Depolarizing Muscle Relaxants

In a patient with atypical pseudocholinesterase, which of the following dibucaine numbers would suggest a heterozygous variant?

Which of the following neuromuscular blocking agents is most likely to cause seizures due to laudanosine release on prolonged infusion?

A patient with a history of hypertension and coronary artery disease requires neuromuscular blockade for surgery. Which neuromuscular blocking agent should be avoided due to its potential to increase heart rate and blood pressure?

Which volatile anesthetic agent is least ideal for inhalational induction due to its pungent smell, often causing coughing and laryngospasm?

In a patient undergoing a short surgical procedure, which opioid analgesic would be most suitable given its rapid onset and shortest duration of action?

A patient with acute liver failure requires neuromuscular blockade. Which agent's duration of action would be least affected by this condition?

A patient undergoing general anesthesia experiences bradycardia and increased oral secretions. Which medication would be most appropriate to administer?

A patient with a known history of malignant hyperthermia requires neuromuscular blockade. Which of the following agents is absolutely contraindicated?

Which of the following is the most reliable clinical sign of adequate reversal of neuromuscular blockade?

During anesthesia, a patient develops unexpected prolonged muscle paralysis following succinylcholine administration. Which of the following conditions is least likely to be the cause?

You are planning a day-care surgery for a patient. Which neuromuscular blocking agent is least suitable?

Which of the following is a disadvantage of using pancuronium?

In a patient undergoing a laparoscopic procedure, which of the following considerations regarding post-operative analgesia is most important?

What is the significance of the dibucaine number in the context of pseudocholinesterase activity?

A 2-year-old child is scheduled for a minor surgical procedure. Regarding the use of succinylcholine, which of the following statements is most accurate?

A patient needs to be intubated in the ER with RSI, which property would be MOST desirable for the NMB selected?

After administering succinylcholine, a patient develops bradyarrhythmia. Which medication should be immediately administered?

Which of the following statements accurately characterizes the mechanism of action and metabolism of succinylcholine?

In the context of day care anesthesia, which of the following represents an ideal combination of neuromuscular blocking agent and reversal agent that facilitates rapid recovery and discharge?

Which of the following is not a reason for prolonged duration of action following succinylcholine administration?

In a patient undergoing a surgical procedure, which of the following clinical scenarios necessitates cautious use or avoidance of succinylcholine?

Which of the following best describes the appropriate initial dose of neostigmine for reversal of neuromuscular blockade?

Which agent, when combined with rocuronium, allows for rapid reversal of neuromuscular blockade, making it particularly useful in scenarios requiring quick recovery?

In pediatric anesthesia, what is the primary reason for avoiding the use of un-cuffed endotracheal tubes?

What is the significance of aiming for spontaneous breathing with a normal ETCO2 during reversal from neuromuscular blockade?

Which of the following is the significance of maintaining the operating room temperature between 27-28°C during pediatric anesthesia?

A child is undergoing anesthesia, and it is determined that a Miller blade will be used. Which statement best describes the Miller blade?

What concentration of lignocaine and prilocaine are present in EMLA cream?

During caudal anesthesia, at which vertebral junction is the injection typically administered?

Which of the following is most concerning in the postoperative period following caudal anesthesia among pediatric patients?

According to the modified Aldrete scoring system, what score indicates that a patient is fit for discharge following anesthesia?

During day-care anesthesia, which factor would be a contraindication?

A patient undergoing day-care anesthesia develops drowsiness, nausea, and vomiting. What medication may be preferred?

Compared to other methods for maintenance of normothermia, which way is LEAST effective?

Which of the following best explains why succinylcholine is typically avoided in children under one year of age?

A patient with atypical pseudocholinesterase requires neuromuscular blockade. Understanding the nuances of dibucaine numbers, which clinical intervention would be most appropriate based on this condition?

In a patient with significant cardiovascular disease, which neuromuscular blocking agent should be avoided due to its propensity to cause tachycardia and hypertension through its vagolytic effects and potential for increased heart rate and blood pressure?

A patient with combined liver and kidney failure requires neuromuscular blockade. Which agent below would be most appropriate, considering its clearance pathway?

Following prolonged infusion of atracurium, a patient exhibits signs of neurological excitation. Which metabolite of atracurium is the most likely cause of this adverse effect?