Pediatric airway management MCQs – Anesthesia

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

  • What is the primary concern when managing the airway of a pediatric patient? a) Ensuring proper ventilation b) Avoiding over-sedation c) Monitoring heart rate d) Using adult-sized equipmentAnswer: a) Ensuring proper ventilation
  • Which size of endotracheal tube is typically used for a 5-year-old child? a) 4.0 mm b) 5.0 mm c) 6.0 mm d) 7.0 mmAnswer: a) 4.0 mm
  • What is a common method for determining the correct endotracheal tube size in pediatric patients? a) Age-based formula b) Weight-based formula c) Height-based formula d) Body surface area formulaAnswer: b) Weight-based formula
  • Which device is often used to visualize the pediatric airway during intubation? a) Laryngoscope b) Bronchoscope c) Video laryngoscope d) Fiberoptic scopeAnswer: a) Laryngoscope
  • What is a key anatomical consideration when intubating a child compared to an adult? a) Larger tongue relative to the oropharynx b) Smaller epiglottis c) Longer trachea d) Higher vocal cordsAnswer: a) Larger tongue relative to the oropharynx
  • Which type of blade is commonly used for pediatric laryngoscopy? a) Macintosh blade b) Miller blade c) Magill blade d) Petersen bladeAnswer: b) Miller blade
  • What is an important consideration when using a pediatric laryngoscope? a) Avoiding excessive pressure b) Using large blades c) Frequent suctioning d) Avoiding local anesthesiaAnswer: a) Avoiding excessive pressure
  • Which airway adjunct is often used to maintain an open airway in an unconscious child? a) Oropharyngeal airway b) Nasopharyngeal airway c) Laryngeal mask airway d) Endotracheal tubeAnswer: a) Oropharyngeal airway
  • What is a primary risk when using an oropharyngeal airway in a pediatric patient? a) Airway obstruction b) Pharyngeal trauma c) Nasal bleeding d) BronchospasmAnswer: b) Pharyngeal trauma
  • Which airway management technique is often preferred for its ease of placement in pediatric patients? a) Endotracheal intubation b) Laryngeal mask airway c) Nasotracheal intubation d) TracheostomyAnswer: b) Laryngeal mask airway
  • What is a key benefit of using a laryngeal mask airway (LMA) in pediatric anesthesia? a) Less airway trauma b) Deeper anesthesia c) Increased respiratory drive d) Longer duration of actionAnswer: a) Less airway trauma
  • Which device is used to confirm endotracheal tube placement in pediatric patients? a) Capnograph b) Pulse oximeter c) Blood pressure monitor d) ThermometerAnswer: a) Capnograph
  • What is a common complication of endotracheal intubation in children? a) Cuff leak b) Airway obstruction c) Vocal cord paralysis d) Tracheal stenosisAnswer: a) Cuff leak
  • Which maneuver is often used to facilitate intubation in pediatric patients? a) Head-tilt, chin-lift b) Jaw thrust c) Sellick maneuver d) Cricoid pressureAnswer: a) Head-tilt, chin-lift
  • What is an important consideration when using cricoid pressure during intubation? a) Avoiding excessive force b) Applying pressure on the thyroid cartilage c) Using it for all patients d) Reducing airway resistanceAnswer: a) Avoiding excessive force
  • Which feature of pediatric airways differs significantly from adult airways? a) Smaller airway diameter b) Longer trachea c) Higher glottic opening d) Larger epiglottisAnswer: a) Smaller airway diameter
  • When should an endotracheal tube be changed in pediatric patients? a) If it becomes displaced b) Every 24 hours c) When it is obstructed d) If the patient shows signs of discomfortAnswer: a) If it becomes displaced
  • Which technique is used to estimate the depth of endotracheal tube insertion in children? a) Age-based formula b) Weight-based formula c) Height-based formula d) Length-based formulaAnswer: a) Age-based formula
