Question of the Week #39 Welcome to your Question of the Week #39 A 2-month-old, ex-26-week premature infant in the neonatal intensive care unit (NICU) requires regular heel sticks for laboratory studies. Administration of which of the following is the MOST appropriate treatment for these pain generating procedures? A. Acetaminophen B. Opiates C. Oral 24% sucrose administration with non-nutritive suckling D. Benzodiazepines None Time's up
Question of the Week #38 Welcome to your Question of the Week #38 Depth of anesthesia is commonly assessed during induction by checking for eyelash reflex. This is MOST related to which neurologic reflex and cranial nerve pathway? A. Oculocephalic reflex; cranial nerves III, IV, VI and VIII B. Corneal reflex; cranial nerves V and VII C. Oculocephalic reflex; cranial nerves VII and IX D. Corneal reflex; cranial nerves III, IV, VI and VIII None Time's up
Question of the Week #36 Welcome to your Question of the Week #36 A 6-day-old term male infant with long segment coarctation of the aorta undergoes an extensive arch repair. On post-operative day two, he is awake, receiving nasal cannula oxygen, and hemodynamically stable. His nurse reports that he is making jerky movements of his shoulders and feet and rhythmic movements with his fingers that do not continue during sleep. Labs are normal. Which of the following is the MOST likely explanation for his presentation? A. Medication side effects B. Embolic stroke C. Use of circulatory arrest during repair D. Electrolyte deficiency None Time's up
Question of the Week #35 Which of the following factors is MOST LIKELY responsible for the increased speed of inhalation induction in a neonate compared to an adult? A. The greater distribution of cardiac output to the vessel-rich group in neonates B. A higher alveolar ventilation to functional residual capacity ratio in adults C. An increased blood:gas partition coefficient in infants and neonates D. Decreased tissue solubility of volatile agents in adults None Time's up
Question of the Week #34 Welcome to your Question of the Week #34 A 16-year-old male presents with decreasing exercise tolerance over 2 years. He is noted to have a significantly concave chest with a Haller index of 4. His decrease in exercise tolerance is most likely due to: A. Decreased Vital Capacity B. Right Ventricular Compression C. Pleural Effusion D. Decreased FEV1% None Time's up