Anesthesia for labor and delivery MCQs

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 13, 2024

• What is the primary aim of labor analgesia?
  a) To induce labor
  b) To manage pain during labor
  c) To accelerate fetal development
  d) To prevent bleedingAnswer: b) To manage pain during labor
• Which local anesthetic is most commonly used for epidural analgesia during labor?
  a) Lidocaine
  b) Bupivacaine
  c) Ropivacaine
  d) MepivacaineAnswer: b) Bupivacaine
• What is the typical concentration of bupivacaine used in labor epidurals?
  a) 0.1%
  b) 0.2%
  c) 0.5%
  d) 1%Answer: b) 0.2%
• Which opioid is commonly used in combination with local anesthetics for epidural labor analgesia?
  a) Morphine
  b) Fentanyl
  c) Hydromorphone
  d) MethadoneAnswer: b) Fentanyl
• What is the typical dose of fentanyl used for labor epidural analgesia?
  a) 25-50 mcg
  b) 50-100 mcg
  c) 100-200 mcg
  d) 200-300 mcgAnswer: b) 50-100 mcg
• What is the advantage of using patient-controlled epidural analgesia (PCEA) during labor?
  a) Increased risk of hypotension
  b) Continuous pain relief
  c) Enhanced patient control over pain management
  d) Reduced need for maternal monitoringAnswer: c) Enhanced patient control over pain management
• Which medication can be used to manage epidural-induced hypotension?
  a) Epinephrine
  b) Phenylephrine
  c) Atropine
  d) NaloxoneAnswer: b) Phenylephrine
• What is the standard initial dose of epidural bupivacaine for labor analgesia?
  a) 5-10 mL
  b) 10-15 mL
  c) 15-20 mL
  d) 20-25 mLAnswer: b) 10-15 mL
• For a spinal block during cesarean delivery, what is the usual concentration of hyperbaric bupivacaine?
  a) 0.5%
  b) 0.75%
  c) 1%
  d) 1.5%Answer: b) 0.75%
• Which of the following is a common side effect of epidural analgesia?
  a) Nausea
  b) Hypotension
  c) Hyperthermia
  d) BradycardiaAnswer: b) Hypotension
• What is the typical duration of analgesia provided by a single dose of spinal bupivacaine?
  a) 1-2 hours
  b) 2-3 hours
  c) 3-4 hours
  d) 4-6 hoursAnswer: b) 2-3 hours
• Which medication is commonly added to the epidural solution to improve analgesia and reduce motor block?
  a) Clonidine
  b) Epinephrine
  c) Naloxone
  d) MidazolamAnswer: a) Clonidine
• What is the usual dose of morphine administered via epidural route for labor analgesia?
  a) 1-2 mg
  b) 2-4 mg
  c) 4-6 mg
  d) 6-8 mgAnswer: b) 2-4 mg
• Which alternative to epidural analgesia might be used for patients with contraindications to epidural placement?
  a) Nitrous oxide
  b) General anesthesia
  c) Intravenous opioids
  d) Regional nerve blocksAnswer: c) Intravenous opioids
• What is the maximum recommended dose of ropivacaine for labor analgesia via continuous epidural infusion?
  a) 0.2 mg/kg/hr
  b) 0.5 mg/kg/hr
  c) 0.7 mg/kg/hr
  d) 1 mg/kg/hrAnswer: b) 0.5 mg/kg/hr
• What is the recommended concentration of lidocaine for a paracervical block during labor?
  a) 0.5%
  b) 1%
  c) 2%
  d) 3%Answer: b) 1%
• Which analgesic method is associated with the lowest risk of maternal hypotension during labor?
  a) Epidural analgesia
  b) Spinal block
  c) Nitrous oxide
  d) Intravenous opioidsAnswer: c) Nitrous oxide
• Which opioid is commonly used for labor analgesia due to its long duration of action?
  a) Fentanyl
  b) Morphine
  c) Hydromorphone
  d) MethadoneAnswer: b) Morphine
• What is the primary benefit of using nitrous oxide for labor analgesia?
  a) Immediate onset of pain relief
  b) Minimal impact on maternal blood pressure
  c) Longer duration of action
  d) Requires no additional monitoringAnswer: b) Minimal impact on maternal blood pressure
• What is the typical dose of epidural clonidine for labor analgesia?
  a) 10-25 mcg
  b) 25-50 mcg
  c) 50-75 mcg
  d) 75-100 mcgAnswer: a) 10-25 mcg
• Which technique is preferred for providing pain relief during the second stage of labor?
  a) Continuous epidural infusion
  b) Single-shot spinal block
  c) Patient-controlled epidural analgesia (PCEA)
  d) General anesthesiaAnswer: c) Patient-controlled epidural analgesia (PCEA)
• What is the usual concentration of levobupivacaine used for labor analgesia?
