Society for Pediatric Anesthesia
We make anesthesia for children safer

{“questions”:{“7c0i3”:{“id”:”7c0i3″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 13-year-old female with cystic fibrosis is scheduled for the removal of ankle hardware due to persistent pain. During preoperative evaluation, she reports incomplete resolution of a productive cough that she has had for two weeks despite having completed a course of antibiotics. On physical exam, her lungs are clear to auscultation, SpO_{2<\/sub> is 92% on room air, and she denies dyspnea. Which of the following is the MOST appropriate to avoid anesthesia-related respiratory complications? “,”desc”:””,”hint”:””,”answers”:{“y2uay”:{“id”:”y2uay”,”image”:””,”imageId”:””,”title”:”A.\tProceed with surgery under general anesthesia.\r\n”},”fpz0z”:{“id”:”fpz0z”,”image”:””,”imageId”:””,”title”:”B.\tPostpone the surgical procedure for 4-6 weeks. “,”isCorrect”:”1″},”5dp7r”:{“id”:”5dp7r”,”image”:””,”imageId”:””,”title”:”C.\tProceed with surgery under regional anesthesia and minimal sedation.”},”ew6qd”:{“id”:”ew6qd”,”image”:””,”imageId”:””,”title”:”D.\tPostpone the surgical procedure and admit to the hospital for a computed tomography scan and pulmonology consultation.”}}}},”results”:{“ouxym”:{“id”:”ouxym”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2025\/07\/Week-257-Cystic-Fibrosis.pdf”}}}}

{“questions”:{“9qm5m”:{“id”:”9qm5m”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 14-year-old male patient with Marfan syndrome is undergoing a hip osteotomy under general anesthesia with an epidural for postoperative pain control. Which of the following anesthetic considerations is correct?”,”desc”:””,”hint”:””,”answers”:{“q2p07”:{“id”:”q2p07″,”image”:””,”imageId”:””,”title”:”A.\tAssociated coagulation abnormalities increase the risk of blood transfusion”},”nf7ti”:{“id”:”nf7ti”,”image”:””,”imageId”:””,”title”:”B.\tLarge tidal volumes should be used to prevent atelectasis”},”mzpiy”:{“id”:”mzpiy”,”image”:””,”imageId”:””,”title”:”C.\tTissue laxity decreases the risk of joint injury during patient positioning”},”a8pp5″:{“id”:”a8pp5″,”image”:””,”imageId”:””,”title”:”D.\tEpidural placement is associated with an increased risk of dural puncture”,”isCorrect”:”1″}}}},”results”:{“ut253”:{“id”:”ut253″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2025\/07\/Week-256-Marfan-Syndrome-.pdf”}}}

{“questions”:{“ailtm”:{“id”:”ailtm”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 12-month-old male with facial asymmetry, mandibular hypoplasia, microtia and micropthalmia presents for elective inguinal hernia repair. What anesthetic considerations are MOST important for a patient with this syndrome?”,”desc”:””,”hint”:””,”answers”:{“wupk7”:{“id”:”wupk7″,”image”:””,”imageId”:””,”title”:”A.\tUse of total intravenous anesthesia due to increased risk for malignant hyperthermia”},”mt9m0″:{“id”:”mt9m0″,”image”:””,”imageId”:””,”title”:”B.\tAvoidance of neuraxial anesthesia due to underlying coagulopathy”},”0wk2y”:{“id”:”0wk2y”,”image”:””,”imageId”:””,”title”:”C.\tAnticipated difficult airway due to decreased neck extension”,”isCorrect”:”1″},”vygoz”:{“id”:”vygoz”,”image”:””,”imageId”:””,”title”:”D.\tUse of a smaller endotracheal tube due to tracheal stenosis”}}}},”results”:{“ku8ph”:{“id”:”ku8ph”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2025\/07\/Week-255-Difficult-Airway-Goldenhar-Syndrome.docx.pdf”}}}

{“questions”:{“lahao”:{“id”:”lahao”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Administration of antibiotics for infective endocarditis prophylaxis before dental extractions is MOST appropriate for which of the following patients:”,”desc”:””,”hint”:””,”answers”:{“ai1pf”:{“id”:”ai1pf”,”image”:””,”imageId”:””,”title”:”A.\tA 6-year-old who underwent VSD repair 1 year ago without a residual defect “},”9wc97”:{“id”:”9wc97″,”image”:””,”imageId”:””,”title”:”B.\tA 10-year-old with mitral valve prolapse “},”mrnq8”:{“id”:”mrnq8″,”image”:””,”imageId”:””,”title”:”C.\tA 16-year-old with Tetralogy of Fallot and pulmonary valve replacement 1 year prior “,”isCorrect”:”1″},”rs5jh”:{“id”:”rs5jh”,”image”:””,”imageId”:””,”title”:”D.\tAn 8-year-old following a heart transplant 9 months ago with a normal echocardiogram “}}}},”results”:{“094i8”:{“id”:”094i8″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2025\/07\/Week-254-Infective-Endocarditis-Final.pdf”}}}

{“questions”:{“q00n3”:{“id”:”q00n3″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A healthy 10-year-old, 33kg boy is brought to the operating room for an open reduction and internal fixation of a radial fracture. A single shot supraclavicular block with 0.2% ropivacaine is planned. After the injection, the patient demonstrates new seizure-like activity, and local anesthetic systemic toxicity (LAST) is suspected. What is the MOST appropriate next step in patient management?”,”desc”:””,”hint”:””,”answers”:{“efomg”:{“id”:”efomg”,”image”:””,”imageId”:””,”title”:”A.\tThe patient should be ventilated with 100% oxygen and a goal end tidal carbon dioxide less than 30 mm Hg”},”sr3u9″:{“id”:”sr3u9″,”image”:””,”imageId”:””,”title”:”B.\tThe dose of lipid emulsion for this patient should not exceed 6 mL\/kg”},”7a8p4″:{“id”:”7a8p4″,”image”:””,”imageId”:””,”title”:”C.\tThe drug of choice for ventricular arrhythmias in LAST is amiodarone”,”isCorrect”:”1″},”dnloz”:{“id”:”dnloz”,”image”:””,”imageId”:””,”title”:”D.\tIf epinephrine is used, an initial dose of 10 mcg\/kg is preferred to avoid impaired pulmonary gas exchange and increased afterload”}}}},”results”:{“nz9ol”:{“id”:”nz9ol”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2025\/07\/Week-253-Local-Anesthetic-Systemic-Toxicity-CORRECTED.pdf”}}}