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d8210cba-8763-5d61-a87c-f2636cf50a8a | 4 | D | 2 | What would be an appropriate size LMA for a child weighing 27 kg? | 3 | 1.5 | 4 | 2.5 | 对于体重27公斤的儿童，合适的LMA尺寸是什么？ | 3 | 1.5 | 4 | 2.5 | null | null | null | null | null | null | null | null | null | null |
e9ba99f4-981f-556f-be26-5279f3fca54e | 4 | A | 2 | What would be an appropriate sized ETT for a 3 yr old child weighing 18 kg? | 4.5 | 4 | 3.5 | 3 | 对于一名体重18公斤的3岁儿童，合适的气管导管尺寸是多少？ | 4.5 | 4 | 3.5 | 3 | null | null | null | null | null | null | null | null | null | null |
0c01acc0-7004-5e7f-8419-4b2a1e50d186 | 4 | B | 2 | What would be an appropriate size ETT for a 9 yr old child weighing 33 kg? | 5 | 6 | 4.5 | 7 | 对于一个体重33公斤的9岁儿童，合适的气管导管尺寸是多少？ | 5 | 6 | 4.5 | 7 | null | null | null | null | null | null | null | null | null | null |
2faa194e-3403-52a0-89a7-a648ee698463 | 4 | C | 1 | What size laryngoscope blade would you choose to intubate a 3 yr old child? | 1 mil | 2 mac | 1.5 mil | 0 mac | 您会选择多大尺寸的喉镜片来为一名3岁儿童插管？ | 1号 Miller | 2号 Macintosh | 1.5号 Miller | 0号 Macintosh | null | null | null | null | null | null | null | null | null | null |
5cdb982d-148c-5931-997a-6164d7b34d00 | 4 | D | 1 | What size laryngoscope blade would you choose to intubate an 8 yr old child? | 1.5 mil | 3 mac | 2.5 mil | 2 mac | 你会选择多大尺寸的喉镜片来为一个8岁的孩子插管？ | 1.5 mil | 3 mac | 2.5 mil | 2 mac | null | null | null | null | null | null | null | null | null | null |
f7944a4c-037c-588c-912b-bc1e9c3aacd4 | 4 | A | 1 | In order to work well EMLA cream must be applied at least how many minutes prior to IV start? | 45 minutes | 2 hours | 30 minutes | 15 minutes | 为了有效发挥作用，EMLA乳膏必须在静脉注射开始前至少涂抹多少分钟？ | 45分钟 | 2小时 | 30分钟 | 15分钟 | null | null | null | null | null | null | null | null | null | null |
2e39e4cf-d926-5d7b-93ef-7d5e6050f649 | 4 | B | 2 | What is an appropriate hourly maintenance fluid rate for a child weighing 15 kg? | 60 ml | 50 ml | 25 ml | 15 ml | 对于体重15公斤的儿童，适当的每小时维持液体速率是多少？ | 60 毫升 | 50 毫升 | 25 毫升 | 15 毫升 | null | null | null | null | null | null | null | null | null | null |
ef404b75-b985-590d-9292-edfe504ab737 | 2 | A | 1 | When doing a pedi drug set up, it is recommended to draw up your drugs in ‘unit dose’ syringes. | True | False | null | null | 在进行儿科药物准备时，建议将药物抽入“单位剂量”注射器。 | 正确 | 错误 | null | null | null | null | null | null | null | null | null | null | null | null |
cf3fa010-da48-58a9-8fc0-7b55ddab6c57 | 4 | C | 2 | What would be an appropriate dose of pre-op versed for a 6 yr old child weighing 24 kg? | 24 mg IV | 6 mg PO | 12 mg PO | 48 mg PO | 对于一名体重24公斤的6岁儿童，术前给予适当的咪达唑仑剂量是多少？ | 24 mg 静脉注射 | 6 mg 口服 | 12 mg 口服 | 48 mg 口服 | null | null | null | null | null | null | null | null | null | null |
a338222b-2078-573d-a5f2-e55765d364a0 | 4 | A | 1 | The majority of pediatric cardiac arrests occur when? | Induction | Maintenance | Emergence | Rates are equal during all 3 phases | 大多数儿童心脏骤停发生在什么时候？ | 诱导期 | 维持期 | 苏醒期 | 在所有三个阶段的发生率相等 | null | null | null | null | null | null | null | null | null | null |
8e2738af-d013-5592-96fd-7027a5a5c443 | 4 | B | 1 | Most pediatric arrests are due to ________ causes in children. | Cardiac | Respiratory | Congenital defects | Circulatory collapse | 大多数儿童心脏骤停是由于儿童的________原因引起的。 | 心脏 | 呼吸 | 先天缺陷 | 循环崩溃 | null | null | null | null | null | null | null | null | null | null |
91f6094f-304a-5f94-8577-22bff13b7808 | 4 | C | 1 | What is the most common cause of respiratory arrest in pediatric patients? | Airway Obstruction | Difficult intubation | Laryngospasm | Bronchospasm | 在儿科患者中，呼吸骤停最常见的原因是什么？ | 气道阻塞 | 插管困难 | 喉痉挛 | 支气管痉挛 | null | null | null | null | null | null | null | null | null | null |
4940309d-2411-50e0-86f8-87859a78efd3 | 4 | D | 1 | Which of the following is not a risk factor associated with cardiac arrests in the pediatric patient? | Emergency Surgery | ASA 3-5 | Congenital Airway Deformities | Children 1-4 yrs old | 以下哪项不是与儿科患者心脏骤停相关的风险因素？ | 急诊手术 | ASA 3-5 | 先天性气道畸形 | 1-4岁儿童 | null | null | null | null | null | null | null | null | null | null |
aa5c6829-72d9-5b86-b8e2-a3df370401db | 4 | A | 2 | You are going to do a pre-op on a 6 yr old patient about to undergo a Left nephrectomy to remove a tumor.You walk into the room and find a very nervous little boy clutching a bear and hiding under the covers, the father also looks very upset and nervous. What should your approach be to do this pre-op? | Approach the parent and attempt to calm him first | Come back later when both are feeling a bit better | Approach the child, and attempt to calm him first. | Give the child some versed. | 你要为一名即将接受左肾切除术以去除肿瘤的6岁患者进行术前检查。你走进房间，发现一个非常紧张的小男孩紧抱着一只熊，躲在被子下，父亲也看起来非常不安和紧张。你应该如何进行这次术前检查？ | 先接近家长并试图安抚他 | 等两人情绪好一点时再回来 | 先接近孩子，并试图安抚他。 | 给孩子一些镇静药。 | null | null | null | null | null | null | null | null | null | null |
2663cb6a-be3b-5d9f-b752-f20cfd8198d0 | 4 | B | 1 | A child with a recent URI would be at an increased risk for all of the following except: | Laryngospasm | Pneumonia | Atelectasis | Wheezing | 最近有上呼吸道感染的儿童，除了以下哪项外，其他都有增加的风险： | 喉痉挛 | 肺炎 | 肺不张 | 喘息 | null | null | null | null | null | null | null | null | null | null |
f48b57dc-76c7-56b6-9523-2ed95c5c91b1 | 2 | A | 1 | A healthy pediatric patient with no pre-existing congenital anomalies does not need any preop lab tests if the procedure is expected to have minimal blood loss. | True | False | null | null | 如果手术预期失血量很少，健康的儿科患者且无先天性异常，不需要进行术前实验室检查。 | 正确 | 错误 | null | null | null | null | null | null | null | null | null | null | null | null |
0b083e64-2f57-5ed0-a0a6-ecfc1486f14f | 4 | C | 1 | You are auscultating heart sounds on a 7 yr old child and hear a short, soft, systolic murmur. How would you classify this murmur? | Pathologic | Detrimental | Innocent | None of above | 您在一名7岁儿童身上听诊心音，听到短促、柔和的收缩期杂音。您如何分类这种杂音？ | 病理性 | 有害的 | 无害的 | 以上都不是 | null | null | null | null | null | null | null | null | null | null |
