Exam 3 blocks (study guide and jeapordy)

Question 1

What nerve block is best for shoulder surgery

Answer 1

interscalene

Question 2

What nerve block is commonly used for total knee

Answer 2

Adductor

Question 3

Blocking above the clavicle: as little as ____ cc of air can lead to seizures

Answer 3

0.5

Question 4

5 nerves that distribute parasympathetic fibers to visera

Answer 4

Esophageal
Pharyngeal
Cardiac
Pulmonary
Celiac

Question 5

What are the anatomical landmarks for the superficial cervical plexus block

Answer 5

Sternoclidomastoid
Middle sclaene
Brachial plexus
anterior scalene

Question 6

What can occur with Facial Illiaca nerve block and why

Answer 6

Urinary retention
Can migrate to pelvic plexus

Question 7

Commonly used amides

Answer 7

Lidocaine
Ropivacaine
Mepivacaine
Bupivacaine

Question 8

Amides are metabolized by

Answer 8

Cytochrome P450 in the liver

Question 9

Esters are metabolized by

Answer 9

Plasma cholinesterase

Question 10

Block lasting longer than normal with expose to pesticides - why?

Answer 10

Block is an Ester (Chloroprocaine)

pesticides = decrease in plasa cholinesterase

Question 11

Dexmedetomidine in a block

Answer 11

Contraindicated in cardiac blocks/problems!

Question 12

Metabolites of morphine

Answer 12

M6G
M3G

Question 13

Which metabolite of morphine is an active metabolite

Answer 13

M6G

Question 14

Adductor block distribution innervates

Answer 14

Branches of the femoral nerve:
Knee
Medial malleolus
Medial large toe

Question 15

Supraclavicular block for

Answer 15

Upper arm, elbow, wrist, hand

*usually not shoulder

Question 16

Infraclavicular block

Answer 16

Brachial plexus; blocks below mid humerus

Question 17

Femoral block motor innervates to

Answer 17

quads, sartorius, pecfineus

Question 18

Femoral block sensory innervation

Answer 18

anterior thigh, knee, medial aspect of lower extremety

terminates at saphenous neve

Question 19

Interscalene block - how does it cause Horner’s syndrome

Answer 19

blocks stellate ganglion (C7)

Question 20

Hypotensive bradycardia episode in surgery: 3 causes

Answer 20

1. Position (sitting)
2. Interscalene block
3. Epi used in the block

Question 21

Objective of interscalene block

Answer 21

C5-7 roots of brachial plexus between anterior and scalene muscles

Question 22

Transducer position during interscalne block

Answer 22

Transverse 3-4 cm above clavicle

Question 23

Landmarks for interscalene block

Answer 23

1. Cricoid cartiladge
2. Lateral border calvicular head of sternocleidomastoid
3. Clavicle