Congenital Cardiac Anesthesia Society
A Section of the the Society for Pediatric Anesthesia

{“questions”:{“5hcbu”:{“id”:”5hcbu”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Michael A. Evans, MD \u2013 Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern Feinberg School of Medicine \r\n\r\nA 5-day-old neonate with a history of hypoplastic left heart syndrome is nasally intubated in preparation for the Stage I Norwood procedure. Which of the following is the MOST LIKELY benefit of nasal intubation?”,”desc”:””,”hint”:””,”answers”:{“yixm5”:{“id”:”yixm5″,”image”:””,”imageId”:””,”title”:”A. Decreased Risk of Pneumonia “},”rxk51”:{“id”:”rxk51″,”image”:””,”imageId”:””,”title”:”B. Decreased Risk of Wound Infection”},”hz21a”:{“id”:”hz21a”,”image”:””,”imageId”:””,”title”:”C. Decreased Length of Intubation”,”isCorrect”:”1″},”4iz1n”:{“id”:”4iz1n”,”image”:””,”imageId”:””,”title”:”D. Decreased Hospital Length of Stay”}}}},”results”:{“wm1ap”:{“id”:”wm1ap”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/05\/CCAS-QOW-Posted-5-19-2022.pdf”}}}

{“questions”:{“oqopc”:{“id”:”oqopc”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Michael A. Evans, MD \u2013 Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern Feinberg School of Medicine \r\n\r\nA three-day-old neonate with a diagnosis of supracardiac total anomalous pulmonary venous return has undergone full repair on cardiopulmonary bypass (CPB). Rotational thromboelastometry (ROTEM\u00ae) is performed during the rewarming phase on CPB and prior to protamine administration. The following FIBTEM and HEPTEM Temogram curves resulted from that sample: \r\n\r\n \r\n\r\nBased on the ROTEM\u00ae results, administration of which of the following is MOST LIKELY to correct the hemostatic abnormality?”,”desc”:””,”hint”:””,”answers”:{“pehnu”:{“id”:”pehnu”,”image”:””,”imageId”:””,”title”:”A.\tFresh Frozen Plasma “},”o846d”:{“id”:”o846d”,”image”:””,”imageId”:””,”title”:”B.\tCryoprecipitate “,”isCorrect”:”1″},”wouai”:{“id”:”wouai”,”image”:””,”imageId”:””,”title”:”C.\tPlatelets “},”2o6vr”:{“id”:”2o6vr”,”image”:””,”imageId”:””,”title”:”D.\tProthrombin complex concentrate”}}}},”results”:{“offxk”:{“id”:”offxk”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/05\/CCAS-QOW-Posted-5-12-2022.pdf”}}}

{“questions”:{“47pa6”:{“id”:”47pa6″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Author: Michael A. Evans, MD \u2013 Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern Feinberg School of Medicine \r\n\r\nA 1-hour old neonate presents with persistent cyanosis. Prostaglandin E_{1<\/sub> is initiated via an umbilical venous line. The differential diagnosis includes Tetralogy of Fallot and work up is initiated with a transthoracic echocardiogram (TTE) and computed tomography (CT) of the chest. Which of the following anomalies associated with Tetralogy of Fallot is MOST LIKELY present in this neonate?”,”desc”:””,”hint”:””,”answers”:{“57vta”:{“id”:”57vta”,”image”:””,”imageId”:””,”title”:”A.\tRight Aortic Arch”,”isCorrect”:”1″},”cfx1f”:{“id”:”cfx1f”,”image”:””,”imageId”:””,”title”:”B.\tAnomalous Coronary Artery”},”6j2xv”:{“id”:”6j2xv”,”image”:””,”imageId”:””,”title”:”C.\tLeft Superior Vena Cava”},”upmfo”:{“id”:”upmfo”,”image”:””,”imageId”:””,”title”:”D.\tSubaortic Membrane”}}}},”results”:{“uwy97”:{“id”:”uwy97″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/05\/CCAS-QOW-Posted-5-5-2022.pdf”}}}}

