EDAIC Obstetric Anesthesia and Analgesia 5

Question 1

During emergent cesarean section under general anesthesia, which sequence correctly follows rapid sequence induction?

Accepted Answer

Preoxygenate, cricoid pressure, induction agent, succinylcholine, intubate without ventilation

Answer

Obstetric RSI includes preoxygenation, cricoid pressure application before induction, thiopental or propofol then succinylcholine, and intubation without positive pressure ventilation.

Question 2

Uterotonic oxytocin given as an IV bolus during cesarean section can cause which serious hemodynamic effect?

Accepted Answer

Severe hypotension and tachycardia

Answer

Rapid IV oxytocin bolus causes vasodilation and severe hypotension with reflex tachycardia; slow infusion is preferred to minimize cardiovascular effects.

Question 3

Which finding on fetal heart rate monitoring during epidural analgesia initiation MOST warrants emergent delivery?

Accepted Answer

Prolonged bradycardia below 80 bpm lasting >3 minutes

Answer

Sustained fetal bradycardia below 80 bpm for more than 3 minutes is a Category III tracing indicating fetal compromise requiring emergent delivery.

Question 4

What is the recommended approach when a 'walking epidural' technique is desired for labor analgesia?

Accepted Answer

Low-dose bupivacaine 0.0625% with intrathecal fentanyl via CSE

Answer

CSE with low-dose local anesthetic and lipid-soluble opioid provides analgesia with preserved motor function, allowing ambulation when monitored safely.

Question 5

A parturient with antiphospholipid syndrome on therapeutic low-molecular-weight heparin presents for delivery. When is neuraxial anesthesia safe to perform?

Accepted Answer

12 hours after prophylactic or 24 hours after therapeutic LMWH dose

Answer

ASRA guidelines recommend waiting 12 hours after prophylactic LMWH and 24 hours after therapeutic LMWH before neuraxial procedures to minimize epidural hematoma risk.

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC Obstetric Anesthesia and Analgesia 5