proceed with case
Wake pt up, then do an awake fiberoptic intubation
Maintain ventilation with cricoid pressure and proceed with surgery
Pt who is overdue by 2 weeks
Emergent c-section
Eclamptic pt
Difficult intubation
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Whenever Mom asks
When pt is 3-4 cm dilated
When pt is 8-9 cm dilated
As soon as pt admitted, regardless of dilation
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Respiratory Events
Cardiac Events
Fetal Distress
Abnormal fetal presentation
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Increase in intravascular volume
Decrease in SVR
Increase in HR
Largest increase in CO is during third trimester
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True
False
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