SOAP 2024 Fundamentals Post Assessment Survey AANA - First Attempt

This SOAP 2024 Fundamentals Post Assessment is required for individuals seeking CE credit from AANA. A passing score of 80% is required to receive credit. A maximum of two attempts are allowed.

Please email soap@soap.org once you've completed your assessment and the SOAP Program Manager will assist you in claiming your CE credit.

Question Title

* 1. At what blood pressure (SBP or DBP) should anesthesiologist/obstetricians commence blood pressure treatment for acute severe hypertension?

SBP 140 or DBP > 90 mm Hg

SBP =/>160 or DBP =/> 110 mm Hg

SBP > 130 or DBP > 90 mm Hg

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* 2. A 26 yo parturient G2P1 at 34 weeks with chronic abruption and intermittent vaginal bleeding presents urgently from antepartum. Including antepartum and triage she has lost just under a 1 L and fetal heart rate tracing shows frequent deep variable decelerations. The decision is made to move to cesarean delivery and a set of baseline labs are sent. At what fibrinogen level would consider replacement with fibrinogen concentrate or cryoprecipitate?

Less than 50 mg/dl

Less than 200 mg/dl

Less than 350 mg/dl

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* 3. A 32 yo G3P2 parturient with a history of asthma had an induction of labor and normal vaginal delivery with epidural analgesia. After delivery, she was started on a prophylactic oxytocin infusion and continues to bleed. She was given methylergonovine 0.2 mg IM 20 minutes ago and her current QBL is 1235. She is currently hemodynamically stable and recent labs are all normal. Which of the following should she be given?

Repeat methylergonovine 0.2 mg IM

Tranexamic Acid 1 gm IV

Fibrinogen concentrate 2 gm IV

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* 4. Which of the following physiologic changes in that occurs during pregnancy does NOT increase the risk of difficult airway in pregnancy?

Increased minute ventilation

Increased oxygen consumption

Increased expiratory reserve volume

Increased proportion of Mallampati IV airways

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* 5. What gestational age is used to distinguish chronic versus pregnancy induced hypertension?

20 weeks

30 weeks

10 weeks

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* 6. Which of the following is NOT a part of the difficult airway algorithm for obstetrics?

Place supragottic airway device

Assess need to proceed with surgery

Continue cricoid pressure during all airway placement attempts

Declare failed intubation, if present

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* 7. Which motor or sensory finding would you NOT see with an obturator nerve injury after a forceps-assisted vaginal delivery?

Decreased sensation on medial thigh

Decreased sensation on lateral thigh

Wide gait

Weak hip adduction

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* 8. What is NOT recommended to decrease incidence of peripartum peripheral nerve injuries?

Avoiding stirrups for pushing

Use a high concentration epidural local anesthetic solution for increased density

Move hand placement frequently during pushing

Frequent repositioning of patient's legs during the second stage of labor

Question Title

* 9. DPE may hasten the conversion of labor analgesia to surgical anesthesia

True

False

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* 10. Contact Information

Name

Email Address

AANA #

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* 11. Consider replacing a labor epidural when:

Multiple top-ups have failed to relieve pain.

The patient has made rapid progress has a bilateral T10 level, but poor pain control

The patient has a T12 analgesic level bilaterally, but contraction pain in the upper abdomen