{“questions”:{“dsvng”:{“id”:”dsvng”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 10-year-old male undergoing an appendectomy develops a new erythematous rash, severe hypotension, and elevated peak airway pressures shortly after rapid sequence induction. Which of the following medications is the MOST appropriate immediate intravenous treatment?”,”desc”:””,”hint”:””,”answers”:{“k8p0s”:{“id”:”k8p0s”,”image”:””,”imageId”:””,”title”:”A.\tHydrocortisone 2 mg\/kg “},”sblfp”:{“id”:”sblfp”,”image”:””,”imageId”:””,”title”:”B.\tPhenylephrine 1 mcg\/kg “},”6na9m”:{“id”:”6na9m”,”image”:””,”imageId”:””,”title”:”C.\tEpinephrine 10 mcg\/kg “,”isCorrect”:”1″},”z73xa”:{“id”:”z73xa”,”image”:””,”imageId”:””,”title”:”D.\tDiphenhydramine 1 mg\/kg “}}}},”results”:{“feadi”:{“id”:”feadi”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2021\/08\/Week-51-Anaphylaxis.pdf”}}}
Question of the Week #50
{“questions”:{“sgq5l”:{“id”:”sgq5l”,”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. Which of the following statements is true regarding local anesthetic toxicity?”,”desc”:””,”hint”:””,”answers”:{“z72nh”:{“id”:”z72nh”,”image”:””,”imageId”:””,”title”:”A. The patient should be ventilated with 100% oxygen and a goal end tidal carbon dioxide less than 30 mm Hg”},”f6ibk”:{“id”:”f6ibk”,”image”:””,”imageId”:””,”title”:”B. The dose of lipid emulsion for this patient should not exceed 6 mL\/kg”},”kuqsc”:{“id”:”kuqsc”,”image”:””,”imageId”:””,”title”:”C. The drug of choice for ventricular arrhythmias in LAST is amiodarone”,”isCorrect”:”1″},”yq1xg”:{“id”:”yq1xg”,”image”:””,”imageId”:””,”title”:”D. If epinephrine is used, an initial dose of 10 mcg\/kg is preferred to avoid impaired pulmonary gas exchange and increased afterload”}}}},”results”:{“sfovi”:{“id”:”sfovi”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2021\/08\/Week-50-Local-Anesthetic-Systemic-Toxicity-CORRECTED.pdf”}}}
Question of the Week #49
{“questions”:{“3owvq”:{“id”:”3owvq”,”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”:{“sn4ec”:{“id”:”sn4ec”,”image”:””,”imageId”:””,”title”:”A.\tBilateral recurrent laryngeal nerve palsy “},”6sqya”:{“id”:”6sqya”,”image”:””,”imageId”:””,”title”:”B.\tPostoperative hematoma”,”isCorrect”:”1″},”4i09p”:{“id”:”4i09p”,”image”:””,”imageId”:””,”title”:”C.\tPostoperative hypocalcemia “},”ddpc0”:{“id”:”ddpc0″,”image”:””,”imageId”:””,”title”:”D.\tPostoperative tracheomalacia”}}}},”results”:{“cf2tn”:{“id”:”cf2tn”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2021\/07\/Week-49-Thyroid-Surgery-Postoperative-Management.pdf”}}}
Question of the Week #48
{“questions”:{“69w99”:{“id”:”69w99″,”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”:{“mri51”:{“id”:”mri51″,”image”:””,”imageId”:””,”title”:”\r\nA.\tObtain intravenous access and begin volume resuscitation prior to induction\r\n”},”3wjj6″:{“id”:”3wjj6″,”image”:””,”imageId”:””,”title”:”B.\tCancel the procedure to obtain a cardiac evaluation prior to surgery”},”eds5n”:{“id”:”eds5n”,”image”:””,”imageId”:””,”title”:”C.\tObtain a chest x-ray prior to induction”},”iedh9″:{“id”:”iedh9″,”image”:””,”imageId”:””,”title”:”D.\tProceed with the surgery without further work-up”,”isCorrect”:”1″}}}},”results”:{“taehc”:{“id”:”taehc”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2021\/07\/Week-48-Sinus-Tachycardia.pdf”}}}
Question of the Week #47
{“questions”:{“ejmic”:{“id”:”ejmic”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 6-month-old female with congenital adrenal hyperplasia (CAH) is scheduled for feminizing genitoplasty. Which of the following blood tests is MOST strongly indicated as a part of the preoperative assessment?”,”desc”:””,”hint”:””,”answers”:{“frxvc”:{“id”:”frxvc”,”image”:””,”imageId”:””,”title”:”A.\tPlatelet count”},”wqhbe”:{“id”:”wqhbe”,”image”:””,”imageId”:””,”title”:”B.\tSodium”,”isCorrect”:”1″},”wdi35″:{“id”:”wdi35″,”image”:””,”imageId”:””,”title”:”C.\tCalcium “},”3j9tb”:{“id”:”3j9tb”,”image”:””,”imageId”:””,”title”:”D.\tProlactin “}}}},”results”:{“zlg22”:{“id”:”zlg22″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2021\/07\/Week-47-Congenital-Adrenal-Hyperplasia.pdf”}}}
