Question of the Week #28 A 3-month-old, former 28-week premature infant with chronic lung disease presents to the operating room for elective bilateral inguinal hernia repair. Spinal anesthesia with intrathecal bupivacaine is planned. Compared to adults, which of the following side effects from spinal anesthesia is LEAST likely to develop in this patient? A. Apnea B. Bleeding C. Infection D. Hypotension None Time's up
Question of the Week #27 Welcome to your Question of the Week #27 Under normal conditions, in which of the following age groups is cerebral blood flow and cerebral perfusion the highest? A. 0-6 months B. 2-4 years C. 7-12 years D. 13-20 years None Time's up
Question of the Week #26 A 2-year-old male with strabismus received 1% cyclopentolate eyedrops before fundus examination and refraction measurement under general anesthesia. Which of the following side effects is LEAST LIKELY from the systemic absorption of cyclopentolate? A. Fever B. Bradycardia C. Flushing D. Nausea and vomiting None Time's up
Question of the Week #25 A 2-year-old boy with a history of myelomeningocele is undergoing a suprapubic catheter placement under general anesthesia. Soon after placement of the catheter, his peak airway pressures increase and he becomes hypotensive. Which of the following statements is LEAST likely true? A. The endotracheal tube should be withdrawn slightly. B. Elevated blood tryptase level within 2 hours may help confirm the diagnosis. C. The patient is likely to have a history of allergic reactions to balloons. D. The patient should be treated with intravenous epinephrine in a dose of 1 to 10 mcg/kg. None Time's up
Question of the Week #24 A 12-year-old female presents with increasing right lower extremity pain accompanied by edema and changes in skin color. She sustained a right ankle sprain three weeks ago and is unable to bear weight on the extremity. A complete blood count and magnetic resonance imaging are both unremarkable. Which of the following is the MOST appropriate initial therapy? A. Physical therapy B. Anticonvulsant C. Lumbar sympathetic block D. Opioids None Time's up