EDAIC Pediatric and Neonatal Anesthesia 2

Question 1

What is the primary mechanism of heat loss in neonates during anesthesia?

Accepted Answer

Radiation

Answer

Radiation accounts for the largest proportion of heat loss in neonates due to their high surface-area-to-volume ratio.

Question 2

Which volatile anesthetic is associated with the highest risk of laryngospasm in pediatric patients?

Accepted Answer

Desflurane

Answer

Desflurane is the most pungent volatile agent and is associated with the highest incidence of airway reactivity, coughing, and laryngospasm in children.

Question 3

A term neonate requires emergency laparotomy. What is the most appropriate ETT size?

Accepted Answer

3.0–3.5 mm uncuffed

Answer

A term neonate typically requires a 3.0–3.5 mm uncuffed (or microcuffed) endotracheal tube.

Question 4

At what postconceptional age is it generally safe to perform elective surgery without overnight monitoring for apnea in a premature infant?

Accepted Answer

56 weeks

Answer

Most guidelines recommend 56–60 weeks postconceptional age before elective surgery without mandatory overnight apnea monitoring, though thresholds vary by institution.

Question 5

Which induction technique is preferred for a child with a suspected difficult airway and a full stomach?

Accepted Answer

Awake fiberoptic intubation

Answer

Awake fiberoptic intubation preserves spontaneous ventilation and airway reflexes, making it the safest choice when both airway difficulty and aspiration risk coexist.

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC - European Diploma in Anesthesiology and Intensive Care Practice Test

EDAIC Pediatric and Neonatal Anesthesia 2