0c86d64d-abfe-5414-ba94-dce8598bc2f8 | 4 | D | 2 | What pre-op medication would you choose for a 3 week old child, who weighs 4 kg, undergoing surgery to correct a pyloric stenosis? | Ketamine 8 mg IM | Versed 0.4mg IM | Fentanyl lollipop 40 mcg PO | Atropine 0.08 mg IM | 对于一个3周大的孩子，体重4公斤，正在接受幽门狭窄矫正手术，你会选择哪种术前用药？ | 氯胺酮 8 mg 肌注 | 咪达唑仑 0.4 mg 肌注 | 芬太尼棒棒糖 40 mcg 口服 | 阿托品 0.08 mg 肌注 | null | null | null | null | null | null | null | null | null | null |
b6bc57ae-6916-55e5-99ae-02db86948e25 | 4 | A | 1 | When monitoring the pediatric patient, where should the precordial stethoscope be placed? | Left sternal border 2nd or 3rd intercostals space | Right sterna border 2nd or 3rd intercostals space | Left midclavicular line 5th intercostals space | Depends upon what you are trying to monitor | 在监测小儿患者时，心前区听诊器应放置在哪里？ | 左胸骨缘第2或第3肋间隙 | 右胸骨缘第2或第3肋间隙 | 左锁骨中线第5肋间隙 | 取决于您想监测什么 | null | null | null | null | null | null | null | null | null | null |
5c7c8927-7482-5c54-822e-a677b58331ef | 4 | B | 1 | You are the SRNA for a 2 week old child undergoing repair of a patent PDA. Which of the following is not true regarding proper monitor placement? | A precordial stethoscope should be used to evaluate heart tone, rate, and murmurs. | O2 sat probe should be placed on the left hand for the procedure | Twitch monitor should be placed along ulnar nerve at the wrist | The only change to ECG monitoring is the use of pediatric ECG leads and changing alarm limits. | 你是负责一名2周大儿童进行动脉导管未闭修复手术的麻醉护士学员。关于正确的监测仪放置，下列哪项是不正确的？ | 应使用前胸听诊器评估心音、心率和杂音。 | 手术过程中，氧饱和度探头应放置在左手。 | 肌肉刺激监测器应放置在手腕的尺神经上。 | 心电监测的唯一变化是使用儿科心电导联并更改报警限值。 | null | null | null | null | null | null | null | null | null | null |
112da783-37f0-5cbc-9813-d236e7a40b32 | 2 | B | 1 | The best way to administer an IV fluid bolus to an infant is through use of a pressure bag to administer fluid quickly. | True | False | null | null | 给婴儿输注静脉输液推注的最佳方法是使用压力袋快速输液。 | 正确 | 错误 | null | null | null | null | null | null | null | null | null | null | null | null |
389f4a72-d1ce-5c1c-b089-8997499c05d6 | 4 | B | 1 | Which of the following children would likely experience the greatest amount of separation anxiety? | A 4 month old child | An 11 month old child | A 5 yr old child | A 13 yr old child | 以下哪个孩子可能会经历最大的分离焦虑？ | 4个月大的孩子 | 11个月大的孩子 | 5岁大的孩子 | 13岁大的孩子 | null | null | null | null | null | null | null | null | null | null |
9befe191-e3bb-5eec-9a5c-1fc5b5932119 | 4 | C | 3 | What would be the ideal position for induction of a 4 yr old child who is frightened and refuses to lie flat on the OR table? | Use a couple nurses to make the child lie down and then induce | Stand next to the child, as they sit on the side of the OR table and then apply the mask to induce. | Have the child sit in center of OR table while you sit nearby and wrap your arm around child to induce via mask inhalation. | Use reason, tell the child if they do not lie down you will have to give them a shot instead. | 对于一个害怕并拒绝平躺在手术台上的4岁儿童，理想的诱导姿势是什么？ | 让几个护士强迫孩子躺下，然后进行诱导 | 站在孩子旁边，让他们坐在手术台边缘，然后戴上面罩进行诱导。 | 让孩子坐在手术台中央，而你坐在旁边，用手臂环绕孩子，通过面罩吸入进行诱导。 | 讲道理，告诉孩子如果不躺下就要打针。 | null | null | null | null | null | null | null | null | null | null |
f048a270-4bb9-51a4-89d4-f922be8150b3 | 4 | D | 1 | Which of the following is not true regarding use of Brutane? | You should apply face mask using two hands in order to have a tight grip | Children induced this way are more prone to larnygospasm | You should have sux and atropine drawn up and within easy reach | This technique is not appropriate for hysterical children | 以下关于使用Brutane的说法哪一项是不正确的？ | 你应该用双手握住面罩以确保紧密贴合 | 通过这种方式诱导的儿童更容易发生喉痉挛 | 你应该准备好琥珀胆碱和阿托品，并放在容易拿到的地方 | 这种技术不适用于歇斯底里的儿童 | null | null | null | null | null | null | null | null | null | null |
966a3dda-0035-5d49-951f-4153c800fbcc | 4 | A | 1 | For a normal inhalational induction your N2O should be at ______ and your O2 should be at ________ to start out with. | 70%, 30% | 50%, 50% | 40%, 60% | 0 %, 100 % | 对于正常的吸入诱导，您的N2O应为______，O2应为______开始。 | 70%, 30% | 50%, 50% | 40%, 60% | 0%, 100% | null | null | null | null | null | null | null | null | null | null |
cadf018f-df6c-5c09-a164-bc8f0b11dcd3 | 4 | B | 1 | What size IV catheter would be best to use on a 3 yr old child? | 24 | 22 | 20 | 18 | 对于一个3岁的孩子，使用多大尺寸的静脉导管最好？ | 24 | 22 | 20 | 18 | null | null | null | null | null | null | null | null | null | null |
b8c7d810-4628-58cc-94da-7dfc85e91bc6 | 4 | C | 2 | During an inhalational induction, once your pediatric patient is tubed your first priority should be… | Inserting the precordial stethoscope | Applying nerve monitor to assess paralysis | Starting an IV | Turning up the sevo higher | 在吸入诱导过程中，一旦为儿童患者插管，您的首要任务应该是… | 插入心前区听诊器 | 应用神经监测器评估麻痹 | 开始静脉注射 | 提高七氟醚浓度 | null | null | null | null | null | null | null | null | null | null |
1044c71b-a2fb-5e86-a042-ac01af3d2154 | 4 | D | 1 | Which of the following is incorrect regarding maintenance of survival position? | The jaw and chin should be rotated downward to further open the airway | Using tips of your fingers, jaw thrust should be applied bilaterally | Fingers should be placed on bony prominence of face | Downward pressure should not be applies to mask, instead lift jaw up to form tight seal | 以下关于维持生存体位的说法哪一项不正确？ | 下颌和下巴应向下旋转以进一步打开气道 | 使用指尖，双侧施加下颌推举 | 手指应放在面部的骨性隆起处 | 不应向面罩施加向下的压力，而应抬起下颌以形成紧密的密封 | null | null | null | null | null | null | null | null | null | null |
57a1ac42-158d-5d58-81b0-45eba41856e8 | 4 | B | 2 | You are the SRNA for a 6 yr old child coming in from the ER for an emergent appendectomy. Which of the following is the best choice for induction? | Inhalational induction as patient Is not likely to cooperate with IV placement | IV must be placed prior to procedure for safe induction. | IM induction with ketamine | None of above are appropriate | 您是从急诊室来的6岁儿童的麻醉护士，准备进行紧急阑尾切除术。以下哪种是最佳的诱导选择？ | 吸入诱导，因为患者可能不愿配合静脉置管 | 在手术前必须放置静脉通路以确保安全诱导。 | 使用氯胺酮进行肌肉注射诱导 | 以上都不合适 | null | null | null | null | null | null | null | null | null | null |
