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Chapter 55. Appendicitis in Pregnancy

Which of the following is true about appendicitis in pregnancy?

A. it occurs rarely during pregnancy

B. it is predominantly a condition of the first trimester

C. delay in diagnosis increases risk of morbidity and mortality

D. laparoscopic procedures are contraindicated during pregnancy

(C) Acute appendicitis has significant adverse effects on the maternal and fetal outcome, particularly if peritonitis develops. A delay in diagnosis of appendicitis is likely to increase the risk of morbidity and mortality.

The most important factor in successful airway management is

A. performing a rapid sequence induction to secure the airway rapidly

B. performing a thorough evaluation of the airway to formulate an appropriate plan

C. using novel devices to secure the airway

D. convincing the patient to have regional anesthesia

(B) It has been repeatedly shown that the single most important factor leading to a failed airway is the failure to predict the difficult airway.

Which is true in managing patients with limited mouth opening?

A. Patients with limited mouth opening can usually be intubated via direct laryngoscopy post-induction of general anesthesia.

B. Degree of mouth opening will determine which device or technique may be useful in securing the airway.

C. Any device can be used for this patient population.

D. Awake bronchoscopic intubation is the only technique to secure the airway in this patient population.

(B) Airway management is context-sensitive. Successful airway management often depends on the interplay between three general categories of “modifiers”: practitioner factors, patient factors, and situational factors. In other words, the degree of mouth opening will determine which device or technique may be useful in securing the airway of this patient.

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