  a) 0.1%
  b) 0.2%
  c) 0.3%
  d) 0.5%Answer: b) 0.2%
• Which local anesthetic is preferred for its minimal motor block effects during labor?
  a) Bupivacaine
  b) Lidocaine
  c) Ropivacaine
  d) MepivacaineAnswer: c) Ropivacaine
• What is a common complication associated with spinal anesthesia during labor?
  a) Postdural puncture headache
  b) Hypothermia
  c) Hyperglycemia
  d) SeizuresAnswer: a) Postdural puncture headache
• What is the maximum recommended dose of bupivacaine for continuous epidural infusion in labor?
  a) 0.5 mg/kg/hr
  b) 1 mg/kg/hr
  c) 1.5 mg/kg/hr
  d) 2 mg/kg/hrAnswer: a) 0.5 mg/kg/hr
• Which drug can be used to reverse the effects of opioids administered via epidural for labor analgesia?
  a) Naloxone
  b) Atropine
  c) Epinephrine
  d) FlumazenilAnswer: a) Naloxone
• What is the usual dose of lidocaine for a paracervical block?
  a) 5-10 mL
  b) 10-15 mL
  c) 15-20 mL
  d) 20-25 mLAnswer: a) 5-10 mL
• Which of the following is NOT a typical use of nitrous oxide during labor?
  a) Managing severe pain
  b) Providing continuous analgesia
  c) Reducing anxiety
  d) Minimizing pain during contractionsAnswer: b) Providing continuous analgesia
• What is the typical concentration of epidural bupivacaine used for continuous labor analgesia?
  a) 0.1%
  b) 0.2%
  c) 0.3%
  d) 0.5%Answer: b) 0.2%
• Which medication is often used to provide prolonged pain relief after delivery?
  a) Clonidine
  b) Morphine
  c) Fentanyl
  d) LidocaineAnswer: b) Morphine
• What is the standard dose of epidural fentanyl for labor analgesia?
  a) 10-20 mcg
  b) 20-30 mcg
  c) 30-50 mcg
  d) 50-100 mcgAnswer: d) 50-100 mcg
• Which analgesic technique involves the use of a small, portable machine for self-administration of pain relief during labor?
  a) Epidural analgesia
  b) Spinal block
  c) Patient-Controlled Analgesia (PCA)
  d) Nitrous oxideAnswer: c) Patient-Controlled Analgesia (PCA)
• What is the common side effect of spinal anesthesia during labor?
  a) Severe nausea
  b) Hypotension
  c) Hyperthermia
  d) TachycardiaAnswer: b) Hypotension
• Which opioid is used intrathecally for labor analgesia due to its rapid onset?
  a) Morphine
  b) Fentanyl
  c) Hydromorphone
  d) MethadoneAnswer: b) Fentanyl
• What is the recommended dose of epidural clonidine for labor analgesia?
  a) 10-25 mcg
  b) 25-50 mcg
  c) 50-75 mcg
  d) 75-100 mcgAnswer: a) 10-25 mcg
• Which technique is preferred for rapid onset of analgesia during labor?
  a) Epidural block
  b) Spinal block
  c) Paracervical block
  d) Pudendal blockAnswer: b) Spinal block
• What is the maximum recommended dose of ropivacaine for labor analgesia?
  a) 0.2 mg/kg/hr
  b) 0.5 mg/kg/hr
  c) 0.7 mg/kg/hr
  d) 1 mg/kg/hrAnswer: b) 0.5 mg/kg/hr
• What is the typical concentration of epidural bupivacaine for labor analgesia?
  a) 0.1%
  b) 0.2%
  c) 0.3%
  d) 0.5%Answer: b) 0.2%
• Which analgesic method is often chosen for labor pain management in patients with a high risk of bleeding?
  a) Epidural analgesia
  b) Spinal block
  c) Nitrous oxide
  d) General anesthesiaAnswer: c) Nitrous oxide
• What is the typical dose of intrathecal morphine for labor analgesia?
  a) 0.1-0.2 mg
  b) 0.2-0.5 mg
  c) 0.5-1 mg
  d) 1-2 mgAnswer: a) 0.1-0.2 mg
• Which local anesthetic is used for its minimal motor block effects during labor analgesia?
  a) Bupivacaine
  b) Lidocaine
  c) Ropivacaine
  d) MepivacaineAnswer: c) Ropivacaine
• What is the common side effect of epidural analgesia?
  a) Nausea
  b) Vomiting
  c) Headache
  d) HypotensionAnswer: d) Hypotension
• Which analgesic technique involves the administration of medication directly into the epidural space?