cd73f40a-437f-5ec6-bb9c-d91a5c2c105f | 4 | C | 1 | The first step in the pediatric RSI sequence is…. | Preoxygenation with spontaneous ventilation | Application of cricoids pressure | Pretreatment with atropine | Delivery of induction agent | 小儿快速序贯插管的第一步是…… | 自发通气下的预氧合 | 施加环状软骨压迫 | 用阿托品进行预处理 | 给予诱导药物 | null | null | null | null | null | null | null | null | null | null |
b9f5e39b-ba87-5ca2-b4d8-f771d0835a0d | 4 | D | 2 | What would be an appropriate IM stun dose ketamine for a 14 yr old boy weighing 40 kg? | 320 mg | 200 mg | 160 mg | 80 mg | 对于一个体重40公斤的14岁男孩，适合的肌肉注射氯胺酮剂量是多少？ | 320 毫克 | 200 毫克 | 160 毫克 | 80 毫克 | null | null | null | null | null | null | null | null | null | null |
49cecbd9-20ea-5070-b53c-475f4fc79f5f | 4 | A | 1 | The MAC for all anesthetic agents are highest at what age? | 6-12 months | 4-6 yrs | 1-4 yrs | 0-6 months | 所有麻醉剂的MAC在什么年龄最高？ | 6-12个月 | 4-6岁 | 1-4岁 | 0-6个月 | null | null | null | null | null | null | null | null | null | null |
eb47d635-e3cf-5330-846c-33876f5a0df1 | 4 | B | 1 | Which of the following inhalational anesthetic agents may cause bradycardia, vasodilation and myocardial depression in infants? | Desflurane | Isoflurane | Sevoflurane | Opioids | 下列哪种吸入性麻醉剂可能导致婴儿心动过缓、血管扩张和心肌抑制？ | 地氟烷 | 异氟烷 | 七氟烷 | 阿片类药物 | null | null | null | null | null | null | null | null | null | null |
18a93b5d-298c-5942-8c2e-a3486ad4e1f5 | 4 | C | 1 | Which of the inhalational agents had the highest incidence of emergence delirum? | Sevoflurane | Isoflurane | Desflurane | Halothane | 哪种吸入性麻醉剂的苏醒谵妄发生率最高？ | 七氟醚 | 异氟醚 | 地氟醚 | 卤烷 | null | null | null | null | null | null | null | null | null | null |
740e65fc-1a10-5194-979c-d80ad8015295 | 4 | D | 2 | You are the nurse for a premature child who was born at full term. The child is now 10 weeks old and doing very well. The child is having a minor procedure and was maintained with fentanyl 2mcg/kg and 0.5 MAC Isoflurane. The childs mother wants to know when the child can come home. What do you tell her? | As soon as I wheel her out of the OR you can take her! | We will watch her in the PACU for 2-3 hours after the procedure and then she may go home. | We will keep her for 48-72 hours just to monitor her for safety. | We will most likely keep her overnight on a pulse oximeter just to watch her. | 你是一个足月出生的早产儿的护士。这个孩子现在10周大，状况良好。孩子正在进行一个小手术，使用芬太尼2mcg/kg和0.5 MAC异氟醚进行维持。孩子的母亲想知道孩子什么时候可以回家。你会怎么告诉她？ | 一旦我把她从手术室推出来，你就可以带她回家！ | 手术后我们会在恢复室观察她2-3小时，然后她就可以回家了。 | 我们会留她48-72小时以确保安全。 | 我们很可能会让她过夜，使用脉搏血氧仪监测她。 | null | null | null | null | null | null | null | null | null | null |
daeefa5b-b54b-5034-abc6-30723ed410ee | 4 | A | 3 | High dose opioid therapy during maintenance of anesthesia may be appropriate for which of the following? | Child with cardiac instability who requires surgical intervention | Pt who will be extubated after surgery and requires pain control | A healthy 2 yr old who is no longer at risk for post-op apnea | A child with respiratory insufficiency who may not have sufficient gas exchange for inhalational agents. | 在麻醉维持期间，高剂量阿片类药物治疗可能适用于以下哪种情况？ | 需要手术干预的心脏不稳定儿童 | 术后将拔管且需要疼痛控制的患者 | 不再有术后呼吸暂停风险的健康2岁儿童 | 可能没有足够气体交换能力以使用吸入性麻醉剂的呼吸功能不全儿童 | null | null | null | null | null | null | null | null | null | null |
2523b4cf-b4cf-5b55-a3aa-aaf6d5c251b8 | 4 | B | 3 | Which of the following children is the best candidate for a deep extubation? | An 18 month old child who just had a minor procedure, no past HX and spontaneous ventilation for whole case. | A 9 yr old healthy child with asthma (no attacks in one year and no wheezes) having a minor elective procedure, spontaneous ventilation maintained throughout procedure | An 5 yr old healthy child with no medical history, needed paralysis during procedure but has now been fully reversed. | A 7 yr old child who came for emergent appendectomy | 以下哪位儿童是深度拔管的最佳候选者？ | 18个月大的孩子刚做了一个小手术，没有既往病史，整个过程自发通气。 | 9岁健康儿童患有哮喘（一年内无发作且无喘息），进行小型择期手术，整个手术过程中保持自发通气。 | 5岁健康儿童无病史，手术期间需要麻痹但现已完全逆转。 | 7岁儿童因急诊阑尾切除术入院 | null | null | null | null | null | null | null | null | null | null |
f8b81838-8a44-58fc-836e-aa4211b67112 | 4 | C | 1 | Which of the following properly describes the Sundown Sign? | When toddlers become confused at night and start climbing out of bed. | A sign commonly seen in pts with a PPFO where the pt will turn blue (sundown) while coughing or bucking and creating a temporary shunt. | Contraction of the inferior rectus muscle of the eye causing the eyeball to look downward toward the toes. | Just before waking up when the child begins to move and both feet point down as their back arches upward due to stimulation from ETT. | 以下哪项正确描述了日落征？ | 当幼儿在夜间感到困惑并开始爬出床时。 | 在患有PPFO的患者中常见的体征，患者在咳嗽或挣扎时会变蓝（如日落），并产生暂时性分流。 | 眼睛的下直肌收缩导致眼球向下看向脚趾。 | 在醒来之前，当孩子开始移动时，由于ETT的刺激，双脚向下指，背部向上弓起。 | null | null | null | null | null | null | null | null | null | null |
9d669539-0d01-5272-b7f8-06d0964ae5f4 | 4 | A | 1 | Which of the following is not helpful in preventing laryngospasm? | Suction secretions immediately after extubation | Extubate deep | Extubate totally awake | Immediately after extubation, stretch the larynx | 以下哪项对预防喉痉挛没有帮助？ | 拔管后立即吸引分泌物 | 在深麻醉时拔管 | 在完全清醒时拔管 | 拔管后立即牵拉喉部 | null | null | null | null | null | null | null | null | null | null |
12eb49c6-b2e9-541b-9f30-bacf09f962ec | 2 | A | 1 | A normal healthy child may be transported to PACU without any supplemental oxygen. | True | False | null | null | 一个正常健康的儿童可以在没有任何补充氧气的情况下被送往PACU。 | 正确 | 错误 | null | null | null | null | null | null | null | null | null | null | null | null |
76a67102-83f4-50db-9a9a-ea9d654d3119 | 4 | B | 1 | Which of the following is not part of stage 2 PACU’s standard monitoring? | Heart Rate | Fluid Balance | O2 Sat | Blood pressure | 以下哪项不属于第二阶段PACU的标准监测？ | 心率 | 液体平衡 | 氧饱和度 | 血压 | null | null | null | null | null | null | null | null | null | null |
