A 7-year-old is undergoing anesthesia induction with sevoflurane via face mask. Shortly after the start of induction, he develops masseter muscle spasm, making it impossible to open his jaw. You also note a rapid increase in his end-tidal CO2. This presentation is most concerning for what condition?
A 16-year-old develops a severe headache, progressive confusion, and ataxia two days after ascending rapidly to 4267 m (14,000 ft). Which of the following is the most critical and effective immediate treatment for this patient’s condition?
An adolescent football player presents after a neck injury with motor weakness that is more pronounced in the upper extremities than the lower extremities. He also reports bladder dysfunction and has variable sensory loss below the lesion. Which spinal cord syndrome do these findings most accurately describe?
A 4-year-old boy with a history of poorly controlled asthma is scheduled for an elective tonsillectomy. During the preoperative evaluation, his mother reports he required an emergency department visit for an asthma exacerbation 3 months ago. On examination, you hear faint expiratory wheezing. What is the most appropriate next step in management?
A 4-year-old child presents with a fever of 40°C (104°F) and a heart rate of 160 beats/min. After receiving an antipyretic, the fever reduces to 38.5°C (101.3°F), but the tachycardia persists. The child appears ill and has delayed capillary refill. What is the most appropriate next step in management?
A 5-year-old boy is brought to the emergency department after being found with an open bottle of his grandmother’s iron tablets. He is crying and has had one episode of non-bloody vomiting. According to the mother, the ingestion occurred less than an hour ago. Which decontamination strategy is most appropriate for this child?
You are part of a two-rescuer team performing cardiopulmonary resuscitation on a 6-month-old infant who is in cardiac arrest. What is the correct chest compression to ventilation ratio that your team should use?
A 10-year-old boy with sickle cell disease is being prepared for a cholecystectomy. The anesthesiologist is reviewing his preoperative management plan. Which of the following conditions is most important to avoid in the perioperative period to prevent a sickle cell crisis?
A 12-year-old is involved in a motor vehicle collision and arrives in the trauma bay with respiratory distress and hypotension. On examination, you note absent breath sounds on the left side, tracheal deviation to the right, and distended neck veins. What is the most appropriate immediate intervention?
A 2-year-old child is brought to the emergency department after ingesting a small amount of lamp oil from a decorative candle. He had a brief coughing and gagging episode immediately after but now appears well, with normal vital signs and a clear lung exam. A chest x-ray is performed. Which of the following is the most important manifestation to monitor for in this child?
