Chapter 56 | Chronic Pain Management

Question 1

Twenty minutes after an axillary block, the patient reports feeling over the “back of the hand.” Examination shows normal sensation over the lateral aspect of the dorsum of the hand and the dorsal base of the thumb and index finger. Supplementary anesthesia of this area can be provided by blocking which of the following nerves?

(A) Ulnar
(B) Musculocutaneous
(C) Median
(D) Radial
(E) Intercostobrachial

Answer 1

(D) Radial

Question 2

Which of the following anesthetic techniques is most appropriate for a woman in the second stage of labor?

(A) Epidural opioids
(B) Local infiltration of the perineum
(C) Lumbar sympathetic block
(D) Paracervical nerve block
(E) Pudendal nerve block

Answer 2

(E) Pudendal nerve block

Question 3

Which of the following is correctly paired in terms of function?

A. A-beta nerve fiber - Pressure and Vibration

B. C fiber - Sharp pain

C. A-delta nerve fiber - muscle tension

D. A-alpha nerve fiber - Burning pain

Answer 3

A. A-beta nerve fiber - Pressure and Vibration