Paediatric ALS: adrenaline 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.

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Anaesthesia · Paediatric ALS: adrenaline dose

Sample item

What is the intravenous adrenaline dose for a child in cardiac arrest?

A0.01 mg/kg (0.1 mL/kg of 1 in 10,000)B0.1 mg/kg of 1 in 1000C1 mg regardless of weightD0.001 mg/kg

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

The answer and the reasoning

A. 0.01 mg/kg (0.1 mL/kg of 1 in 10,000)

The paediatric dose is 0.01 mg/kg intravenously or intraosseously, maximum 1 mg, every 3 to 5 minutes. The 1 in 10,000 concentration contains 0.1 mg/mL.

Option by option

A. 0.01 mg/kg (0.1 mL/kg of 1 in 10,000) (correct)
Correct. 0.01 mg/kg is the dose.
B. 0.1 mg/kg of 1 in 1000
0.1 mg/kg is ten times too high.
C. 1 mg regardless of weight
1 mg for any child is excessive for small children.
D. 0.001 mg/kg
0.001 mg/kg is too low.

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.

Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is A, 0.01 mg/kg (0.1 mL/kg of 1 in 10,000). The paediatric dose is 0.

Why is "0.1 mg/kg of 1 in 1000" not the answer?

0.1 mg/kg is ten times too high.

Why is "1 mg regardless of weight" not the answer?

1 mg for any child is excessive for small children.

Why is "0.001 mg/kg" not the answer?

0.001 mg/kg is too low.

What concept does this question test?

It tests Paediatric ALS: adrenaline dose in Anaesthesia. 01 mg/kg intravenously or intraosseously, maximum 1 mg, every 3 to 5 minutes. The 1 in 10,000 concentration contains 0.1 mg/mL.

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: adrenaline 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.