Society for Pediatric Anesthesia
We make anesthesia for children safer

{“questions”:{“fpxqx”:{“id”:”fpxqx”,”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”:{“byj3i”:{“id”:”byj3i”,”image”:””,”imageId”:””,”title”:”A.\tStop the insulin infusion preoperatively and restart it postoperatively”},”5cwp5″:{“id”:”5cwp5″,”image”:””,”imageId”:””,”title”:”B.\tCheck the blood glucose at least once per hour perioperatively “,”isCorrect”:”1″},”pcxuz”:{“id”:”pcxuz”,”image”:””,”imageId”:””,”title”:”C.\tAdminister insulin based on CGM readings intraoperatively”},”i5fsc”:{“id”:”i5fsc”,”image”:””,”imageId”:””,”title”:”D.\tAdminister subcutaneous insulin hourly to achieve euglycemia”}}}},”results”:{“6m62g”:{“id”:”6m62g”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/11\/Week-220-Periop-Insulin-Administration-Revised.pdf”}}}

{“questions”:{“g5152”:{“id”:”g5152″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 6-month-old male with a history of DiGeorge Syndrome develops generalized seizures on post-operative day 1 following a laparoscopic gastrostomy tube insertion. Which of the following electrolyte abnormalities is the MOST LIKELY cause of the seizures?”,”desc”:””,”hint”:””,”answers”:{“o1xq4”:{“id”:”o1xq4″,”image”:””,”imageId”:””,”title”:”A.\tHypomagnesemia”},”wb4y5″:{“id”:”wb4y5″,”image”:””,”imageId”:””,”title”:”B.\tHyponatremia”},”4qo6d”:{“id”:”4qo6d”,”image”:””,”imageId”:””,”title”:”C.\tHypoglycemia”},”b2m8n”:{“id”:”b2m8n”,”image”:””,”imageId”:””,”title”:”D.\tHypocalcemia”,”isCorrect”:”1″}}}},”results”:{“6ffjb”:{“id”:”6ffjb”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/11\/Week-219-DiGeorge-Syndrome.pdf”}}}

{“questions”:{“uhjtl”:{“id”:”uhjtl”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”An 11-year-old boy fell from his bicycle and hit his head on the pavement. He is found to be fully oriented and cooperative, following commands, and opening his eyes to speech. An hour later, he is noted to have incomprehensible vocalization, an abnormal flexion posture, and only opens his eyes to a pressure stimulus. Which of the following \u201cinitial to follow up\u201d Glasgow Coma Scale score sequences best represent this patient\u2019s neurological deterioration?”,”desc”:””,”hint”:””,”answers”:{“vpsin”:{“id”:”vpsin”,”image”:””,”imageId”:””,”title”:”A.\t7 to 14″},”rea5z”:{“id”:”rea5z”,”image”:””,”imageId”:””,”title”:”B.\t14 to 7″,”isCorrect”:”1″},”b15ds”:{“id”:”b15ds”,”image”:””,”imageId”:””,”title”:”C.\t9 to 7″},”jq1s0″:{“id”:”jq1s0″,”image”:””,”imageId”:””,”title”:”D.\t12 to 3″}}}},”results”:{“bl2by”:{“id”:”bl2by”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/10\/Week-218-Traumatic-Brain-Injury.pdf”}}}

{“questions”:{“b6am1”:{“id”:”b6am1″,”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 an oculocardiac reflex?”,”desc”:””,”hint”:””,”answers”:{“md48g”:{“id”:”md48g”,”image”:””,”imageId”:””,”title”:”A.\tHeart transplant”,”isCorrect”:”1″},”0f6sf”:{“id”:”0f6sf”,”image”:””,”imageId”:””,”title”:”B.\tRetrobulbar block”},”tabh3″:{“id”:”tabh3″,”image”:””,”imageId”:””,”title”:”C.\tRemifentanil infusion”},”tx8bu”:{“id”:”tx8bu”,”image”:””,”imageId”:””,”title”:”D.\tEnucleation”}}}},”results”:{“heaxu”:{“id”:”heaxu”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/10\/Week-217-Oculocardiac-Reflex.pdf”}}}

{“questions”:{“t9t03”:{“id”:”t9t03″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”You are called to the neonatal intensive care unit (NICU) to intubate a term 2-day-old neonate with a diagnosis of tetralogy of Fallot. The team has initiated her on a prostaglandin E1 (PGE1) infusion and supplemental oxygen, due to persistent hypoxemia. With these measures she had been stable with oxygen saturations in the 90s. Recently the NICU has observed several sudden drops in oxygen saturations that have resolved with bag-mask ventilation. Complete blood count, cerebrospinal fluid, and urinalysis are normal. Of the following, what is the MOST likely etiology of the desaturation? “,”desc”:””,”hint”:””,”answers”:{“kchjg”:{“id”:”kchjg”,”image”:””,”imageId”:””,”title”:”A.\tInfundibular spasm “},”5qvjb”:{“id”:”5qvjb”,”image”:””,”imageId”:””,”title”:”B.\tApnea “,”isCorrect”:”1″},”tzhew”:{“id”:”tzhew”,”image”:””,”imageId”:””,”title”:”C.\tSepsis”},”8i9mi”:{“id”:”8i9mi”,”image”:””,”imageId”:””,”title”:”D.\tDuctal closure”}}}},”results”:{“6hodq”:{“id”:”6hodq”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/10\/Week-216-Prostaglandin-E1.pdf”}}}