Intravenous agents: midazolam premedication in children: 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 · Intravenous agents: midazolam premedication in children

Sample item

Which route and dose of midazolam is commonly used for premedication of an anxious 4-year-old?

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

The answer and the reasoning

D. Oral 0.5 mg/kg

Oral midazolam 0.5 mg/kg given 20 to 30 minutes before induction gives reliable anxiolysis and sedation in children. The intravenous induction dose is only 0.1 to 0.3 mg/kg.

Option by option

  • A. Rectal 20 mg/kg

    20 mg/kg is a toxic dose.

  • B. Intravenous 5 mg/kg

    5 mg/kg intravenously would be a massive overdose.

  • C. Intramuscular 5 mg/kg

    5 mg/kg is a toxic overdose.

  • D. Oral 0.5 mg/kg (correct)

    Correct. Oral 0.5 mg/kg is the usual dose.

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.

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Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is D, Oral 0.5 mg/kg. Oral midazolam 0.

Why is "Rectal 20 mg/kg" not the answer?

20 mg/kg is a toxic dose.

Why is "Intravenous 5 mg/kg" not the answer?

5 mg/kg intravenously would be a massive overdose.

Why is "Intramuscular 5 mg/kg" not the answer?

5 mg/kg is a toxic overdose.

What concept does this question test?

It tests Intravenous agents: midazolam premedication in children in Anaesthesia. 5 mg/kg given 20 to 30 minutes before induction gives reliable anxiolysis and sedation in children. The intravenous induction dose is only 0.1 to 0.3 mg/kg.

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 Intravenous agents: midazolam premedication in children?

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.