a37a3539-c480-58eb-8c99-93c885d50c5e | 4 | C | 3 | You are the SRNA for 8 yr old Camryn who is in today to have a Tympanoplasty. She has a PMH of asthma, and she had her adenoids removed at age 3. You listen to her lungs and hear wheezing. You ask her mom about the wheezing and her mother says that Camryn has a constant wheeze that does not clear, this is normal for her. What do you now? | Administer an albuterol treatment prior to surgery to help stabilize her and then proceed. | Cancel the surgery. | Obtain medical clearance from her pulmonologist prior to proceeding with surgery. | Administer hydrocortisone prior to procedure and give albuterol treatment once induced. | 你是8岁Camryn的麻醉护士，她今天要做鼓室成形术。她有哮喘病史，3岁时切除了腺样体。你听她的肺部，听到喘息声。你问她妈妈关于喘息的情况，她妈妈说Camryn有持续的喘息声，无法清除，这对她来说是正常的。你现在该怎么做？ | 在手术前给予沙丁胺醇治疗以帮助稳定她，然后继续手术。 | 取消手术。 | 在进行手术前获得她的肺科医生的医疗许可。 | 在手术前给予氢化可的松，并在诱导后给予沙丁胺醇治疗。 | null | null | null | null | null | null | null | null | null | null |
cf58886c-376e-59ea-bce0-39ffefe1fa86 | 2 | B | 1 | Inhalational induction should not be done on children with asthma due to increased risk of bronchospasm. | True | False | null | null | 由于支气管痉挛风险增加，不应对哮喘儿童进行吸入诱导。 | 正确 | 错误 | null | null | null | null | null | null | null | null | null | null | null | null |
86404d92-fc28-5317-9169-abe340c734f2 | 4 | D | 2 | You are the SRNa for 11 yr old Shaheem who has a PMH of asthma. Immediately after induction and intubation you hear wheezing develop. What should be your first action? | Deliver 100% FiO2 | Administer hydrocortisone 5-7mg/kg IV to relieve wheezing | Turn off anesthetic and start propofol gtt to maintain anesthesia | Give B2 agonist such as albuterol 4-8 puffs through ETT | 你是11岁Shaheem的麻醉护士，他有哮喘病史。在诱导和插管后，你听到出现喘息。你应该采取的第一个行动是什么？ | 给予100% FiO2 | 静脉注射氢化可的松5-7mg/kg以缓解喘息 | 关闭麻醉剂并开始丙泊酚滴注以维持麻醉 | 通过气管插管给予B2激动剂如沙丁胺醇4-8喷 | null | null | null | null | null | null | null | null | null | null |
3d828c48-91ee-585b-9051-233ba9014e8e | 4 | A | 3 | You are nearing the end of surgery for 13 yr old Kami who started wheezing part way through her surgery. You gave albuterol and started her on steroid therapy but she is still wheezing. Her O2 sats are good and she is breathing adequate tidal volumes. What should you do? | Do not extubate, take her to PACU and they can extubate when wheezing goes away | Extubate deep to help prevent laryngospasm | Deliver another albuterol treatment and extubate fully awake | Give Fentanyl 1-2mcg/kg IV to help smooth out extubation | 你正在为13岁的Kami进行手术，手术过程中她开始喘息。你给了沙丁胺醇并开始了类固醇治疗，但她仍在喘息。她的氧饱和度良好，呼吸潮气量充足。你应该怎么做？ | 不要拔管，将她送到PACU，等喘息消失后再拔管 | 深麻醉拔管以帮助防止喉痉挛 | 再进行一次沙丁胺醇治疗并在完全清醒时拔管 | 给予芬太尼1-2mcg/kg静脉注射以帮助顺利拔管 | null | null | null | null | null | null | null | null | null | null |
5a9e9fcd-c740-5db0-8f18-6db149ad3bd0 | 4 | B | 2 | What is the most important factor when examining a patient with cystic fibrosis? | Asking parent about age of onset and severity of illness. | The physical exam, and checking for signs of chronic hypoxia | The CXR, to check for lung scarring, and the PFT | Check labs and ECG results | 在检查囊性纤维化患者时，最重要的因素是什么？ | 询问父母关于发病年龄和疾病严重程度。 | 体格检查，并检查慢性缺氧的迹象。 | 胸部X光检查，以检查肺部瘢痕和肺功能测试。 | 检查实验室和心电图结果。 | null | null | null | null | null | null | null | null | null | null |
fb643d48-7822-5a46-8a88-401fb3251df0 | 4 | C | 3 | Which of the following is not true regarding children with cystic fibrosis? | No routine lab test are indicated unless there is significant organ system involvement | You will almost always hear rhonchi and wheezes with these patient | ETT placement may increase airway swelling and thus these patients are much better to have LMA’s and spontaneous ventilations if at all possible | N2O should be avoided with these patients | 关于患有囊性纤维化的儿童，下列哪项是不正确的？ | 除非有显著的器官系统受累，否则不需要常规实验室检查 | 几乎总是可以在这些患者中听到干啰音和喘息声 | 气管插管可能会增加气道肿胀，因此如果可能的话，这些患者更适合使用喉罩和自发通气 | 应避免使用一氧化二氮 | null | null | null | null | null | null | null | null | null | null |
f4bc7a2d-3b89-50d4-b30c-68506dd2e6c3 | 4 | D | 3 | You are the SRNA for 14 yr old Nathan who has a PMH of cerebral palsy. The mother of states he has reflux and takes medication at home to help control this. He currently has a PEG tube due to difficulty swallowing. When you examine the pt you notice copious amounts of drool coming from his mouth. What sort of induction would be best for this patient? | Inhalational induction | Awake intubation | Give atropine pre-op and then do IM induction | Rapid sequence induction with succinylcholine | 你是14岁Nathan的麻醉护士，他有脑瘫的病史。他的母亲说他有反流，并在家中服药以帮助控制。他目前由于吞咽困难而使用PEG管。当你检查病人时，你注意到他嘴里流出大量口水。对于这个病人，哪种诱导方式最好？ | 吸入诱导 | 清醒插管 | 术前给予阿托品，然后进行肌肉注射诱导 | 使用琥珀胆碱的快速序列诱导 | null | null | null | null | null | null | null | null | null | null |
3fc9355c-cad8-58f6-99cf-ef8539f512ce | 4 | C | 2 | When placing a nerve stimulator on a child with cerebral palsy, which of the following is true? | The nerve stimulator should be placed on a spastic extremity as these are best indicators of childs TRUE response to NMB | Placing stimulator on a spastic extremity will cause falsely low readings and may lead to underdosing of NMB | Placing stimulator on a spastic extremity may cause falsely high readings and may lead to overdosing of NMB’s | Children with CP do not need nerve stimulators due to their condition. | 在为患有脑瘫的儿童放置神经刺激器时，下列哪项是正确的？ | 神经刺激器应放置在痉挛的肢体上，因为这些是儿童对神经肌肉阻滞剂真实反应的最佳指标 | 将刺激器放置在痉挛的肢体上会导致读数偏低，可能导致神经肌肉阻滞剂的剂量不足 | 将刺激器放置在痉挛的肢体上可能导致读数偏高，可能导致神经肌肉阻滞剂的剂量过高 | 由于他们的病情，脑瘫儿童不需要神经刺激器。 | null | null | null | null | null | null | null | null | null | null |
43198044-b3d7-5e97-9912-1fbd693f50b6 | 4 | C | 2 | You are the SRNA for 15 yr old Valerie who has cerebral palsy. Due to the CP she has a past history lung infections and seizures. She currently takes dilantin to help control the seizures. Will this affect your case management? | I will not be able to use any succinylcholine due to dangerous drug interaction | I will need to use a much lower dose of ND-NMB’s due to enzyme inhibition | I will need to use a much higher dose of ND-NMB’s due to enzyme induction | Due to CP, I can not use any NMB’s so the dilantin doesn’t really matter anyway. | 你是15岁患有脑瘫的Valerie的麻醉护士学员。由于脑瘫，她有肺部感染和癫痫的病史。她目前服用苯妥英钠来帮助控制癫痫发作。这会影响你的病例管理吗？ | 由于危险的药物相互作用，我将无法使用琥珀胆碱 | 由于酶抑制，我需要使用更低剂量的非去极化肌松药 | 由于酶诱导，我需要使用更高剂量的非去极化肌松药 | 由于脑瘫，我不能使用任何肌松药，所以苯妥英钠并不重要。 | null | null | null | null | null | null | null | null | null | null |
