Principles Of Pediatric Anesthesia And care! Trivia Quiz
Review of material for Principles II quiz 2 on pediatric anesthesia.
- 1.What should be your first action when preparing to do a pre-op assessment on a 3 yr old child?
- A.
Review the chart
- B.
Introduce yourself to the child’s parents and obtain a thorough history
- C.
Introduce yourself to child, and attempt to play a game or comfort them
- D.
Get your blow gun ready, and load it with a ketamine dart.
- 2.Which of the following is the most common reason for cancellation of pediatric procedures?
- A.
Asthma Exacerbation
- B.
Upper Respiratory Infections
- C.
Non-compliance with NPO requirements
- D.
Instability due to illness
- 3.You are assessing 4 yr old Madelyn prior to her going in for enucleation of her left eye. When you see her in pre-op she appears to be a little under the weather. She is sneezing and has yellow mucus coming her nose. You listen to her lungs and hear a slight wheeze while her mom says she began to run a temperature late last night. She appears fine and is watching and giggling at a children’s show on a portable DVD player her mother brought to calm her. What do you do for this patient?
- A.
Give a dose of Tylenol and a respiratory treatement pre-op before continuing with procedure.
- B.
It is only an eye surgery, not thoracic so she will be fine.
- C.
Talk to the surgeon regarding possibly cancelling the surgery
- D.
That depends entirely upon whether Madelyn was a premature baby or has any other coexisting diseases.
- 4.You are going to do a pre-op on 5 yr old Trevor who is going in today for a repair of an inguinal hernia. When you go to assess him pre-op you see he is sniffly. His mother says he has seasonal allergies and has a constant runny nose. You go to look at Trevor and indeed his little nose is red and he has clear mucus coming from his nose, but no fever or wheezes. He does not appear to be otherwise ill and in fact is playing with his stuffed dinosaur. Is it safe to proceed with the procedure?
- A.
Not enough information to decide at this time.
- B.
No, he is displaying signs of an upper respiratory infection.
- C.
Only safe to proceed if pt is given a respiratory treatment and an arterial line inserted to closely monitor hemodynamic stability.
- D.
Yeah, he’s fine. We can proceed!
- 5.A 2 yr old child may drink milk up to how many hours prior to procedure?
- A.
6 hours
- B.
4 hours
- C.
3 hours
- D.
8 hours
- 6.A 7 yr old child must not eat solid food for how many hours prior to procedure?
- A.
6 hours
- B.
8 hours
- C.
3 hours
- D.
4 hours
- 7.Which of the following would not be an appropriate way to reduce intra-op heat loss in the pediatric patient?
- A.
Use of an overhead radiant heating unit
- B.
Use of a water mattress, with circulating warm water
- C.
Use cloths dipped in 40o C water and place onto child’s head during procedure
- D.
Use a Bair hugger placed on the child’s body
- 8.What type of breathing circuit would you choose for a child weighing less than 10 kg?
- A.
Small semi-closed Circuit
- B.
Mapleson A
- C.
Standard adult semi closed system
- D.
Jackson-Rees Circuit
- 9.What type of circuit would you choose for a pediatric patient weighing more than 10 kg?
- A.
Small semi-closed Circuit
- B.
Mapleson A
- C.
Standard adult semi closed system
- D.
Jackson-Rees Circuit
- 10.When setting an adult vent for pediatric use in pressure controlled mode, which of the following would be inappropriate?
- A.
Set I:E ratio 1:2
- B.
Pop off limit to vent to 30 cm H2O
- C.
VT to minimum of 200 ml/kg/min
- D.
All the above are correct
- 11.What would be an appropriate size LMA for an infant weighing 9 kg?
- A.
0.5
- B.
1
- C.
1.5
- D.
2.5
- 12.What would be an appropriate size LMA for a child weighing 27 kg?
- A.
3
- B.
1.5
- C.
4
- D.
2.5
- 13.What would be an appropriate sized ETT for a 3 yr old child weighing 18 kg?
- A.
4.5
- B.
4
- C.
3.5
- D.
3
- 14.What would be an appropriate size ETT for a 9 yr old child weighing 33 kg?
- A.
5
- B.
6
- C.
4.5
- D.
7
- 15.What size laryngoscope blade would you choose to intubate an 8 yr old child?
- A.
1.5 mil
- B.
3 mac
- C.
2.5 mil
- D.
2 mac
- 16.In order to work well EMLA cream must be applied at least how many minutes prior to IV start?
- A.
45 minutes
- B.
2 hours
- C.
30 minutes
- D.
15 minutes
- 17.What is an appropriate hourly maintenance fluid rate for a child weighing 15 kg?
- A.
60 ml
- B.
50 ml
- C.
25 ml
- D.
15 ml
- 18.When doing a pedi drug set up, it is recommended to draw up your drugs in ‘unit dose’ syringes.
- A.
True
- B.
False
- 19.What would be an appropriate dose of pre-op versed for a 6 yr old child weighing 24 kg?
- A.
24 mg IV
- B.
6 mg PO
- C.
12 mg PO
- D.
48 mg PO
- 20.How much Ketamine (in dart form) should be given for pre-op sedation of a child weighing 15 kg?
- A.
10 mg
- B.
5 mg
- C.
60 mg
- D.
30 mg
- 21.The majority of pediatric cardiac arrests occur when?
- A.
Induction
- B.
Maintenance
- C.
Emergence
- D.
Rates are equal during all 3 phases
- 22.Most pediatric arrests are due to ________ causes in children.
- A.
Cardiac
- B.
Respiratory
- C.
Congenital defects
- D.
Circulatory collapse
- 23.What is the most common cause of respiratory arrest in pediatric patients?
- A.
Airway Obstruction
- B.
Difficult intubation
- C.
Laryngospasm
- D.
Bronchospasm
- 24.Which of the following is not a risk factor associated with cardiac arrests in the pediatric patient?
- A.
Emergency Surgery
- B.
ASA 3-5
- C.
Congenital Airway Deformities
- D.
Children 1-4 yrs old
- 25.You are going to do a pre-op on a 6 yr old patient about to undergo a Left nephrectomy to remove a tumor.You walk into the room and find a very nervous little boy clutching a bear and hiding under the covers, the father also looks very upset and nervous. What should your approach be to do this pre-op?
- A.
Approach the parent and attempt to calm him first
- B.
Come back later when both are feeling a bit better
- C.
Approach the child, and attempt to calm him first.
- D.
Give the child some versed.
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