  • What is the primary advantage of using a video laryngoscope in pediatric airway management? a) Improved visualization b) Faster intubation c) Reduced drug requirements d) Increased patient comfortAnswer: a) Improved visualization
  • What is a common method for confirming correct placement of an endotracheal tube in pediatric patients? a) Auscultation b) Chest X-ray c) Palpation d) Visual inspectionAnswer: a) Auscultation
  • Which type of airway device is used for short procedures where intubation is not feasible? a) Laryngeal mask airway b) Endotracheal tube c) Oropharyngeal airway d) Nasopharyngeal airwayAnswer: a) Laryngeal mask airway
  • What is a key consideration when performing nasotracheal intubation in children? a) Avoiding nasal trauma b) Using larger tubes c) Prolonged sedation d) Avoiding nasogastric tube placementAnswer: a) Avoiding nasal trauma
  • Which factor is critical in the successful management of the pediatric airway? a) Proper sizing of equipment b) Length of the procedure c) Type of anesthetic used d) Patient’s prior medical historyAnswer: a) Proper sizing of equipment
  • What is a common sign of inadequate ventilation in a pediatric patient during anesthesia? a) Cyanosis b) Bradycardia c) Increased heart rate d) FeverAnswer: a) Cyanosis
  • Which technique is used to minimize airway obstruction in unconscious pediatric patients? a) Placement of an oropharyngeal airway b) Administering intravenous fluids c) Using a nasogastric tube d) Performing chest compressionsAnswer: a) Placement of an oropharyngeal airway
  • What is a primary benefit of using a fiberoptic bronchoscope for intubation in pediatric patients? a) Enhanced visualization of the airway b) Faster intubation c) Reduced need for muscle relaxants d) Simplified monitoringAnswer: a) Enhanced visualization of the airway
  • Which condition is a contraindication for the use of a nasopharyngeal airway? a) Nasal trauma b) Upper respiratory infection c) Airway obstruction d) Facial traumaAnswer: a) Nasal trauma
  • What is the most common complication associated with improper placement of an endotracheal tube in children? a) Ventilation failure b) Hypotension c) Bradycardia d) NauseaAnswer: a) Ventilation failure
  • Which type of endotracheal tube cuff is generally preferred for pediatric patients? a) High-volume, low-pressure cuff b) Low-volume, high-pressure cuff c) Soft cuff d) Rigid cuffAnswer: a) High-volume, low-pressure cuff
  • What is a common method to reduce the risk of airway obstruction in intubated pediatric patients? a) Proper tube fixation b) Frequent suctioning c) Using a larger tube d) Increasing sedationAnswer: a) Proper tube fixation
  • What is a primary concern when using an oral airway in a pediatric patient with a decreased level of consciousness? a) Risk of airway obstruction b) Risk of aspiration c) Risk of hypoxia d) Risk of hyperventilationAnswer: a) Risk of airway obstruction
  • Which factor is least likely to influence the choice of airway management device in pediatric patients? a) Patient’s age b) Patient’s weight c) Type of surgical procedure d) Anesthesia team’s preferenceAnswer: d) Anesthesia team’s preference
  • What is an important consideration when performing a rapid sequence induction in children? a) Minimizing the risk of aspiration b) Extending the duration of anesthesia c) Reducing the use of muscle relaxants d) Increasing the volume of fluidsAnswer: a) Minimizing the risk of aspiration
  • What is a common sign of successful intubation in pediatric patients? a) Bilateral breath sounds b) Absence of cough c) Decreased heart rate d) High blood pressureAnswer: a) Bilateral breath sounds
  • Which of the following is an indication for using a video laryngoscope in pediatric patients? a) Difficult intubation b) Routine intubation c) Short surgical procedures d) Low-risk anesthesiaAnswer: a) Difficult intubation
  • What is a common complication of prolonged intubation in pediatric patients? a) Tracheal injury b) Hyperthermia c) Hypoglycemia d) HypotensionAnswer: a) Tracheal injury
