Epidural analgesia in obstetrics MCQs – Anesthesia

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

• What is the primary goal of epidural analgesia in obstetrics?
  a) To induce labor
  b) To provide pain relief during labor
  c) To speed up fetal development
  d) To prevent maternal bleedingAnswer: b) To provide pain relief during labor
• Which local anesthetic is most commonly used in epidural analgesia for 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 frequently added to the epidural solution to enhance analgesia?
  a) Morphine
  b) Fentanyl
  c) Hydromorphone
  d) MethadoneAnswer: b) Fentanyl
• 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
• Which technique allows patients to control their own epidural analgesia during labor?
  a) Continuous infusion
  b) Single-shot epidural
  c) Patient-controlled epidural analgesia (PCEA)
  d) Spinal blockAnswer: c) Patient-controlled epidural analgesia (PCEA)
• What is a common side effect of epidural analgesia?
  a) Nausea
  b) Headache
  c) Hypotension
  d) HyperthermiaAnswer: c) Hypotension
• Which medication is used to treat hypotension caused by epidural analgesia?
  a) Epinephrine
  b) Phenylephrine
  c) Atropine
  d) NaloxoneAnswer: b) Phenylephrine
• What is the typical dose of fentanyl administered via epidural route for labor analgesia?
  a) 25-50 mcg
  b) 50-100 mcg
  c) 100-200 mcg
  d) 200-300 mcgAnswer: b) 50-100 mcg
• Which of the following is a benefit of using patient-controlled epidural analgesia (PCEA) during labor?
  a) Increased risk of maternal hypotension
  b) Continuous, fixed-rate pain relief
  c) Enhanced control over pain management
  d) Reduced need for fetal monitoringAnswer: c) Enhanced control over pain management
• What is the recommended concentration of bupivacaine for labor epidural analgesia?
  a) 0.1%
  b) 0.2%
  c) 0.3%
  d) 0.5%Answer: b) 0.2%
• What is a common reason for choosing epidural analgesia in labor?
  a) To prevent the need for general anesthesia
  b) To facilitate early discharge from the hospital
  c) To provide effective pain relief during labor
  d) To avoid the use of opioidsAnswer: c) To provide effective pain relief during labor
• Which of the following local anesthetics is preferred for its minimal motor block effects during labor?
  a) Lidocaine
  b) Bupivacaine
  c) Ropivacaine
  d) MepivacaineAnswer: c) Ropivacaine
• What is the typical duration of analgesia provided by a single dose of epidural bupivacaine?
  a) 1-2 hours
  b) 2-3 hours
  c) 3-4 hours
  d) 4-6 hoursAnswer: b) 2-3 hours
• Which medication is often combined with local anesthetics in epidurals to reduce pain and prolong analgesia?
  a) Clonidine
  b) Epinephrine
  c) Naloxone
  d) MidazolamAnswer: a) Clonidine
• What is the maximum recommended dose of ropivacaine for 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
• Which opioid is commonly used for its long duration of action in labor epidural analgesia?
  a) Fentanyl
  b) Morphine
  c) Hydromorphone
  d) MethadoneAnswer: b) Morphine
• What is the standard dose of morphine administered via epidural route for post-operative analgesia?
  a) 1-2 mg
  b) 2-4 mg
  c) 4-6 mg
  d) 6-8 mgAnswer: b) 2-4 mg
• Which analgesic method involves the administration of medication into the epidural space for labor pain relief?
  a) Spinal block
  b) Epidural block
  c) Paracervical block
  d) Pudendal blockAnswer: b) Epidural block
• Which technique is used to provide rapid onset pain relief during labor?
  a) Continuous epidural infusion
  b) Single-shot spinal block
  c) Paracervical block
  d) Nitrous oxideAnswer: b) Single-shot spinal block
• What is the common concentration of bupivacaine used for labor epidural analgesia?
  a) 0.1%
  b) 0.2%
  c) 0.3%
  d) 0.5%Answer: b) 0.2%
• What is the primary benefit of combining epidural analgesia with a low dose of opioid?
  a) Increased motor block
  b) Enhanced analgesic effect with reduced local anesthetic dose
  c) Longer duration of action
  d) Immediate onset of pain reliefAnswer: b) Enhanced analgesic effect with reduced local anesthetic dose
• What is the typical concentration of lidocaine used for a paracervical block?
  a) 0.5%
  b) 1%
  c) 2%
  d) 3%Answer: b) 1%
• Which of the following is NOT a common side effect of epidural analgesia?
  a) Nausea
  b) Headache
  c) Hypotension
  d) BradycardiaAnswer: d) Bradycardia
• What is the common use of clonidine in epidural analgesia for labor?
  a) To provide immediate pain relief
  b) To reduce motor block effects
  c) To prolong analgesia and enhance pain relief
  d) To prevent hypotensionAnswer: c) To prolong analgesia and enhance pain relief
• What is the typical dose of fentanyl used in a labor epidural?
  a) 10-20 mcg
  b) 20-50 mcg
  c) 50-100 mcg
  d) 100-200 mcgAnswer: c) 50-100 mcg
