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WorksheetsSample MCQs in Paediatric Anaesthesia
Total questions: 20
Worksheet time: 10mins
Which of the following inhalational agents is preferred for induction in paediatric patients due to its non-irritant nature and rapid onset?
Desflurane
Halothane
Sevoflurane
Isoflurane
The narrowest part of the paediatric airway (in children <5 years) is:
Vocal cords
Cricoid cartilage
Thyroid cartilage
Glottis
The most commonly used regional technique for postoperative analgesia in children undergoing lower abdominal surgery is:
Caudal epidural block
Femoral nerve block
Sciatic nerve block
TAP block
What is the maintenance fluid requirement for a 15 kg child using the Holliday-Segar formula?
750 ml/day
1000 ml/day
1250 ml/day
1500 ml/day
Which of the following drugs is most suitable for premedication in a 4-year-old child undergoing elective surgery?
Atropine
Midazolam
Glycopyrrolate
Propofol
Which statement is TRUE about neonatal anaesthesia?
Neonates have a lower MAC requirement than older children
Succinylcholine is contraindicated in neonates
Neonates have a reduced sensitivity to opioids
Neonates have higher functional residual capacity
The chest compression to ventilation ratio in single rescuer paediatric CPR is:
30:2
15:2
5:1
10:2
The induction dose of propofol in children is:
1-1.5 mg/kg
2-2.5 mg/kg
3-3.5 mg/kg
0.5-1 mg/kg
A newborn with tracheoesophageal fistula presents for emergency surgery. The most important preoperative preparation is:
Full oral feed 2 hours before surgery
Bag-mask ventilation
Insert nasogastric tube and drain pouch frequently
Trendelenburg positioning and IV fluids
In neonates, the most reliable indicator of adequate oxygenation is:
Skin color
Heart rate
SpO2
Respiratory rate
Compared to adults, infants have:
Lower oxygen consumption
Lower cardiac output/kg
Higher alveolar ventilation/kg
Higher FRC/kg
What factor increases the speed of inhalational induction in children?
Low cardiac output
High blood/gas solubility of agent
High alveolar ventilation
Low vaporizer output
Appropriate endotracheal tube (ETT) size for a 4-year-old child (uncuffed) is:
4.0 mm ID
4.5 mm ID
5.0 mm ID
5.5 mm ID
Which of the following is most likely in an infant under general anaesthesia?
Bradycardia due to light anaesthesia
Hypertension due to induction agents
Decreased chest wall compliance
Increased renal excretion of drugs
The upper limit of spread of caudal anaesthesia depends on:
Volume of drug injected
Concentration of local anaesthetic
Patient's weight
Patient's age
Neonates have prolonged action of non-depolarizing muscle relaxants due to:
Enhanced hepatic metabolism
Enhanced renal excretion
Immature neuromuscular junction
Increased plasma cholinesterase activity
Maximum recommended dose of bupivacaine for caudal block in infants is:
2 mg/kg
3 mg/kg
1.5 mg/kg
4 mg/kg
In a child with a left-to-right shunt (e.g., VSD), the induction with inhalational agents will be:
Faster
Slower
Same as normal child
Not possible
A child under GA develops bradycardia after halothane induction. First step in management:
Give atropine
Start chest compressions
Check depth of anaesthesia and lighten
Give oxygen and wait
In neonatal resuscitation, if heart rate is <60 bpm despite adequate ventilation for 30 seconds, next step is:
Continue ventilation
Start chest compressions
Administer epinephrine
Suction mouth and nose