  • Which anesthetic technique is least likely to be used for maintaining airway in a pediatric patient undergoing minor procedures? a) Laryngeal mask airway b) Endotracheal intubation c) Nasotracheal intubation d) Oropharyngeal airwayAnswer: c) Nasotracheal intubation
  • What is the primary role of a nasopharyngeal airway in pediatric airway management? a) To maintain airway patency b) To deliver oxygen c) To provide sedation d) To monitor airway pressuresAnswer: a) To maintain airway patency
  • What is a key consideration when choosing the size of an endotracheal tube for a child? a) Patient’s weight and age b) Patient’s height c) Type of surgical procedure d) Type of anesthetic usedAnswer: a) Patient’s weight and age
  • Which airway device is most appropriate for a child with significant facial trauma? a) Endotracheal tube b) Laryngeal mask airway c) Nasotracheal intubation d) Oropharyngeal airwayAnswer: b) Laryngeal mask airway
  • What is a common indication for using a fiberoptic bronchoscope in pediatric anesthesia? a) Difficult airway b) Routine intubation c) Minor surgical procedures d) SedationAnswer: a) Difficult airway
  • Which of the following is an important consideration for airway management in pediatric patients with congenital abnormalities? a) Customized airway devices b) Higher doses of anesthesia c) Longer intubation times d) Avoiding all invasive proceduresAnswer: a) Customized airway devices
  • What is a common complication associated with improper positioning of the endotracheal tube in children? a) Atelectasis b) Hypertension c) Hyperglycemia d) ArrhythmiasAnswer: a) Atelectasis
  • What is the preferred method for confirming the placement of an endotracheal tube in an emergency situation? a) Capnography b) Chest X-ray c) Auscultation d) PalpationAnswer: a) Capnography
  • Which of the following airway devices is considered the least invasive? a) Nasopharyngeal airway b) Endotracheal tube c) Laryngeal mask airway d) Oropharyngeal airwayAnswer: a) Nasopharyngeal airway
  • Which airway management strategy is most appropriate for a child with an obstructed airway? a) Using a jaw thrust maneuver b) Administering intravenous fluids c) Performing chest compressions d) Increasing sedationAnswer: a) Using a jaw thrust maneuver
  • What is the primary purpose of using a cuffed endotracheal tube in pediatric patients? a) To prevent air leaks b) To increase sedation c) To reduce airway resistance d) To facilitate easier removalAnswer: a) To prevent air leaks
  • Which type of airway device should be avoided in patients with a history of nasopharyngeal trauma? a) Nasopharyngeal airway b) Oropharyngeal airway c) Laryngeal mask airway d) Endotracheal tubeAnswer: a) Nasopharyngeal airway
  • What is the primary advantage of using a video laryngoscope for pediatric intubation? a) Enhanced visualization b) Faster intubation c) Reduced need for sedation d) Simpler setupAnswer: a) Enhanced visualization
  • What is a crucial aspect of post-intubation care in pediatric patients? a) Monitoring for correct tube placement b) Reducing sedation levels c) Limiting fluid intake d) Increasing oxygen flow ratesAnswer: a) Monitoring for correct tube placement
Topic-wise Anesthesia MCQs
  1. Anesthesiology MCQs
  2. Anesthesia Basics:
  3. Anesthesia Agents MCQs:
  4. Airway Management:
  5. Anesthesia Monitoring MCQs – Anesthesia:
  6. Regional Anesthesia MCQs :
  7. Patient Assessment and Optimization:
  8. Anesthesia Delivery Systems MCQs:
  9. Pediatric Anesthesia MCQs :
  10. Obstetric Anesthesia MCQs – Anesthesia:
  11. Anesthesia Complications and Emergencies MCQs:
  12. Post-Anesthesia Care MCQs:
  13. Geriatric Anesthesia:
  14. Ethics and Professionalism in Anesthesia MCQs:
  15. Simulation and Skills Training MCQs :

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