  a) Spinal block
  b) Epidural block
  c) Paracervical block
  d) Pudendal blockAnswer: b) Epidural block
• What is the typical concentration of lidocaine used for a paracervical block?
  a) 0.5%
  b) 1%
  c) 2%
  d) 3%Answer: b) 1%
• What is the typical duration of action for a single dose of spinal bupivacaine?
  a) 1-2 hours
  b) 2-3 hours
  c) 3-4 hours
  d) 4-6 hoursAnswer: b) 2-3 hours
• Which opioid is used for its long duration of action in labor analgesia?
  a) Fentanyl
  b) Morphine
  c) Hydromorphone
  d) MethadoneAnswer: b) Morphine
• What is the primary benefit of using a combined spinal-epidural (CSE) technique for labor analgesia?
  a) Rapid onset of analgesia
  b) Longer duration of action
  c) Decreased risk of hypotension
  d) Reduced risk of infectionAnswer: a) Rapid onset of analgesia
• Which local anesthetic is often preferred for its minimal motor block effects during labor?
  a) Bupivacaine
  b) Ropivacaine
  c) Lidocaine
  d) MepivacaineAnswer: b) Ropivacaine
• What is the typical concentration of epidural bupivacaine used for labor analgesia?
  a) 0.1%
  b) 0.2%
  c) 0.3%
  d) 0.5%Answer: b) 0.2%
• Which analgesic method involves the use of a small, portable machine for self-administration of pain relief during labor?
  a) Epidural analgesia
  b) Spinal block
  c) Patient-Controlled Analgesia (PCA)
  d) Nitrous oxideAnswer: c) Patient-Controlled Analgesia (PCA)

Topic-wise Anesthesia MCQs

1. Anesthesiology MCQs
2. Anesthesia Basics:
   • Levels of sedation and anesthesia MCQs
   • Stages of anesthesia MCQs
3. Anesthesia Agents MCQs:
   • Inhaled anesthetics MCQs
   • Intravenous anesthetics MCQs
   • Neuromuscular blocking agents MCQs
   • Local anesthetics MCQs
4. Airway Management:
   • Endotracheal intubation MCQs – Anesthesia
   • Supraglottic airway devices MCQs – Anesthesia
   • Video laryngoscopy MCQs – Anesthesia
   • Difficult airway management MCQs – Anesthesia
5. Anesthesia Monitoring MCQs – Anesthesia:
   • Hemodynamic monitoring MCQs – Anesthesia
   • Pulse oximetry MCQs – Anesthesia
   • Capnography MCQs – Anesthesia
   • Temperature monitoring MCQs – Anesthesia
6. Regional Anesthesia MCQs :
   • Epidural anesthesia MCQs
   • Spinal anesthesia MCQs
   • Peripheral nerve blocks MCQs
7. Patient Assessment and Optimization:
   • Pre-operative assessment MCQs – Anesthesia
   • Patient history and physical examination MCQs – Anesthesia
   • Risk assessment and optimization MCQs – Anesthesia
8. Anesthesia Delivery Systems MCQs:
   • Inhalation anesthesia machines MCQs – Anesthesia
   • Intravenous anesthesia techniques MCQs – Anesthesia
9. Pediatric Anesthesia MCQs :
   • Considerations for anesthesia in pediatric patients MCQs – Anesthesia
   • Pediatric airway management MCQs – Anesthesia
   • Pediatric drug dosages MCQs – Anesthesia
10. Obstetric Anesthesia MCQs – Anesthesia:
    • Anesthesia for labor and delivery MCQs
    • Epidural analgesia in obstetrics MCQs – Anesthesia
    • Anesthetic considerations for cesarean section
11. Anesthesia Complications and Emergencies MCQs:
    • Malignant hyperthermia MCQs – Anesthesia
    • Anaphylaxis MCQs – Anesthesia
    • Cardiac arrest during anesthesia MCQs – Anesthesia
12. Post-Anesthesia Care MCQs:
    • Recovery room management MCQs – Anesthesia
    • Pain management strategies MCQs – Anesthesia
    • Post-operative complications related to anesthesia MCQs
13. Geriatric Anesthesia:
    • Considerations for anesthesia in elderly patients MCQs – Anesthesia
    • Geriatric pharmacology MCQs – Anesthesia
    • Management of common comorbidities MCQs – Anesthesia
14. Ethics and Professionalism in Anesthesia MCQs:
    • Informed consent MCQs – Anesthesia
    • Patient autonomy MCQs – Anesthesia
    • Professional conduct and communication MCQs – Anesthesia
15. Simulation and Skills Training MCQs :
    • Hands-on training in airway management and procedures MCQs – Anesthesia
    • Simulation exercises for crisis management MCQs – Anesthesia