Question of the Week #8 Which of the following anatomical features is the MOST LIKELY cause for a misalignment of oral, pharyngeal, and tracheal axes during direct laryngoscopy in an infant? A. Omega-shaped epiglottis B. Larger tongue relative to mouth opening C. More posterior insertion of the inferior aspect of vocal cords D. Higher larynx situated at the level of C3-4 vertebrae None Time's up
Question of the Week #7 A 5-year-old boy presents for tonsillectomy and adenoidectomy. Preoperative screening revealed a family history of von Willebrand Disease (vWD) and a mildly prolonged aPTT. The patient undergoes a hematology evaluation and is diagnosed with type 1 vWD. What is the MOST APPROPRIATE treatment for preventing and treating intraoperative bleeding events? A. von Willebrand factor concentrate B. Desmopressin C. Cryoprecipitate D. Platelet transfusion None Time's up
Question of the Week #6 A 17-year-old female with known sickle cell disease presents for a scheduled laparoscopic cholecystectomy. Aside from intermittent right upper quadrant abdominal pain, she otherwise appears well. Which of the following should be included as part of her perioperative plan? A. Maintaining mild hypothermia throughout the intraoperative period B. Avoidance of regional anesthesia and opioid pain medications C. Blood transfusion to maintain Hgb >8-10 g/dL D. Preoperative exchange transfusion to reduce HgbS level to <30% None Time's up
Question of the Week #5 A 7-year-old female with known sickle cell disease undergoes and open splenectomy. On post-operative day #3, the patient is febrile, requires oxygen to maintain SpO2 >92%, and complains of chest discomfort. Which of the following complications are you MOST concerned about in this patient? A. Postoperative infection caused by encapsulated bacteria B. Aspiration pneumonia C. Acute aplastic crisis D. Acute chest syndrome None Time's up
Question of the Week #4 A 5-year-old boy is in the post-anesthesia care unit (PACU) after undergoing tonsillectomy and adenoidectomy. Which of the following assessments is included in the Modified Aldrete Score to determine his readiness for discharge? A. Nausea and vomiting B. Pain control C. Level of consciousness D. Ability to tolerate oral intake None Time's up