eb442d08-194b-5335-8dff-331a9d751572 | 4 | D | 1 | Which of the following is not commonly associated with Trisomy 21? | Endocardial Cushion Defects | Hirschsprungs disease | Frequent upper respiratory infections | Stiff joints and neck resulting in limited mobility | 以下哪项与21三体综合征不常见相关？ | 心内膜垫缺损 | 先天性巨结肠病 | 频繁的上呼吸道感染 | 关节和颈部僵硬导致活动受限 | null | null | null | null | null | null | null | null | null | null |
8a84b71a-307d-5c32-956b-432bb9196aa7 | 4 | A | 1 | What is the most important componenent of the physical exam for down syndrome patients? | Airway examination and neck stability | Assessing degree of mental retardation | Obtaining history from parents regarding any heart conditions | Assessing for reflux and sings of URI | 唐氏综合症患者体检中最重要的组成部分是什么？ | 气道检查和颈部稳定性 | 评估智力迟钝的程度 | 从父母处获取有关心脏病的病史 | 评估反流和上呼吸道感染的迹象 | null | null | null | null | null | null | null | null | null | null |
5258178a-aab9-513f-9ec1-c74e6e58b0ba | 4 | B | 1 | Which of the following is not true regarding pre-op treatment of a patient with down syndrome? | Atropine PO should be given as soon as possible to these patients. | Neck X-rays should be obtained for all down syndrome patients | Patients with heart disease should receive antibiotic prophylaxis against SBE | All the above are true | 以下关于唐氏综合症患者的术前处理，哪一项是不正确的？ | 应尽快给这些患者口服阿托品。 | 所有唐氏综合症患者都应进行颈部X光检查。 | 有心脏病的患者应接受预防亚急性细菌性心内膜炎的抗生素预防。 | 以上全部正确。 | null | null | null | null | null | null | null | null | null | null |
7d826213-d206-5161-97dd-b1ebc65cc054 | 4 | D | 3 | You are SRNA for 17 yr old Sarah who has a past history of down syndrome. Her mother tells you that during previous procedures it had been told to her that Sarah has a very difficult airway and an unstable neck. You look at the airway and it does indeed look to be very difficult. How will you choose to intubate sarah? | Via retrograde intubation | Awake intubation, with airway numbed | Use LMA fasttrach to place ETT | Fiberoptic nasal intubation | 你是17岁Sarah的麻醉护士，她有唐氏综合症的病史。她的母亲告诉你，在之前的手术中，有人告诉她Sarah的气道非常困难且颈部不稳定。你查看了气道，确实看起来非常困难。你将如何选择为Sarah插管？ | 通过逆行插管 | 在清醒状态下插管，并对气道进行麻醉 | 使用LMA快速通道放置气管导管 | 纤维光鼻腔插管 | null | null | null | null | null | null | null | null | null | null |
13e051e2-bcfd-53c3-b012-30483ec74477 | 4 | A | 1 | Which of the following is not true regarding muscular dystrophy patients? | Succinylcholine should be avoided, but VAA are still considered safe for most patients unless past history indicates otherwise | Cardiomyopathy is a constant feature of the diease and these children may be prone to dysrhythmias. | Dose of ND-NMB’s should be cut by 1/3 to ½ due to decreased muscle mass. | Atropine or robinul should be given to patients who have trouble managing their own secretions. | 以下关于肌营养不良患者的说法哪一项是不正确的？ | 应避免使用琥珀胆碱，但挥发性麻醉剂对大多数患者仍被认为是安全的，除非有既往病史表明不宜使用。 | 心肌病是该疾病的一个恒定特征，这些儿童可能容易发生心律失常。 | 由于肌肉质量减少，非去极化肌松药的剂量应减少1/3到1/2。 | 对于无法自行管理分泌物的患者，应给予阿托品或罗比伦。 | null | null | null | null | null | null | null | null | null | null |
1c2eb6ac-e883-5a25-ac7b-d3f041c5325d | 4 | B | 1 | Which of the following is not true regarding management of a patient with sickle cell disease? | After inserting an IV, you should consider giving a 10-15 ml/kg fluid bolus | Narcotics should be avoided due to respiratory depression and the need to avoid hypoxemia in these patients | Sickled cells cause vaso-occlusion in microvasculature which ultimately results in ned-organ damage | Sickle cell children may be given clear liquids up to 2 hours before surgery to help maintain hydration | 以下关于镰状细胞病患者管理的说法哪一项是不正确的？ | 插入静脉注射后，应考虑给予10-15 ml/kg的液体推注 | 应避免使用麻醉药物，因为它们会导致呼吸抑制，并且需要避免这些患者出现低氧血症 | 镰状细胞会在微血管中引起血管闭塞，最终导致器官损伤 | 镰状细胞病儿童可以在手术前2小时内饮用清液，以帮助维持水分 | null | null | null | null | null | null | null | null | null | null |
ff5c3fd6-f0e8-5088-9525-624d7534eb24 | 4 | D | 1 | Which of the following children would be at an increased risk Latex Allergy | Nika who is allergic to Egg yolk | Tyler, whose mom is a nurse | Charlie who has muscular dystrophy | Olivia who has spina bifida | 以下哪位儿童对乳胶过敏的风险增加？ | 对蛋黄过敏的尼卡 | 妈妈是护士的泰勒 | 患有肌营养不良症的查理 | 患有脊柱裂的奥利维亚 | null | null | null | null | null | null | null | null | null | null |
065a816b-54e2-5bdd-a20f-077c185db04f | 4 | D | 1 | What would be appropriate pre-op medication for a child with a latex allergy? | Benadryl 1mg/kg PO | Prednisone 1 mg/kg PO | Zantac 1-2mg/kg PO | All the above | 对于有乳胶过敏的儿童，适合的术前用药是什么？ | 苯海拉明 1mg/kg 口服 | 泼尼松 1mg/kg 口服 | 雷尼替丁 1-2mg/kg 口服 | 以上皆是 | null | null | null | null | null | null | null | null | null | null |
490e3a31-50db-5538-8fea-a53e180f8532 | 4 | A | 1 | What should be your first action for a suspected anaphylactic response during anesthesia? | Switch to 100% O2 | Discontinue anesthetics and any antibiotic or blood infusions | Give epi 0.5-5mcg/kg IV | Give benedryl 0.5-1 mg/kg IV | 在麻醉期间怀疑过敏性反应时，你的首要行动应该是什么？ | 切换到100%氧气 | 停止麻醉剂和任何抗生素或输血 | 给予肾上腺素0.5-5微克/公斤静脉注射 | 给予苯海拉明0.5-1毫克/公斤静脉注射 | null | null | null | null | null | null | null | null | null | null |
2e6bbe4a-47f4-5df3-901d-778e122b7163 | 4 | B | 1 | In the pediatric population, the greatest amount of heat loss during surgery comes from… | Conduction | Radiation | Convection | All above are equal contributors to heat loss. | 在儿科人群中，手术期间最大的热量损失来自于…… | 传导 | 辐射 | 对流 | 以上都是热量损失的相等贡献者。 | null | null | null | null | null | null | null | null | null | null |
16a3d25a-2a22-5297-9965-be13b78284fe | 4 | C | 2 | Why is it not safe to use an adult semi-closed system on an infant who weighs less than 10 kg? | Too much pressure, risk of barotrauma | Too large, circuit will not fit the pedi ETT properly | Too much dead space, and increased work of breathing | Absorber acts to remove almost all gases due to small tidal volume and pt will be undermedicated | 为什么对体重小于10公斤的婴儿使用成人半闭合系统不安全？ | 压力过大，存在气压伤的风险 | 太大，回路不能正确适配儿童气管导管 | 死腔过多，增加呼吸工作量 | 由于潮气量小，吸收器几乎去除所有气体，导致患者药物不足 | null | null | null | null | null | null | null | null | null | null |
