Pediatric & Obstetric Anesthesia Flashcards
6 cards from real MAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Pediatric & Obstetric Anesthesia flashcards as text
What is the recommended maintenance fluid rate per the 4-2-1 rule for a 7 kg pediatric patient?
Answer: 4 mL/kg/hr
The 4-2-1 rule recommends 4 mL/kg/hr for the first 10 kg of body weight for pediatric maintenance fluids.
Which volatile anesthetic agent is preferred for inhalational induction in pediatric patients?
Answer: Sevoflurane
Sevoflurane has a pleasant, non-pungent odor and low blood-gas solubility, making it ideal for inhalational mask induction in children.
How is pre-eclampsia defined in obstetric patients?
Answer: New-onset hypertension after 20 weeks with proteinuria or end-organ dysfunction
Pre-eclampsia is defined as new-onset hypertension (≥140/90 mmHg) after 20 weeks gestation with proteinuria or evidence of end-organ damage.
Which anesthetic consideration is most important for a patient with HELLP syndrome?
Answer: Assess platelet count before considering neuraxial anesthesia
HELLP syndrome causes thrombocytopenia, so platelet count must be assessed before neuraxial anesthesia to determine safety.
What is the appropriate induction dose of propofol in healthy pediatric patients compared to adults?
Answer: Higher mg/kg dose required
Children require higher weight-adjusted propofol induction doses (2.5-3.5 mg/kg) compared to adults (1.5-2.5 mg/kg) due to a larger volume of distribution.
What is the primary postoperative concern for ex-premature infants under 60 weeks postconceptual age after general anesthesia?
Answer: Risk of postoperative apnea requiring extended monitoring
Ex-premature infants under 60 weeks postconceptual age are at significant risk for postoperative apnea and require extended cardiorespiratory monitoring.