Obstetric Anesthesia

First-line vasopressor to prevent/treat spinal-induced hypotension during elective cesarean delivery?

Minimum platelet count commonly acceptable for labor epidural in otherwise stable parturient (no other coagulopathy)?

Which uterotonic is contraindicated in severe hypertension or preeclampsia?

Which uterotonic should be avoided in asthma?

Recommended magnesium sulfate regimen for eclampsia prophylaxis/treatment?

Antidote for magnesium toxicity with apnea/areflexia?

Best induction technique for emergency cesarean under GA in full-stomach parturient?

Aortocaval compression mitigation after 20 weeks’ gestation?

Fetal bradycardia following epidural placement most commonly results from:

Preferred local anesthetic for rapid epidural top-up to surgical level for urgent cesarean?

Compared with nonpregnant, intrathecal LA dose requirements at term are:

First steps for high spinal after neuraxial anesthesia in obstetrics?

Best prophylaxis against spinal-induced hypotension during cesarean?

Most appropriate aspiration prophylaxis prior to cesarean?

Which neuraxial opioid most associated with delayed respiratory depression?

Parturient with severe OSA requires cesarean under GA. Best extubation plan?

Oxytocin adverse effect with rapid large IV bolus?

Best early pharmacologic therapy for postpartum hemorrhage (with uterotonics)?

Late decelerations on FHR tracing indicate:

Variable decelerations are most consistent with:

Appropriate test dose for labor epidural to detect intrathecal/intravascular placement?

Indication for general anesthesia in obstetrics where neuraxial is relatively contraindicated?

Most reliable early sign of epidural hematoma postpartum?

Best anesthetic plan for manual removal of retained placenta in stable patient without epidural?

Maternal physiology—what increases aspiration risk?

Preferred antiemetic strategy during cesarean under spinal?

Which scenario suggests amniotic fluid embolism (AFE)?

Uterine inversion management priority in the OR?

Which labor analgesia technique best preserves motor function?

Appropriate neuraxial dosing precaution in morbidly obese parturient?

Best initial management for umbilical cord prolapse with bradycardia awaiting delivery?

Appropriate antihypertensive for acute severe hypertension in preeclampsia (SBP ≥160 or DBP ≥110)?

Concern with large doses of local anesthetic for paracervical block in pregnancy?

Appropriate management for suspected subdural epidural dose (patchy high sensory level, minimal motor)?

Which statement about neuraxial opioids in breastfeeding is TRUE?

For chorioamnionitis with cesarean, recommended antibiotic coverage?

Airway changes in late pregnancy/postpartum important for anesthesia?

Which fetal heart rate change can occur transiently after intrathecal fentanyl during CSE?

Best analgesic plan for severe perineal pain in second stage with inadequate epidural for instrumental delivery?

Which coagulation target is most relevant to treat bleeding DIC in AFE/PPH?

Best anesthetic choice for postpartum tubal ligation when the labor epidural catheter is still in place and functioning?

HELLP syndrome with platelets 60,000/µL and rapidly falling—most appropriate anesthetic for urgent cesarean?

Which intervention most increases the success of external cephalic version (ECV)?

Which statement about “epidural fever” in labor is TRUE?

Persistent maternal bradycardia while treating spinal hypotension with phenylephrine—reasonable alternative vasopressor?

Inadequate single-shot spinal (pain after incision) without an epidural catheter—best next step?

Planned cesarean hysterectomy for placenta accreta spectrum—most appropriate anesthetic plan?

Epidural blood patch technique for severe PDPH—typical volume?