2e22ca4b-d0d4-53dd-abaa-5eee4d39f431 | 4 | B | 1 | How is the pediatric airway different from that of adults? | Airway has smaller tongue and very stiff epiglottis making visualization difficult | Airway is more superior and has a more acute angulation between plane of tongue and epiglottis | Narrowest portion of airway is the vocal cords, making passage of the ETT much more difficult | None of above | 小儿气道与成人气道有何不同？ | 气道有较小的舌头和非常僵硬的会厌，导致可视化困难 | 气道更靠上，舌面与会厌之间的角度更急 | 气道最窄的部分是声带，使气管导管的通过更加困难 | 以上都不是 | null | null | null | null | null | null | null | null | null | null |
7667bfea-39b8-5d4f-a98d-d6fbcc256e51 | 4 | C | 1 | At how much pressure should you observe an air leak in pediatric ETT’s? | No air leak should be observed | Air leak obersved at 5-10 cm H2O | Air leak observed at 15-20 cm H2O | Air leak observed at 25-30 cm H2O | 在多少压力下应观察到儿童气管导管的漏气？ | 不应观察到漏气 | 在5-10 cm H2O时观察到漏气 | 在15-20 cm H2O时观察到漏气 | 在25-30 cm H2O时观察到漏气 | null | null | null | null | null | null | null | null | null | null |
38954424-ac6b-5985-9145-4e4195579ecd | 4 | A | 1 | At what level is the larynx located in infants? | C4 | C5 | C2 | C3 | 婴儿的喉部位于哪个水平？ | C4 | C5 | C2 | C3 | null | null | null | null | null | null | null | null | null | null |
fe6ddeda-943f-509c-93e4-3253dfdc5a08 | 4 | B | 2 | You are doing an inhalation induction on 6 yr old Tessie when she begins to cough and goes into laryngospasm. She begins to desaturate, how do you treat her? | Apply jaw thrust and positive pressure with 100% O2. | Administer sux 4-6 mg/kg IM | Administer rocuronium 0.6 mg/kg IV | Administer atropine 0.02 mg/kg IM | 您正在对6岁的Tessie进行吸入诱导时，她开始咳嗽并出现喉痉挛。她开始脱饱和，您如何治疗她？ | 应用下颌抬举和100%氧气的正压通气。 | 肌肉注射琥珀胆碱4-6 mg/kg。 | 静脉注射罗库溴铵0.6 mg/kg。 | 肌肉注射阿托品0.02 mg/kg。 | null | null | null | null | null | null | null | null | null | null |
62395f56-b873-5465-a551-0d5233fb81fc | 4 | A | 1 | Neonates and infants have less effective ventilation due to all of the following except what? | Larger tongue and head | Weak intercostals and diaphragmatic musculature | More pliable and horizontal ribs | Protuberant abdomen | 新生儿和婴儿的通气效果较差，以下哪项不是原因？ | 较大的舌头和头部 | 肋间肌和膈肌肌肉较弱 | 肋骨更柔软且水平 | 腹部隆起 | null | null | null | null | null | null | null | null | null | null |
de6ef070-493c-57a0-b91b-d552c27f12c1 | 4 | B | 1 | Due to decreased FRC, infants are more prone to all of the following except: | Atelectasis | Laryngospasm | Hypoxemia and rapid desaturation | All the above | 由于功能残气量（FRC）减少，婴儿更容易出现以下所有情况，除了： | 肺不张 | 喉痉挛 | 低氧血症和快速脱氧 | 以上所有情况 | null | null | null | null | null | null | null | null | null | null |
8865ecc3-9f42-5378-8ca7-85f371b3beff | 4 | C | 1 | What response will infants typically have to exogenously administered catecholamines such as ephedrine? | Exagerrated response and risk for subdural hemorrhage | Infants and kids respond in same manner as adults would | Blunted response due to lower catecholamine stores | More prone to allergic and anaphylactic responses | 婴儿对外源性给予的儿茶酚胺（如麻黄碱）通常会有什么反应？ | 反应过度且有硬膜下出血的风险 | 婴儿和儿童的反应与成人相同 | 由于儿茶酚胺储备较低，反应减弱 | 更容易发生过敏和过敏性反应 | null | null | null | null | null | null | null | null | null | null |
a076859f-7146-5370-ac3a-36b357237b28 | 4 | D | 3 | You are the SRNA for 10 yr old Jacob who is coming in for an emergent appendectomy. Due to the surgery being emergent, he is being induced with IV rapid sequence induction. Almost immediately folloring administration of Succinycholine Jacob develops a severe arrhythmia and then goes into cardiac arrest. What caused this and what do you do? | Begin immediate treatment for MH as you run code | Run standard code and administer 100% O2 as you ventilate | Give fluid boluses and volume to treat hypovolemia as you run code | Immediately begin treatment for hyperkalemia as you run code | 你是10岁男孩Jacob的麻醉护士，他因急性阑尾炎需要进行紧急手术。由于手术紧急，他正在接受静脉快速诱导。几乎在注射琥珀胆碱后，Jacob出现严重心律失常，随后心脏骤停。是什么原因导致的，你该怎么做？ | 在进行抢救的同时立即开始治疗恶性高热 | 进行标准抢救并在通气时给予100%氧气 | 在进行抢救的同时给予液体推注和容量以治疗低血容量 | 在进行抢救的同时立即开始治疗高钾血症 | null | null | null | null | null | null | null | null | null | null |
4ff84751-f369-5420-9dbd-c5825bcb3396 | 4 | A | 1 | What is the overall incidence of cardiac arrest in the pediatric population? | 1.4 per 10,000 | 2.7 per 100,000 | 0.5 per 1,000 | 16 per 1,000,000 | 在儿科人群中，心脏骤停的总体发生率是多少？ | 1.4 每 10,000 | 2.7 每 100,000 | 0.5 每 1,000 | 16 每 1,000,000 | null | null | null | null | null | null | null | null | null | null |
e852f592-165a-5819-9bce-544a889ee9d1 | 4 | D | 1 | In children, ETCO2 is particularly important to monitor because of which of the following reasons? | Will give you earliest indication of MH | Will detect hypoxia which is most common cause of pediatric arrest | Allows to asses adequacy of your ventilation | All the above | 在儿童中，监测ETCO2特别重要是因为以下哪个原因？ | 会给你最早的MH指示 | 会检测缺氧，这是儿童心脏骤停最常见的原因 | 可以评估通气的充分性 | 以上全部 | null | null | null | null | null | null | null | null | null | null |
234061cd-9df9-52c4-ab88-2f40f1c528c8 | 4 | B | 1 | Which of the following is not an advantage associated with IV induction? | Helps to avoid cardiac depressant effects of VAA | Less pain and anxiety for children with IV starts then with inhalational induction | Helps to avoid airway problems associated with inhalational induction | Allows for safer induction for emergent procedures | 以下哪项不是与静脉诱导相关的优点？ | 有助于避免挥发性麻醉剂的心脏抑制作用 | 与吸入诱导相比，静脉注射对儿童的疼痛和焦虑较少 | 有助于避免与吸入诱导相关的气道问题 | 允许在紧急手术中更安全的诱导 | null | null | null | null | null | null | null | null | null | null |
9331a4c6-de4a-56af-aa68-c01e2adf9d60 | 2 | A | 1 | Halothane causes more myocardial depression than any of the other inhalational agents and increases the risk of arrhythmia associated with epinephrine by 4 times. | True | False | null | null | 氟烷比其他任何吸入性麻醉剂都更容易引起心肌抑制，并使与肾上腺素相关的心律失常风险增加4倍。 | 正确 | 错误 | null | null | null | null | null | null | null | null | null | null | null | null |
