Anatomy

Question 1

what block can anesthesize the tracheal mucosa

Answer 1

translaryngeal block

branch of recurrent laryngeal merve which u cant do directly bc u can have vocal chord paralysis

Question 2

regional blocks for the different stages of labor

Answer 2

first stage only: lumbar sympathetic block
second stage only: pudendal block
both stages: epidural, spinal

Question 3

what is confused for trachea when doing double lumen tube placement

Answer 3

bronchus intermedius can be confused for thr trachea and RLL for the left bronchus and RML for the R bronchus so u want to make sure u see the 3 branches of the RUL

Question 4

what nerve branch provides sensory innvervation to the laryngeal mucosa above the vocal chords

Answer 4

internal branch of superior laryngeal nerve

external branch provides motor

Question 5

how may you need to adjust anesthesia for cerebral palsy patients

Answer 5

theye have way less mac requirements

Question 5

how may you need to adjust anesthesia for cerebral palsy patients

Answer 5

theye have way less mac requirements

Question 6

contraindications for shock wave lithotripsy

Answer 6

1. pregnancy 2. anticoagulation

Question 7

why would someone w COPD have worsening hypercapnia w su0pplemental o2

Answer 7

haldane effect will cause co2 to be displaced for O2 on hemeglobin, pao2 will be increase and alveoli will see higher O2 and therefore this will undo the physiologic hypoxic pulmonary vasoconstriction that is standard in COPD patients since their alveloli is shit and u wont maintain good gas exchange

Question 8

most significant mode of heat loss in patients undergoing GA?

Answer 8

radiation

aka patient radiates heat directly from exposed skin

Question 9

what structures are in the adductor canal

Answer 9

femoral artery 
femoral vein 
saphenous vein 
nerve to vastus medialus 
posterior branch of obturator nerve

Question 10

what blood vessels go to the SA and AV node

Answer 10

SA: right corona artery
AV: PDA which arrises from the RCA

Question 11

what nerve block would u use for the medial upper arm

Answer 11

intercostal brachial because it is from T2 nerve root which is not covered by the brachial plexus blocks

Question 12

what is the landmark for T2-3

Answer 12

sternal notch

Question 12

what is the landmark for T2-3

Answer 12

sternal notch

Question 13

what is the target for your needle in a TAP block

Answer 13

layers from superficial to deep are
external oblique
internal oblique
transverse abdominus

your injeting between the internal oblique and transverse abdominus

Question 14

what doe the muscularcutaneous nerve cover

Answer 14

lateral forearm

think muscular cuties are on the OUTSIDE (lateral) and FOREWARD (forearm)

Question 15

forced extension of elbow 0r ‘iv in antecubital fossa can injure what nerve

Answer 15

median nerve

Question 16

what sensory and motor deficits are seen w adductor canal block

Answer 16

LOS of medial, leg, ankle, foot,
weakness of vastus medialis which causes weakness of knee extention
blocking saphenous nerve