Matching Anesthetic risks

Question 1 of 5

Matching: Anesthetic risks

A. Retroviral agents B. Cocaine C. Succinylcholine D. Oxygen

Correct Answer: C

Rationale: Succinylcholine increases the risk of myocardial depression with volatile agents, which can lead to life-threatening cardiac events.

Question 2 of 5

Systemic corticosteroids are rarely indicated in the treatment of atopic dermatitis because

A. toxic side effects after long-term use B. rebound flare after therapy discontinuation C. cannot do more than what topical can D. tapering is required even after short-term use

Correct Answer: B

Rationale: Rebound flare-ups often occur after stopping systemic corticosteroids.

Question 3 of 5

Conduct disorder in childhood and adolescence is associated with all of the following EXCEPT

A. antisocial behavior B. criminality in the father C. physical abuse D. marital discord within the home

Correct Answer: D

Rationale: Conduct disorder is linked to antisocial behavior, physical abuse, and family dysfunction. However, criminality in the father alone does not directly predict conduct disorder; other factors must also contribute.

Question 4 of 5

Which feature is NOT characteristic of separation anxiety disorder?

A. Not manifested below 3 years of age B. Common up to 5% of children C. Girls are more affected than boys D. Not reported in children above 8 years of age

Correct Answer: D

Rationale: Separation anxiety disorder can occur in children above 8 years of age, though it is more common in younger children. It affects both genders but may be slightly more prevalent in girls.

Question 5 of 5

A 5-year-old underwent a tonsillectomy and an adenoidectomy under general anesthesia. The parents tell you that the anesthesiologist said that she â€œfought the mask and cried a lotâ€ on induction. You are the pediatrician for this child, and 8 days after surgery, the parents call to report that the child, who previously slept well at night, now awakens nightly screaming with bad dreams. She is more irritable and cranky than before surgery and has angry outbursts. She is more â€œclingyâ€ and wants her parents to cuddle her frequently. She reports that in her dreams, she canâ€™t move, there is a tube in her throat, and she feels the surgeon cutting her throat. A review of her anesthetic record suggests an uneventful intraoperative course, with stable vital signs. All of the following statements about this situation are true EXCEPT

A. this is an extreme reaction and suggests a severe underlying tendency toward psychiatric illness B. traumatic induction of anesthesia can commonly produce behavioral changes for several weeksâ€”in the majority of cases, these resolve within 4-6 weeks C. parental presence for mask induction of anesthesia may reduce the distress of induction for some children and may reduce the incidence of some postoperative behavioral changes D. intraoperative awareness can occur during general anesthesia and could possibly account for the content of her dreams and some of the severity of these behavioral changes

Correct Answer: A

Rationale: The described reaction, while distressing, is not necessarily indicative of severe psychiatric illness but rather a response to traumatic anesthesia induction.