Question of the Week #23 You are seeing a healthy 8-month old boy in the preoperative area who is scheduled for a circumcision. Which of the following developmental milestones is MOST likely to be present? A. Object permanence B. Speaks first real word C. Walks independently D. Drinks from a cup None Time's up
Question of the Week #22 Welcome to your Question of the Week #22 A 16-year-old male presents with increasing shortness of breath during soccer practice. He underwent a surgical repair of Tetralogy of Fallot using a transannular patch at 4 months of age. Which of the following is the MOST LIKELY cause of his symptoms? A: Congestive heart failure B: Aortic stenosis C: Pulmonary valve insufficiency D: Tricuspid stenosis None Time's up
Question of the Week #21 Welcome to your Question of the Week #21 You are called to the neonatal intensive care unit (NICU) to intubate a term 2-day-old neonate with a diagnosis of tetralogy of Fallot. The team has initiated her on a prostaglandin E1 (PGE1) infusion and supplemental oxygen, due to persistent hypoxemia. With these measures she had been stable with oxygen saturations in the 90s. Recently the NICU has observed several sudden drops in oxygen saturations that have resolved with bag-mask ventilation. Complete blood count, cerebrospinal fluid, and urinalysis are normal. Of the following, what is the MOST likely etiology of the desaturation? A. Infundibular spasm B. Apnea C. Sepsis D. Ductal closure None Time's up
Question of the Week #20 A 9-month-old infant postoperative day 3 following laryngotracheal reconstruction for congenital subglottic stenosis is currently intubated, sedated and paralyzed in the pediatric intensive care unit (PICU). Which of the following postoperative management strategies is the MOST effective to facilitate timely extubation? A. Regular use of endotracheal tube (ETT) suctioning and chest physical therapy B. Continuous infusion of neuromuscular paralytic to promote graft healing C. Avoidance of dexmedetomidine infusion during tracheal extubation D. Nasotracheal intubation None Time's up
Question of the Week #19 While performing an intravenous induction on a 6-month-old infant, the presence of which of the following congenital cardiac lesions is MOST likely to result in faster intravenous induction? A. Atrial septal defect B. Ventricular septal defect C. Tetralogy of Fallot D. Aortic stenosis None Time's up