15f6b25b-e1b9-560c-8014-763244470a62 | 4 | A | 1 | The preferred combination of narcotics and inhalational agents, commonly the “bread and butter” of many ped anesthetists is ______ & _________. | 1-2 mcg/kg Fentanyl & O.5 MAC isoflurane | 2-4 mcg/kg fentanyl & propfol gtt | 0.25-0.5 mcg/kg Dilaudid and 0.3 MAC sevoflurane | 1-2 mg/kg dialudid and .6 MAC desflurane | 许多小儿麻醉师常用的麻醉药和吸入剂的首选组合，通常被称为“家常便饭”是 ______ & _________。 | 1-2 mcg/kg 芬太尼 & 0.5 MAC 异氟醚 | 2-4 mcg/kg 芬太尼 & 丙泊酚滴注 | 0.25-0.5 mcg/kg 迪劳瑞丁和 0.3 MAC 七氟醚 | 1-2 mg/kg 迪劳瑞丁和 0.6 MAC 地氟醚 | null | null | null | null | null | null | null | null | null | null |
d8c7ae26-e6d6-5e3d-93ca-afd449f24579 | 4 | B | 1 | What side effect is commonly associated with fentanyl that we are concerned about during anesthesia? | Myocardial depression | Chest Wall Rigidity | Renal Toxicity | Cytochrome P450 induction | 在麻醉过程中，我们担心芬太尼常见的副作用是什么？ | 心肌抑制 | 胸壁僵硬 | 肾毒性 | 细胞色素P450诱导 | null | null | null | null | null | null | null | null | null | null |
9a2b9e9c-8c81-59dd-ba4b-1a8aab6f0b4e | 4 | C | 1 | What is the incidence of Malignant Hyperthermia in children? | 1: 50,000 | 1: 100,000 | 1: 15,000 | 1: 250,000 | 儿童恶性高热的发生率是多少？ | 1: 50,000 | 1: 100,000 | 1: 15,000 | 1: 250,000 | null | null | null | null | null | null | null | null | null | null |
92ae78a4-88a8-545d-a2ec-14eeacb4b19b | 4 | C | 1 | Malignant Hyperthermia is a severe reaction which results in ryanodine receptor activation leading to… | Intracellular Hyperkalemia | Intracellular Hypernatremia | Intracellular Hypercalcemia | Intracellular Hyperglycemia | 恶性高热是一种严重反应，导致钙通道受体激活，进而导致…… | 细胞内高钾血症 | 细胞内高钠血症 | 细胞内高钙血症 | 细胞内高血糖症 | null | null | null | null | null | null | null | null | null | null |
6124f06d-56fd-57ee-bd89-26b2f6d1bd7c | 4 | D | 1 | Which of the following will not trigger Malignant Hyperthermia? | Desflurane | Succinylcholine | Isoflurane | Vecuronium | 以下哪一项不会引发恶性高热？ | 地氟烷 | 琥珀胆碱 | 异氟烷 | 维库溴铵 | null | null | null | null | null | null | null | null | null | null |
168d4b1d-f83b-52a9-b382-0a49ab2b3e57 | 4 | B | 1 | Which of the following disease states is associated with an increased risk of Malignant hyperthermia? | Cystic Fibrosis | Muscular Dystrophy | Sickle Cell Anemia | Latex Allergy | 以下哪种疾病状态与恶性高热的风险增加有关？ | 囊性纤维化 | 肌营养不良 | 镰状细胞贫血 | 乳胶过敏 | null | null | null | null | null | null | null | null | null | null |
1c74034f-95e9-5d20-9bdf-29af290c28ea | 4 | C | 2 | What would be an appropriate starting dose of dantrolene to give to a 3 yr old child weighing 14 kg? | 14 mg | 140 mg | 35 mg | 280 mg | 对于一名体重14公斤的3岁儿童，适合的丹曲林起始剂量是多少？ | 14 毫克 | 140 毫克 | 35 毫克 | 280 毫克 | null | null | null | null | null | null | null | null | null | null |
699d5f2f-3fd6-5937-a14e-37731a1a0e7b | 4 | A | 3 | You are the SRNA for 16-month-old Arturo, who is about to be extubated. As he is waking up from anesthesia you deliver 100% FiO2, but then Arturo begins to cough. He becomes cyanotic as you suction your tube to rule out any kind of obstruction. Your FiO2 is100% and the pt is ventilating but still blue. What do you do? | Just wait, it will go away in a moment once he stops coughing | Administer sux to break laryngospasm | Give albuterol 4 puffs via ETT | Call code and begin PALS protocol | 你是16个月大的Arturo的麻醉护士，他即将拔管。当他从麻醉中醒来时，你提供100%的FiO2，但Arturo开始咳嗽。当你吸引管道以排除任何阻塞时，他变得发绀。你的FiO2是100%，病人正在通气但仍然发青。你会怎么做？ | 等一下，一旦他停止咳嗽就会好转 | 给予琥珀胆碱以解除喉痉挛 | 通过气管插管给予4次吸入沙丁胺醇 | 呼叫代码并开始PALS协议 | null | null | null | null | null | null | null | null | null | null |
8275cb85-79bb-530e-a462-66c88aff5036 | 4 | B | 3 | Which of the following would be the best choice for the induction of a pediatric patient coming in for emergent surgery following an MVA? The child is currently wheezing and according to his father, the child has a history of severe asthma. | Propofol | Ketamine | Inhalational induction with Sevoflurane | Fentanyl & Versed | 以下哪种选择最适合用于因车祸需要紧急手术的儿科患者的麻醉诱导？该儿童目前正在喘息，并且根据其父亲的说法，该儿童有严重哮喘的病史。 | 丙泊酚 | 氯胺酮 | 七氟醚吸入诱导 | 芬太尼和咪达唑仑 | null | null | null | null | null | null | null | null | null | null |
d5f8d158-200a-5654-8c2b-7e806c1b185c | 4 | C | 1 | Approximately what percentage of children with down syndrome will have associated cardiac anomalies? | 5-15% | 65-75% | 40-60% | 80-95% | 大约有多少百分比的唐氏综合症儿童会有相关的心脏异常？ | 5-15% | 65-75% | 40-60% | 80-95% | null | null | null | null | null | null | null | null | null | null |
f6ccae3a-b08d-5b1e-807a-57b09af24b18 | 4 | D | 1 | Why are patients with muscular dystrophy more prone to cardiac arrhythmias? | Due to conduction node abnormalities which are common genetic issues associated with MD | Due to chest wall rigidity and propensity toward effusions, predisposing pts to tamponade | Due to hyperkalemia and upregulation of pts, making pts more prone to electrolyte abnormalities | Due to lack of dystrophin which is essential for proper cardiac function | 为什么肌营养不良患者更容易发生心律失常？ | 由于传导结异常，这是与肌营养不良相关的常见遗传问题 | 由于胸壁僵硬和易发生积液，使患者易发生心脏压塞 | 由于高钾血症和受体上调，使患者更容易出现电解质异常 | 由于缺乏抗肌萎缩蛋白，这对正常的心脏功能至关重要 | null | null | null | null | null | null | null | null | null | null |
0e3a7024-0287-5e66-afff-45efb77e1b23 | 4 | A | 1 | Which of the following is not a sign of latex allergy? | Bradycardia and arrhythmias | Laryngeal Edema | Pruritis | Bronchospasm | 以下哪项不是乳胶过敏的表现？ | 心动过缓和心律失常 | 喉头水肿 | 瘙痒 | 支气管痉挛 | null | null | null | null | null | null | null | null | null | null |
4e433536-bd3b-5892-ad36-00a9fd484431 | 4 | D | 1 | Which of the following reasons explains why opioids appear to be more potent in neonates? | Easier entry across blood brain barrier | Decreased metabolic capabilities | Increased sensitivity of respiratory centers | All the above | 以下哪种原因解释了为什么阿片类药物在新生儿中显得更有效？ | 更容易穿过血脑屏障 | 代谢能力降低 | 呼吸中枢的敏感性增加 | 以上全部 | null | null | null | null | null | null | null | null | null | null |
25f6989c-c802-590f-9308-0f479037870c | 4 | D | 2 | You are the SRNA for Ms. Cartaya today who has a past medical history of seizures, which are controlled through dilantin. How will this effect your muscle relaxants? | I should not give any muscle relaxants. | Will not affect my medication at all | Will prolong the effect of the medication. So will need less. | Will shorten the effect of the medication. So will need more. | 今天您是 Ms. Cartaya 的麻醉护士，她有癫痫病史，通过苯妥英钠控制。 这将如何影响您的肌肉松弛剂？ | 我不应该给予任何肌肉松弛剂。 | 不会对我的药物产生任何影响。 | 会延长药物的效果。所以需要更少。 | 会缩短药物的效果。所以需要更多。 | null | null | null | null | null | null | null | null | null | null |
