Society for Pediatric Anesthesia
We make anesthesia for children safer

{“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”}}}

{“questions”:{“i8d77”:{“id”:”i8d77″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”You are called to evaluate a 16-year-old female in respiratory distress 2 hours following a total thyroidectomy for toxic multinodular goiter. She is complaining of difficulty breathing, dysphagia, and neck pain. Her vital signs include heart rate 110 beats per minute, respiratory rate 32 per minute, blood pressure 136\/84, and pulse oximetry 92% on oxygen 2 liters per minute via nasal cannula. Physical examination reveals mild neck swelling and increased work of breathing. Which of the following is the MOST likely cause of her current clinical status?”,”desc”:””,”hint”:””,”answers”:{“l1220”:{“id”:”l1220″,”image”:””,”imageId”:””,”title”:”A.\tBilateral recurrent laryngeal nerve palsy “},”fuvnw”:{“id”:”fuvnw”,”image”:””,”imageId”:””,”title”:”B.\tPostoperative hematoma”,”isCorrect”:”1″},”7do9l”:{“id”:”7do9l”,”image”:””,”imageId”:””,”title”:”C.\tPostoperative hypocalcemia “},”mgjny”:{“id”:”mgjny”,”image”:””,”imageId”:””,”title”:”D.\tPostoperative tracheomalacia”}}}},”results”:{“s7hg1”:{“id”:”s7hg1″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2025\/06\/Week-252-Thyroid-Surgery-Postoperative-Management.pdf”}}}

{“questions”:{“i5nr2”:{“id”:”i5nr2″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 10-week-old baby presents for an elective inguinal hernia repair. The patient was born at 39 weeks and is otherwise healthy. His preoperative vital signs include a heart rate of 155 beats per minute, blood pressure 70\/50, and respiratory rate 45. Which of the following is the MOST appropriate action?”,”desc”:””,”hint”:””,”answers”:{“r1u0j”:{“id”:”r1u0j”,”image”:””,”imageId”:””,”title”:”A.\tObtain intravenous access and begin volume resuscitation prior to induction.”},”ggymu”:{“id”:”ggymu”,”image”:””,”imageId”:””,”title”:”B.\tCancel the procedure to obtain a cardiac evaluation prior to surgery.”},”5otbb”:{“id”:”5otbb”,”image”:””,”imageId”:””,”title”:”C.\tObtain a chest x-ray prior to induction.”},”82puw”:{“id”:”82puw”,”image”:””,”imageId”:””,”title”:”D.\tProceed with the surgery without further work-up.”,”isCorrect”:”1″}}}},”results”:{“f7iwd”:{“id”:”f7iwd”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:” https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2025\/06\/Week-251-Sinus-Tachycardia.pdf”}}}