Considerations for anesthesia in pediatric patients MCQs – Anesthesia
By: Prof. Dr. Fazal Rehman | Last updated: September 13, 2024
What is a primary concern when administering anesthesia to pediatric patients?
a) Age-appropriate drug dosing
b) Adult drug formulations
c) Patient’s past surgical history
d) Parent’s consentAnswer: a) Age-appropriate drug dosing
Which factor is critical in determining the dosage of anesthetic agents in children?
a) Weight
b) Height
c) Sex
d) Body surface areaAnswer: d) Body surface area
Why is airway management particularly challenging in pediatric patients?
a) Smaller airway size
b) Larger tongue size
c) Increased muscle mass
d) Decreased cardiac outputAnswer: a) Smaller airway size
What is a common anesthetic technique for induction in young children?
a) Inhalational induction
b) Intravenous induction
c) Oral sedation
d) Topical anesthesiaAnswer: a) Inhalational induction
Which intravenous anesthetic agent is often preferred for its rapid onset and minimal side effects in pediatric patients?
a) Propofol
b) Thiopental
c) Ketamine
d) MidazolamAnswer: a) Propofol
What is an important consideration when using propofol in children?
a) Risk of hypotension
b) Risk of respiratory depression
c) Risk of agitation
d) Risk of hallucinationsAnswer: a) Risk of hypotension
Which anesthetic agent is commonly used for premedication in children due to its anxiolytic properties?
a) Midazolam
b) Propofol
c) Ketamine
d) ThiopentalAnswer: a) Midazolam
What is a significant risk associated with the use of ketamine in pediatric anesthesia?
a) Emergence delirium
b) Hypotension
c) Bradycardia
d) Respiratory depressionAnswer: a) Emergence delirium
Which inhalational anesthetic is most commonly used for its ease of use and minimal irritation in pediatric patients?
a) Sevoflurane
b) Desflurane
c) Isoflurane
d) Nitrous oxideAnswer: a) Sevoflurane
Why is nitrous oxide often used in combination with other anesthetic agents in pediatric anesthesia?
a) To reduce the required dose of other agents
b) To provide deep anesthesia
c) To cause muscle relaxation
d) To induce rapid recoveryAnswer: a) To reduce the required dose of other agents
What is a common consideration for intravenous access in pediatric patients?
a) Use of smaller gauge needles
b) Avoidance of central lines
c) Preference for larger veins
d) Frequent use of long-term cathetersAnswer: a) Use of smaller gauge needles
What is a key difference in anesthetic drug metabolism between children and adults?
a) Faster drug metabolism in children
b) Slower drug metabolism in children
c) Similar drug metabolism rates
d) Increased drug sensitivity in adultsAnswer: a) Faster drug metabolism in children
Which factor affects the choice of anesthetic technique in pediatric patients?
a) Child’s age and developmental stage
b) Parent’s preference
c) Surgical duration only
d) Anesthesiologist’s experienceAnswer: a) Child’s age and developmental stage
What is an important aspect of preoperative preparation for pediatric patients?
a) Psychological preparation
b) Physical exercise
c) Nutritional supplementation
d) Medication reviewAnswer: a) Psychological preparation
Which monitoring parameter is crucial during anesthesia for pediatric patients?
a) Heart rate
b) Temperature only
c) Blood pressure alone
d) Oxygen saturation aloneAnswer: a) Heart rate
What is a potential complication of general anesthesia in young children?
a) Postoperative nausea and vomiting
b) Hypoglycemia
c) Hyperthermia
d) HypertensionAnswer: a) Postoperative nausea and vomiting
Which anesthesia technique is often avoided in children due to the risk of complications?
a) Epidural anesthesia
b) Spinal anesthesia
c) Peripheral nerve blocks
d) General anesthesiaAnswer: a) Epidural anesthesia
What is a primary consideration when using inhalational anesthesia in children?
a) Ensuring adequate ventilation
b) Minimizing drug exposure
c) Monitoring blood glucose levels
d) Providing sedationAnswer: a) Ensuring adequate ventilation
Which aspect of anesthetic management is especially important for infants and young children?
a) Maintaining normothermia
b) Avoiding narcotics
c) Providing prolonged fasting
d) Using large doses of anestheticsAnswer: a) Maintaining normothermia
Which factor can significantly affect the choice of anesthetic agent in pediatric patients?
a) Child’s health status
b) Surgical team preferences
c) Hospital protocols
d) Parent’s wishesAnswer: a) Child’s health status
What is a common method for assessing anesthesia depth in pediatric patients?
a) Monitoring consciousness level
b) Observing muscle tone only
c) Checking pupil size
d) Measuring heart rate variabilityAnswer: a) Monitoring consciousness level
What is a common complication associated with prolonged anesthesia in children?
a) Emergence delirium
b) Hyperthermia
c) Bradycardia
d) HypertensionAnswer: a) Emergence delirium
Which type of anesthesia is generally avoided in very young children due to the risk of respiratory complications?
a) Epidural anesthesia
b) General anesthesia
c) Spinal anesthesia
d) Regional anesthesiaAnswer: a) Epidural anesthesia
What is a key component of the preoperative assessment in pediatric anesthesia?
a) Detailed medical history
b) Parent’s education
c) Drug interaction review
d) Surgical team briefingAnswer: a) Detailed medical history
Which aspect of anesthesia for pediatric patients requires careful monitoring due to the risk of rapid changes?
a) Blood pressure
b) Temperature
c) Blood glucose
d) Oxygen saturationAnswer: a) Blood pressure
What is the most common method for ensuring adequate anesthesia in children undergoing minor procedures?
