3. Overview of Abdominal Blocks

Question 1

A

Answer 1

Right hypochondrium

Question 2

B

Answer 2

epigastric

Question 3

C

Answer 3

Left hypochondrium

Question 4

D

Answer 4

Right lumbar

Question 5

E

Answer 5

umbilical region

Question 6

F

Answer 6

left lumbar

Question 7

H

Answer 7

right iliac

Question 8

I

Answer 8

hypogastrium

Question 9

J

Answer 9

L iliac

Question 10

4 main abdominal muscles: Superficial to DEEP

Answer 10

SUPERFICIAL
external oblique
internal oblique
rectus abdominis
transversus abdominis
DEEP

Question 11

external oblique

Answer 11

outermost muscles on each side of rectus abdominis

Question 12

external oblique muscles extend from

Answer 12

lower ribs to pelvis

Question 13

internal oblique direction

Answer 13

opposite external oblique

Question 14

rectus abdominis

Answer 14

6 pack

Question 15

linea alba

Answer 15

connective tissue separating the muscles on each side of rectus abdominis

Question 16

transversus abdominis

Answer 16

wraps around spine for protection and stability

Question 17

what encircles the rectus muscle

Answer 17

rectus sheath

Question 18

where does the rectus sheath extend

Answer 18

to the external oblique, internal oblieuq, and transversus abdominis

Question 19

psoas major origin

Answer 19

T12-L4

Question 20

psoas major insertion

Answer 20

lesser trochanter of femur

Question 21

which muscle is missing? in how many people?

Answer 21

psoas minor
40-70%

Question 22

iliacus origin

Answer 22

iliac fossa

Question 23

iliacus insertion

Answer 23

lesser trochanter of femur (w/psoas major)

Question 24

iliopsoas

Answer 24

the unification of the psoas major and iliacus muscle

Question 25

where does the iliopsoas form

Answer 25

in the inguinal region

Question 26

where does the iliopsoas descend?

Answer 26

below the inguinal ligament with the femoral nerve

Question 27

what nerves are targetd by abdominal blocks

Answer 27

intercostal nerves subcostal nerves iliohypogastric and ilioingiunal nerves

Question 28

intercostal nerves

Answer 28

T7-T11

Question 29

subcostal nerves

Answer 29

T12

Question 30

iliohypogastric and ilioinguinal nerves

Answer 30

L1-L2

Question 31

Transversus abdominus plane (TAP)

Answer 31

space between transversus abdominis and internal oblique muscles

Question 32

1

Answer 32

transverse abdominis muscle

Question 33

2

Answer 33

internal oblique muscle

Question 34

3

Answer 34

external oblique muscle

Question 35

the TAP plane is superficial to ________ and deep to ______

Answer 35

the TAP plane is superficial to the transversus abdominis and deep to internal oblique

Question 36

TAP requires how many injections

Answer 36

2 total: 1 injection per side

Question 37

TAP: first "pop"

Answer 37

fascia between external and internal obliques

Question 38

TAP: second "pop"

Answer 38

internal oblique and transverse abdominus

Question 39

where do abdominal nerves travel

Answer 39

to the midline of the abdomen

Question 40

rectus sheath block

Answer 40

inject between the rectus muscle and posterior rectus sheath

Question 41

lower abdominal nerves

Answer 41

ilioinguiinal iliohypogastric genitofemoral (L1-L2/3)

Question 42

lower abdominal nerves innervate

Answer 42

the lower abdominal region in the groin area

Question 43

TAP coverage

Answer 43

T10-L1 (lower abdominal area)

Question 44

is the TAP a bilateral or unilateral block

Answer 44

TAP only covers 1 side need to block bilaterally for full coverage

Question 45

TAP volume

Answer 45

10-20mL

Question 46

TAP risk from volume of block

Answer 46

higher risk of LAST

Question 47

QL block coverage

Answer 47

T7-L1 (entire abdominal area)

Question 48

is the QL a unilateral or bilateral block

Answer 48

bilateral - must anesthetize both sides

Question 49

QL volume

Answer 49

high volume = higher change of LAST

Question 50

QL block injection site

Answer 50

around the QL muscle

Question 51

TAP block anesthesia

Answer 51

somatic only

Question 52

QL block anesthesia

Answer 52

somatic and visceral

Question 53

which block has a longer duration of analgesia: QL or TAP?

Answer 53

QL

Question 54

QL block duration

Answer 54

24-48 hrs

Question 55

TAP duration

Answer 55

8-12 hrs

Question 56

which block is good for midline coverage?

Answer 56

rectus sheath block

Question 57

ilioinguinal/iliohypogastric block coverage

Answer 57

L1-L3 (lower abdominal)

Question 58

ilioinguinal/iliohypogastric anesthetizes

Answer 58

hypogstric region inguinal crease upper medial thigh

Question 59

varicocele

Answer 59

enlargement of veins that cary blood away from testicle

Question 60

varicocele treatment

Answer 60

varicocelectomy to reduce testicle pain and increase fertility

Question 61

hydrocele

Answer 61

swelling in the scrotoum due to fluid accumulation in the thin sac surrouding the testicle

Question 62

hydrocele treatment

Answer 62

hydrocelectomy

Question 63

which muscle is technically the deepest abdominal muscle but is commonly referred to as a back muscle?

Answer 63

QL

Question 64

posterior view: Superficial to Deep back muscles

Answer 64

Superficial latissimus dorsi erector spinae quadratus lumborum Deep

Question 65

yellow

Answer 65

latissimus dorsi

Question 66

purple

Answer 66

erector spinae

Question 67

blue

Answer 67

quadratus lumborum

Question 68

what is anterior to the QL muscle

Answer 68

psoas major

Question 69

what is posterior to the QL muscle

Answer 69

erector spinae

Question 70

the QL lies anterior to _____ and posterior to ______

Answer 70

the QL lies anterior to erector spinae and posterior to the psoas major

Question 71

QL superficial to deep

Answer 71

SUPERFICIAL lats erector QL psoas major DEEP

Question 72

the QL muscle is ______ to transverse process

Answer 72

lateral

Question 73

psoas major is ________ to QL

Answer 73

anterior

Question 74

erector spinae is ____ to QL

Answer 74

posteriro

Question 75

from a lateral view, the external oblique contacts

Answer 75

the external oblique contacts the latissimus dorsi