Paediatric ALS: defibrillation dose: practice question

A Anaesthesia question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Anaesthesia · Paediatric ALS: defibrillation dose

Sample item

What is the initial defibrillation energy for a child in shockable rhythm?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. 2 J/kg

The initial paediatric dose is 2 J/kg, and subsequent shocks use 4 J/kg, up to 10 J/kg or the adult dose. Adrenaline 0.01 mg/kg is given every 3 to 5 minutes.

Option by option

  • A. 10 J/kg

    10 J/kg is the maximum.

  • B. 0.1 J/kg

    0.1 J/kg is too low.

  • C. 200 J

    200 J is the adult dose.

  • D. 2 J/kg (correct)

    Correct. Start at 2 J/kg.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Anaesthesia questions

Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is D, 2 J/kg. The initial paediatric dose is 2 J/kg, and subsequent shocks use 4 J/kg, up to 10 J/kg or the adult dose.

Why is "10 J/kg" not the answer?

10 J/kg is the maximum.

Why is "0.1 J/kg" not the answer?

0.1 J/kg is too low.

Why is "200 J" not the answer?

200 J is the adult dose.

What concept does this question test?

It tests Paediatric ALS: defibrillation dose in Anaesthesia. Adrenaline 0.01 mg/kg is given every 3 to 5 minutes.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Paediatric ALS: defibrillation dose?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.