{“questions”:{“wv074”:{“id”:”wv074″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Laura Rodr\u00edguez, MD\u2014 Hospital de Especialidades Pedi\u00e1tricas Omar Torrrijos Herrera\/ Universidad de Panam\u00e1, Ciudad de Panam\u00e1, Panam\u00e1 and Destiny F. Chau, MD\u2014University of Arkansas for Medical Science\/Arkansas Children\u2019s Hospital, Little Rock, AR, USA \r\n\r\nPregunta\/ Question \r\nUn ni\u00f1o de 12 meses de edad se presenta en el laboratorio de hemodin\u00e1mica para una valvuloplast\u00eda percut\u00e1nea con bal\u00f3n de la v\u00e1lvula pulmonar. La estenosis de la v\u00e1lvula pulmonar es severa, con un gradiente m\u00e1ximo de 115 mmHg. La valvuloplast\u00eda con bal\u00f3n fue exitosa y el gradiente baj\u00f3 a 15 mmHg. Durante los minutos siguientes se nota inestabilidad hemodin\u00e1mica, presi\u00f3n sist\u00e9mica 50\/30, frecuencia card\u00edaca 165 en ritmo sinusal y SpO_{2<\/sub> 55%. La presi\u00f3n intraventricular derecha ahora se observa en 195 mmHg. Adem\u00e1s de un bloqueador beta, \u00bfqu\u00e9 m\u00e1s se deber\u00eda administrar ahora?\r\n\r\n\r\nA 12-month-old male infant presents to the cardiac catheterization laboratory for percutaneous pulmonary balloon valvuloplasty of severe pulmonary stenosis with a peak gradient of 115 mm Hg. Balloon valvuloplasty is successful with a decrease in the gradient to 15 mm Hg. In the minutes following valvuloplasty, the following vital signs are noted: BP 50\/30, HR 165 bpm (sinus rhythm) and SpO2<\/sub> 55%. The right intraventricular pressure is 195 mmHg. In addition to a beta-blocker, what is the MOST appropriate immediate therapy?\r\n\r\n”,”desc”:””,”hint”:””,”answers”:{“5oved”:{“id”:”5oved”,”image”:””,”imageId”:””,”title”:”A. Volumen\/ Fluid bolus”,”isCorrect”:”1″},”ctmvi”:{“id”:”ctmvi”,”image”:””,”imageId”:””,”title”:”B. Epinefrina\/ Epinephrine”},”si84u”:{“id”:”si84u”,”image”:””,”imageId”:””,”title”:”C. Cardioversi\u00f3n sincronizada\/ Synchronized cardioversion”},”qxenf”:{“id”:”qxenf”,”image”:””,”imageId”:””,”title”:”D. Milrinona\/ Milrinone\r\n\r\n”}}}},”results”:{“r38rf”:{“id”:”r38rf”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/04\/CCAS-QOW-Posted-4-28-2022.pdf”}}}}

{“questions”:{“5w29h”:{“id”:”5w29h”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”Authors: Nicole Ribeiro Marques MD, Felipe Medeiros MD, Destiny Chau MD\u2013 University of Arkansas for Medical Science\/Arkansas Children\u2019s Hospital, Little Rock \r\n\r\nA 32-year-old woman with a history of interrupted aortic arch and complex left ventricular outflow tract (LVOT) obstruction status post aortic arch reconstruction and apico-aortic valved-conduit insertion presents for emergent exploratory laparotomy due to ruptured tubal pregnancy. Preoperative transthoracic echocardiogram demonstrated moderate obstruction at the native LVOT, LV hypertrophy and dilation with mildly diminished function and difficulty in visualizing the conduit. New-onset ST segment elevation in leads II and V are evident after anesthetic induction with the following vital signs: BP 88\/38, HR 145, and SpO2 97%. Which medication is the MOST appropriate choice to manage this patient? “,”desc”:””,”hint”:””,”answers”:{“at4nb”:{“id”:”at4nb”,”image”:””,”imageId”:””,”title”:”A. Ephedrine”},”j7x0z”:{“id”:”j7x0z”,”image”:””,”imageId”:””,”title”:”B. Phenylephrine”,”isCorrect”:”1″},”bkmhd”:{“id”:”bkmhd”,”image”:””,”imageId”:””,”title”:”C. Labetalol”},”vw556″:{“id”:”vw556″,”image”:””,”imageId”:””,”title”:”D. Epinephrine”}}}},”results”:{“aqjrg”:{“id”:”aqjrg”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/ccasociety.org\/wp-content\/uploads\/2022\/04\/CCAS-QOW-Posted-4-21-22.pdf”}}}