Question of the Week 501

{“questions”:{“3ajp7”:{“id”:”3ajp7″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Fernando F. Cuadrado, MD and Matthew Monteleone, MD – Cincinnati Children\u2019s Hospital Medical Center \r\n\r\nA seven-year-old boy with a history of orthotopic heart transplantation is undergoing cardiac catheterization and biopsy under general endotracheal anesthesia. He is erroneously administered a 15 mcg\/kg bolus dose of dexmedetomidine due to an infusion pump programming error. The heart […]

Question of the Week 500

{“questions”:{“xf629”:{“id”:”xf629″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Nicholas Houska, DO – University of Colorado – Children\u2019s Hospital Colorado\r\nA 16-year-old girl who recently emigrated to the United States from Venezuela presents with dyspnea, fatigue, and dependent edema. Two years ago, her mother died in her sleep after exhibiting similar symptoms. An electrocardiogram shows sinus node dysfunction with bradycardia. A transthoracic echocardiogram reveals […]

Question of the Week 499

{“questions”:{“pii3r”:{“id”:”pii3r”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Nicholas Houska, DO – University of Colorado – Children\u2019s Hospital Colorado \r\n\r\nA 13-year-old boy with tetralogy of Fallot and pulmonary atresia presents for right ventricle to pulmonary artery conduit replacement. Which of the following factors is a major risk for re-entry injury during repeat sternotomy?”,”desc”:”EXPLANATION \r\nRepeat sternotomy in pediatric cardiac surgery is associated with […]

Question of the Week 498

{“questions”:{“wnlk5”:{“id”:”wnlk5″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Melissa Colizza, MD – Stollery Children\u2019s Hospital – Edmonton, Canada \r\nA 25-year-old, G2P0 woman at 28 weeks gestation presents with three-pillow orthopnea. A transesophageal echocardiogram reveals severe mitral stenosis, which will require mitral valve replacement surgery. What is the expected maternal mortality after mitral valve replacement?\r\n\r\n”,”desc”:”EXPLANATION \r\nCardiovascular disease has become increasingly common during pregnancy […]

Question of the Week 497

{“questions”:{“wfi6c”:{“id”:”wfi6c”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Kaitlin M. Flannery, MD, MPH – Stanford University AND Amy Babb MD – Monroe Carell Jr. Children\u2019s Hospital, Vanderbilt \r\n\r\nAn eight-month-old boy with a history of Williams syndrome underwent repair of supravalvar aortic stenosis 24 hours ago. The blood pressure is noted to be 124\/84 despite administration of additional analgesic and sedative medications. The […]