Society for Pediatric Anesthesia
We make anesthesia for children safer

{“questions”:{“i1i84”:{“id”:”i1i84″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”An 8-year-old patient with type 1 diabetes mellitus presents for umbilical hernia repair that is scheduled for 90 minutes. He uses an insulin pump and continuous glucose monitor (CGM) which reads 105 mg\/dL. Which of the following is the most appropriate approach to perioperative blood glucose management?”,”desc”:””,”hint”:””,”answers”:{“v7vxm”:{“id”:”v7vxm”,”image”:””,”imageId”:””,”title”:”A.\tStop the insulin infusion preoperatively and restart it postoperatively”},”tzeam”:{“id”:”tzeam”,”image”:””,”imageId”:””,”title”:”B.\tCheck the blood glucose at least once per hour perioperatively “,”isCorrect”:”1″},”9a755″:{“id”:”9a755″,”image”:””,”imageId”:””,”title”:”C.\tAdminister insulin based on CGM readings intraoperatively”},”6z441″:{“id”:”6z441″,”image”:””,”imageId”:””,”title”:”D.\tAdminister subcutaneous insulin hourly to achieve euglycemia”}}}},”results”:{“iqjni”:{“id”:”iqjni”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2022\/09\/Week-110-Periop-Insulin-Administration-Revised.pdf”}}}

{“questions”:{“m1e67”:{“id”:”m1e67″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 2-day-old term neonate is undergoing an exploratory laparotomy for duodenal atresia. Anesthetic induction is planned with propofol, fentanyl, and rocuronium. Which of the following pharmacologic considerations is MOST accurate when using rocuronium in this neonate, as compared to an adult?”,”desc”:””,”hint”:””,”answers”:{“java1”:{“id”:”java1″,”image”:””,”imageId”:””,”title”:”A.\tA higher dose is required secondary to immature neuromuscular transmission.”},”6u4ua”:{“id”:”6u4ua”,”image”:””,”imageId”:””,”title”:”B.\tThe volume of distribution is smaller secondary to decreased total body water.”},”86d17″:{“id”:”86d17″,”image”:””,”imageId”:””,”title”:”C.\tThe onset of action is faster secondary to a relative increase in cardiac output.”,”isCorrect”:”1″},”cd07d”:{“id”:”cd07d”,”image”:””,”imageId”:””,”title”:”D.\tMore frequent dosing is required secondary to increased metabolism and clearance.”}}}},”results”:{“alqae”:{“id”:”alqae”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2022\/09\/Week-14-Neuromuscular-Blockade-Changes-with-Age-AKA-109.pdf”}}}

{“questions”:{“5lfne”:{“id”:”5lfne”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”You are called to evaluate a 4-year-old boy in the recovery room immediately following tonsillectomy and adenoidectomy. He is restless, thrashing around, crying inconsolably, and not making eye contact. Which of the following factors is LEAST likely to contribute to this event?”,”desc”:””,”hint”:””,”answers”:{“aykag”:{“id”:”aykag”,”image”:””,”imageId”:””,”title”:”A.\tResidual anesthetic effect”},”j5r9r”:{“id”:”j5r9r”,”image”:””,”imageId”:””,”title”:”B.\tPre-operative anxiety “},”ivgqk”:{“id”:”ivgqk”,”image”:””,”imageId”:””,”title”:”C.\tNausea”,”isCorrect”:”1″},”69cad”:{“id”:”69cad”,”image”:””,”imageId”:””,”title”:”D.\tHypoxia”}}}},”results”:{“1lm21”:{“id”:”1lm21″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2022\/09\/Week-37-Emergence-Delirium-AKA-108.pdf”}}}

{“questions”:{“i4zy3”:{“id”:”i4zy3″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”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?”,”desc”:””,”hint”:””,”answers”:{“75yjl”:{“id”:”75yjl”,”image”:””,”imageId”:””,”title”:”A.\tOmega-shaped epiglottis”},”fm5lf”:{“id”:”fm5lf”,”image”:””,”imageId”:””,”title”:”B.\tLarger tongue relative to mouth opening”},”vu9jl”:{“id”:”vu9jl”,”image”:””,”imageId”:””,”title”:”C.\tMore posterior insertion of the inferior aspect of vocal cords”},”gifas”:{“id”:”gifas”,”image”:””,”imageId”:””,”title”:”D.\tHigher larynx situated at the level of C3-4 vertebrae”,”isCorrect”:”1″}}}},”results”:{“hgx37”:{“id”:”hgx37″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2022\/09\/Week-8-Infant-Airway-Anatomy-AKA-107.pdf”}}}

{“questions”:{“3tpa1”:{“id”:”3tpa1″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Presence of which of the following conditions will LEAST likely result in the development of oculocardiac reflex?”,”desc”:””,”hint”:””,”answers”:{“aupz7”:{“id”:”aupz7″,”image”:””,”imageId”:””,”title”:”A.\tHeart transplant”,”isCorrect”:”1″},”cve1c”:{“id”:”cve1c”,”image”:””,”imageId”:””,”title”:”B.\tRetrobulbar block”},”r890n”:{“id”:”r890n”,”image”:””,”imageId”:””,”title”:”C.\tRemifentanil infusion”},”2tzsi”:{“id”:”2tzsi”,”image”:””,”imageId”:””,”title”:”D.\tEnucleation”}}}},”results”:{“ay7hn”:{“id”:”ay7hn”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2022\/08\/Week-2-Oculocardiac-Reflex-AKA-Week-106.pdf”}}}