3dc1116c-3df9-5bd3-b3a7-f627f868e2d5 | 4 | A | 1 | Which drugs are potentiated by dantrolene? | Neuromuscular blockers like vecuronium | NSAIDS like ketoralac | Steroids like prednisone | Beta blockers like esmolol | 哪些药物的作用会被丹曲林增强？ | 神经肌肉阻滞剂如维库溴铵 | 非甾体抗炎药如酮咯酸 | 类固醇如泼尼松 | β受体阻滞剂如艾司洛尔 | null | null | null | null | null | null | null | null | null | null |
2c63f866-81be-54b9-9234-287c9693ba7d | 2 | A | 1 | The mixing of Lidocaine w/ Propofol may result in coalescence of oil droplets which may pose risk of pulmonary embolism. | True | False | null | null | 利多卡因与丙泊酚混合可能导致油滴聚集，这可能增加肺栓塞的风险。 | 正确 | 错误 | null | null | null | null | null | null | null | null | null | null | null | null |
b214f93b-7ea7-5051-a7a1-e0c368f20321 | 5 | E | 1 | What is an appropriate intubating dose of Atracurium? | 1-1.5 mg/kg | .08-0.1 mg/kg | 0.6-1.2 mg/kg | 0.15-0.2 mg/kg | 阿曲库铵的适当插管剂量是多少？ | 1-1.5 mg/kg | 0.08-0.1 mg/kg | 0.6-1.2 mg/kg | 0.15-0.2 mg/kg | 0.4-0.5 mg/kg | 0.4-0.5 mg/kg | null | null | null | null | null | null | null | null |
f187643d-83cf-5954-bf07-0e140405b5a8 | 4 | A | 2 | You are the SRNA for Mr. Joe, a 20 yr old male having repair of a torn ACL tendon. You paralyzed the patient using succinylcholine to intubate, and currently have your Sevo going at 2%. Right as the makes his incision into the patients knee you notice your HR has jumped and the patient is tachycardic. His BP has also jumped up considerably. What does this mean? | He may be too light on anesthesia, give some fentanyl and go up on your sevo. | This may be the beginning stages of Malignant hyperthermia. Call for Help. | He is not paralyzed enough, give some vec. | Do nothing, the tachycardia will go away once the incision portion is over. | 你是为20岁男性乔先生进行撕裂的ACL肌腱修复手术的麻醉护士。你使用琥珀胆碱使患者麻痹以便插管，目前你的Sevo设置为2%。就在医生在患者膝盖上切开时，你注意到心率上升，患者出现心动过速。他的血压也显著上升。这意味着什么？ | 他可能麻醉不够深，给一些芬太尼并增加Sevo的浓度。 | 这可能是恶性高热的早期阶段。呼叫帮助。 | 他麻痹不够，给一些维库溴铵。 | 什么都不做，心动过速会在切开部分结束后消失。 | null | null | null | null | null | null | null | null | null | null |
fd602557-4f4f-5df2-afba-21abbd83bd3d | 4 | A | 1 | What is the MOA of Etomidate? | GABAa agonist | Non-competitive binding to the phencyclidine recognition site on the NMDA receptor & acts on opioid receptors | Through binding to and activating alpha subunit receptors to cause sustained depolarization. | Inhibition on GABAa receptors | 依托咪酯的作用机制是什么？ | GABAa 受体激动剂 | 非竞争性结合于NMDA受体的苯环利定识别位点并作用于阿片受体 | 通过结合并激活α亚基受体引起持续去极化。 | 对GABAa受体的抑制作用 | null | null | null | null | null | null | null | null | null | null |
8486ff59-def2-5196-ae64-ffc9d80cdb75 | 3 | A | 1 | This non-barb has a chemical structure of carboxylated imidazole-containing compound that (like versed) is water solule at acidic pH and lipid soluble at physiologic pH. | Etomidate | Ketamine | Propofol | null | 这种非巴比妥类药物具有羧化咪唑化合物的化学结构，在酸性pH下（如咪达唑仑）是水溶性的，在生理pH下是脂溶性的。 | 依托咪酯 | 氯胺酮 | 丙泊酚 | null | null | null | null | null | null | null | null | null | null | null |
1167a25e-8e48-5a35-8754-761c85087766 | 4 | B | 1 | What is the mechanism of action of non-depolarizing muscle relaxants? | Works at spinal nerve roots to cause paralysis and NMJ | Bind to alpha subunit receptors but do not activate them, merely tie up the receptors to block acetylcholine. | By potentiating the inhibitory effects of GABA | Through binding to and activating alpha subunit receptors to cause sustained depolarization. | 非去极化肌松药的作用机制是什么？ | 作用于脊神经根导致麻痹和神经肌肉接头 | 结合到α亚基受体但不激活它们，仅仅占据受体以阻断乙酰胆碱。 | 通过增强GABA的抑制作用 | 通过结合并激活α亚基受体以引起持续去极化。 | null | null | null | null | null | null | null | null | null | null |
e242e8af-8aa8-5f7b-b355-0ec70775e33c | 5 | A | 2 | You are the SRNA for a 58 yr old female having open heart surgery. She is 5’4” and 70 kg. What would be an appropriate intubating dose of pancuronium? | 7 mg | 105 mg | 84 mg | 14 mg | 您是为一位58岁女性进行心脏直视手术的麻醉护士。她身高5英尺4英寸，体重70公斤。适合的潘库溴铵插管剂量是多少？ | 7毫克 | 105毫克 | 84毫克 | 14毫克 | 35 mg | 35毫克 | null | null | null | null | null | null | null | null |
2b8b728c-0af8-5c6e-a593-8394d2adac17 | 4 | B | 1 | Which of the non-barbituate agents is unique due to the fact it has no stereoisomers? | Etomidate | Propofol | Ketamine | Thiopental | 以下哪种非巴比妥类药物因没有立体异构体而独特？ | 依托咪酯 | 丙泊酚 | 氯胺酮 | 硫喷妥 | null | null | null | null | null | null | null | null | null | null |
e064c046-6cb2-5053-be7f-8983e6e67494 | 4 | C | 2 | You are caring for Mr. Wren today who has a past medical history of DM, HTN and renal failure. You are asked to choose an appropriate muscle relaxing agents for him. Which do you choose as the BEST agent for Mr. Wren? | Vecuronium | Succinylcholine | Rocuronium | Pancuronium | 您今天负责照顾Wren先生，他有糖尿病、高血压和肾衰竭的病史。您被要求为他选择一种合适的肌肉松弛剂。您选择哪种作为Wren先生的最佳药物？ | 维库溴铵 | 琥珀胆碱 | 罗库溴铵 | 潘库溴铵 | null | null | null | null | null | null | null | null | null | null |
27b4c6a7-6b3e-51e8-bab3-341880191daf | 4 | C | 1 | Which of the following is a depolarizing muscle relaxant? | Rocuronium | Mivacurium | Succinylcholine | Vecuronium | 以下哪一项是去极化肌肉松弛剂？ | 罗库溴铵 | 米库氯铵 | 琥珀胆碱 | 维库溴铵 | null | null | null | null | null | null | null | null | null | null |
9407a874-5056-5c79-bb72-896503b6d67c | 3 | C | 2 | Propofol can lead to significant bradycardia that is resistant to atropine. Which of the following drugs would you give? | Dopamine | Esmolol | Isoproterenol | null | 丙泊酚可能导致对阿托品耐药的显著心动过缓。你会给予以下哪种药物？ | 多巴胺 | 艾司洛尔 | 异丙肾上腺素 | null | null | null | null | null | null | null | null | null | null | null |
7e2de840-8305-5c32-b27d-62645aa9b517 | 4 | C | 1 | Succinylcholine is rapidly metabolized to succinylmonocholine which is known to cause: | Hyperkalemia | Increase ICP | Bradycardia | Malignant hyperthermia | 琥珀酰胆碱迅速代谢为琥珀酰单胆碱，已知会导致： | 高钾血症 | 颅内压增高 | 心动过缓 | 恶性高热 | null | null | null | null | null | null | null | null | null | null |
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