• Which analgesic technique involves the use of a catheter to administer medication continuously into the epidural space?
  a) Single-shot spinal block
  b) Continuous epidural infusion
  c) Paracervical block
  d) Pudendal blockAnswer: b) Continuous epidural infusion
• Which local anesthetic is known for causing minimal motor block during labor analgesia?
  a) Bupivacaine
  b) Ropivacaine
  c) Lidocaine
  d) MepivacaineAnswer: b) Ropivacaine
• What is the maximum dose of bupivacaine that can be safely administered via epidural for labor analgesia?
  a) 0.1 mg/kg/hr
  b) 0.2 mg/kg/hr
  c) 0.5 mg/kg/hr
  d) 1 mg/kg/hrAnswer: c) 0.5 mg/kg/hr
• Which technique is preferred for pain relief during the second stage of labor?
  a) Epidural analgesia
  b) Spinal anesthesia
  c) Nitrous oxide
  d) General anesthesiaAnswer: a) Epidural analgesia
• Which opioid is commonly used in combination with bupivacaine for epidural analgesia during labor?
  a) Morphine
  b) Fentanyl
  c) Hydromorphone
  d) MethadoneAnswer: b) Fentanyl
• What is a common side effect associated with the use of fentanyl in epidural analgesia?
  a) Hypotension
  b) Nausea
  c) Headache
  d) FeverAnswer: b) Nausea
• What is the typical initial bolus dose of epidural bupivacaine for pain relief during labor?
  a) 5-10 mL
  b) 10-15 mL
  c) 15-20 mL
  d) 20-25 mLAnswer: b) 10-15 mL
• Which local anesthetic is known for a longer duration of action when used in epidural analgesia?
  a) Lidocaine
  b) Ropivacaine
  c) Bupivacaine
  d) MepivacaineAnswer: c) Bupivacaine
• What is the recommended method to prevent hypotension during epidural analgesia?
  a) Increase fluid intake
  b) Use vasoconstrictors
  c) Monitor blood pressure regularly
  d) All of the aboveAnswer: d) All of the above
• Which medication is used to reduce itching associated with opioid use in epidural analgesia?
  a) Naloxone
  b) Ondansetron
  c) Diphenhydramine
  d) MethadoneAnswer: c) Diphenhydramine
• Which of the following is NOT a contraindication for epidural analgesia?
  a) Maternal coagulopathy
  b) Severe hypovolemia
  c) Placenta previa
  d) Systemic infectionAnswer: c) Placenta previa
• What is the most common local anesthetic used for continuous epidural analgesia?
  a) Bupivacaine
  b) Lidocaine
  c) Ropivacaine
  d) MepivacaineAnswer: a) Bupivacaine
• Which of the following side effects is least likely with epidural analgesia?
  a) Headache
  b) Nausea
  c) Hypotension
  d) HyperglycemiaAnswer: d) Hyperglycemia
• What is a key advantage of using a combination of local anesthetics and opioids in epidural analgesia?
  a) Decreased risk of side effects
  b) Improved pain control with lower doses
  c) Increased motor block
  d) Faster onset of analgesiaAnswer: b) Improved pain control with lower doses
• Which technique is used to administer analgesia during labor without affecting the motor function?
  a) Continuous epidural infusion
  b) Single-shot spinal block
  c) Paracervical block
  d) Pudendal blockAnswer: a) Continuous epidural infusion
• What is the typical duration of pain relief provided by epidural analgesia?
  a) 1-2 hours
  b) 2-4 hours
  c) 4-6 hours
  d) 6-8 hoursAnswer: b) 2-4 hours
• Which medication is used to treat severe hypotension during epidural analgesia?
  a) Phenylephrine
  b) Epinephrine
  c) Atropine
  d) NaloxoneAnswer: a) Phenylephrine
• What is the recommended dose of clonidine used in epidural analgesia for labor?
  a) 5-10 mcg
  b) 10-25 mcg
  c) 25-50 mcg
  d) 50-75 mcgAnswer: b) 10-25 mcg
• What is the primary purpose of using an epidural catheter during labor?
  a) To administer general anesthesia
  b) To provide continuous analgesia
  c) To perform a spinal block
  d) To prevent maternal bleedingAnswer: b) To provide continuous analgesia
• Which of the following is a common side effect of continuous epidural infusion?
  a) Severe headache
  b) Nausea and vomiting
  c) Pruritus
  d) HypotensionAnswer: d) Hypotension
• What is the maximum recommended dose of bupivacaine for labor epidural analgesia?
  a) 0.1 mg/kg/hr
  b) 0.2 mg/kg/hr
  c) 0.5 mg/kg/hr
  d) 1 mg/kg/hrAnswer: c) 0.5 mg/kg/hr
• Which local anesthetic is preferred for its reduced risk of motor block during labor?
  a) Bupivacaine
  b) Ropivacaine
  c) Lidocaine
  d) MepivacaineAnswer: b) Ropivacaine
• What is the primary disadvantage of using a single-shot spinal block compared to an epidural?
  a) Shorter duration of pain relief
  b) Increased risk of hypotension
  c) Longer onset of action
  d) Higher risk of infectionAnswer: a) Shorter duration of pain relief
• Which of the following is a common indication for the use of epidural analgesia in labor?
  a) Maternal anxiety
  b) Prolonged labor
  c) Persistent fetal heart rate abnormalities
  d) Severe labor painAnswer: d) Severe labor pain

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