Pediatrics
What is the appropriately-sized cuffed ETT for a 6-year-old patient?
Answer: 5.0
Formula for uncuffed ETT = (age/4) + 4. Subtract 0.5 for cuffed ETT
A BMI of 27 is considered which BMI classification for adults?
A. Underweight
B. Normal
C. Overweight
D. Obese
E. Morbidly Obese
C. Overweight
In a child with asthma a intraoperative complication is bronchospasm, what is the Epinephrine dose for a 20 kg child?
0.2 mg
How often do you have to change the Vapor-Clean filters on the anesthesia machine for a patient experiencing MH?
every hour
Your patient drank a bottle of formula at 0600. What is the earliest they can go back for elective surgery based on NPO guidelines?
Answer: 1200
In and obese adult, what cc/kg is used to calculate total blood volume?
50 cc/kg
A patient with asthma experiences bronchospasm immediately following tracheal intubation. This is MOST likely the result of:
A) Mast cell degranulation
B) decreased sympathetic tone
C) histamine release
D) vagal stimulation
D) vagal stimulation
Which of the following symptoms are early indicators of MH? (SATA)
A. Hyperthermia
B. Hypotension
C. Hypercapnia
D. Tachycardia
C. Hypercapnia
D. Tachycardia
What size LMA is appropriate for a pediatric patient who weighs 18 kg?
Answer: size 2
In the obese patient, how much does FRC decrease in the supine position after induction of anesthesia?
50%
What are two opioids that can cause bronchoconstriction in an asthmatic patient?
Morphine and meperidine
Which of the following conditions are associated with MH? (SATA)
A. King-Denborough syndrome
B. Central Core Disease
C. Duchenne Muscular Dystrophy
D. Minicore myopathy
E. Myotonic Dystrophy
A. King-Denborough syndrome
B. Central Core Disease
D. Minicore myopathy
Risk factors for PONV in children include? (pick 2)
A. Surgery over 30 minutes
B. Age under 3
C. Strabismus surgery
D.History of Motion Sickness
A. Surgery over 30 minutes
C. Strabismus surgery
Which induction drugs should be dosed on Lean Body Weight?
A. Propofol
B. Fentanyl
C. Rocuronium
D. Succinylcholine
A. Propofol
C. Rocuronium
Which of these pain medication adjuncts is contraindicated in a pediatric patient with asthma?
A. Acetaminophen
B. Ketorolac
C. Hydromorphone PCA
D. Oxycodone/Acetaminophen
B. Ketorolac
Which Ryanodine Receptor is Responsible for MH
A. RyR1
B. RyR2
C. RyR3
A. RyR1
Which of the following are risk factors for pediatric anxiety (SATA)
A. 11 yr old
B. Accompanied by parents with anxiety
C. Extended time in pre-op
D. Shy temperament
B. Accompanied by parents with anxiety
D. Shy temperament
What is the lean body weight for a male patient weighing 150 kg and 175 cm?
(175-100) = 75 x 1.3 = 97.5 kg
What are the 4 states that have an increased risk for MH?
Wisconsin, Nebraska, West Virginia, and Michigan