a) Sedation with nitrous oxide
b) General anesthesia
c) Regional block
d) Topical anesthesiaAnswer: a) Sedation with nitrous oxide
Which intravenous agent is often used for induction in pediatric patients due to its rapid action?
a) Propofol
b) Ketamine
c) Midazolam
d) ThiopentalAnswer: a) Propofol
What is an important consideration when using nitrous oxide for pediatric anesthesia?
a) Ensuring proper ventilation
b) Monitoring blood pressure
c) Avoiding prolonged use
d) Reducing dosageAnswer: a) Ensuring proper ventilation
Which anesthetic agent is most commonly associated with the risk of post-operative nausea and vomiting in children?
a) Sevoflurane
b) Propofol
c) Ketamine
d) Nitrous oxideAnswer: a) Sevoflurane
What is a key benefit of using sevoflurane in pediatric anesthesia?
a) Rapid induction and recovery
b) Minimal cardiovascular effects
c) Analgesic properties
d) Long duration of actionAnswer: a) Rapid induction and recovery
Which type of anesthetic technique is preferred for children undergoing minor outpatient procedures?
a) Inhalational induction
b) Spinal anesthesia
c) Epidural anesthesia
d) Regional blockAnswer: a) Inhalational induction
What is a major concern when administering propofol to pediatric patients?
a) Cardiovascular effects
b) Respiratory depression
c) Allergic reactions
d) Hepatic toxicityAnswer: a) Cardiovascular effects
What is an important consideration when performing anesthesia on premature infants?
a) Avoiding hypotension
b) Monitoring for bradycardia
c) Providing supplemental oxygen
d) Using higher drug dosesAnswer: a) Avoiding hypotension
Which type of intravenous anesthetic agent is known for its potential to cause emergence delirium in children?
a) Ketamine
b) Propofol
c) Etomidate
d) ThiopentalAnswer: a) Ketamine
What is a critical component of monitoring during anesthesia in pediatric patients?
a) Adequate oxygenation
b) Temperature only
c) Fluid intake
d) Wound site inspectionAnswer: a) Adequate oxygenation
Which anesthetic technique is often avoided in children with a history of respiratory issues?
a) General anesthesia
b) Regional anesthesia
c) Epidural anesthesia
d) Topical anesthesiaAnswer: a) General anesthesia
What is a primary goal when selecting anesthetic agents for pediatric patients?
a) Ensuring minimal side effects
b) Maximizing duration of action
c) Enhancing sedation
d) Reducing drug interactionsAnswer: a) Ensuring minimal side effects
Which of the following is a common side effect of sevoflurane in pediatric patients?
a) Emergence delirium
b) Hypotension
c) Bradycardia
d) NauseaAnswer: a) Emergence delirium
What is a typical consideration when using regional anesthesia in children?
a) Monitoring for adequate sensory block
b) Ensuring rapid onset
c) Avoiding drug overdose
d) Using large volume injectionsAnswer: a) Monitoring for adequate sensory block
Which factor influences the choice of anesthetic technique in infants undergoing surgery?
a) Size of the infant
b) Surgeon’s preference
c) Type of surgery only
d) Anesthesia team’s experienceAnswer: a) Size of the infant
What is a key consideration for sedation during procedures in young children?
a) Avoiding over-sedation
b) Maximizing anesthetic depth
c) Increasing drug dosages
d) Reducing monitoring frequencyAnswer: a) Avoiding over-sedation
Which agent is often used for sedation in pediatric patients due to its minimal side effects and rapid onset?
a) Midazolam
b) Propofol
c) Ketamine
d) ThiopentalAnswer: a) Midazolam
What is a major concern when administering anesthesia to children with congenital heart defects?
a) Managing hemodynamic stability
b) Controlling body temperature
c) Providing adequate analgesia
d) Preventing airway obstructionAnswer: a) Managing hemodynamic stability
Which anesthetic technique is commonly used for children undergoing dental procedures?
a) Inhalational sedation
b) Epidural anesthesia
c) Spinal anesthesia
d) Peripheral nerve blockAnswer: a) Inhalational sedation
What is a significant consideration when using general anesthesia in pediatric patients with respiratory issues?
a) Ensuring adequate ventilation
b) Minimizing anesthetic depth
c) Avoiding intravenous agents
d) Using longer-acting agentsAnswer: a) Ensuring adequate ventilation
What is a common approach for preoperative sedation in anxious pediatric patients?
a) Oral sedatives
b) Intravenous induction
c) Inhalational induction
d) Regional blocksAnswer: a) Oral sedatives
Which inhaled anesthetic is preferred for its rapid recovery profile in pediatric patients?
a) Sevoflurane
b) Desflurane
c) Isoflurane
d) Nitrous oxideAnswer: a) Sevoflurane
What is an important aspect of postoperative care for pediatric patients recovering from anesthesia?
a) Monitoring for adequate hydration
b) Ensuring prompt discharge
c) Limiting pain management
d) Reducing monitoring frequencyAnswer: a) Monitoring for adequate hydration
Which intravenous anesthetic is preferred for its safety profile and minimal cardiovascular effects in pediatric anesthesia?
a) Propofol
b) Thiopental
c) Ketamine
d) EtomidateAnswer: a) Propofol
What is a primary concern when administering anesthesia to children with a history of asthma?
a) Avoiding bronchospasm
b) Ensuring muscle relaxation
c) Preventing hypothermia
d) Controlling blood pressureAnswer: a) Avoiding bronchospasm