Final Review Flashcards
- Place in the correct order of blockade/differential blockade. (Motor function, superficial pain, touch, and temperature, autonomic, proprioception)
a. Autonomic b. Superficial pain, touch, temperature c. Motor function d. Proprioception
- In a LeFort II/III that is caused by trauma the cribriform plate may be disrupted opening up the underside of the cranial cavity. What is the intubation of choice if the patient isn’t already intubated? Pick one. a. Oral ETT b. Nasal ETT
a. Oral ETT
- What equipment and/or labs need to be available/done for elective LeFort I/II fracturs and plating to fix significant malocclusion. Pick 4. a. T & S b. Fluid warmer c. Nasal ETT d. Oral ETT e. Arm boards f. ETCO2 monitoring
a. T & S b. Fluid warmer c. Nasal ETT f. ETCO2 monitoring
- What are the two local anesthetics that are s enantiomers [A] and [B]?
a. Ropivacaine b. Levobupivacaine
- Place in correct order the nerves which are blocked following epidural administration of local anesthetic.
a. B fibers b. C and A delta fibers c. A gamma fibers d. A beta fibers e. A alpha fibers
- What local anesthetics are approved by the FDA for spinals? Select all that apply. a. Tetracaine b. 2-Chloroprocaine c. Bupivacaine d. Lidocaine
a. Tetracaine c. Bupivacaine d. Lidocaine
- What are the classification of receptors in the sensory pathway for exteroceptors? a. Deeper skin layers, joint capsules, ligaments, tendons, muscles, and periosteum b. Near the surface of the skin and oral mucosa
b. Near the surface of the skin and oral mucosa
- What is the distance from skin to the midline epidural space [A] cm?
a. 2.5-8
- Anterolateral System, select all the sensory pathways that apply. a. Conduction speed: 30-110m/sec b. Spatial orientation: low with respect to origin c. Fibers: large, myelinated d. Discrete types of mechanoreceptive sensations e. Conduction speed: few- 40m/sec f. Spatial orientation: high with respect to origin g. Broad spectrum of sensory modalities: pain, warmth, cold, crude touch h. Fibers: smaller, myelinated
b. Spatial orientation: low with respect to origin e. Conduction speed: few- 40m/sec g. Broad spectrum of sensory modalities: pain, warmth, cold, crude touch h. Fibers: smaller, myelinated
- Dorsal Column Medial Lemniscus Fibers, select all the sensory pathways that apply. a. Fibers: large, myelinated b. Conduction speed: 30-110 m/sec c. Spatial orientation: low with respect to origin d. Broad spectrum of sensory modalities: pain, warmth, cold, crude touch e. Discrete types of mechanoreceptive sensations f. Spatial orientation: high with respect to origin g. Conduction speed: few– 40 m/sec h. Fibers: smaller, myelinated
a. Fibers: large, myelinated b. Conduction speed: 30-110 m/sec e. Discrete types of mechanoreceptive sensations f. Spatial orientation: high with respect to origin
- What are the classification of receptors in the sensory pathway for the proprioceptors? a. Deeper skin layers, joint capsules, ligaments, tendons, muscles, and periosteum b. Near the surface of the skin and oral mucosa
a. Deeper skin layers, joint capsules, ligaments, tendons, muscles, and periosteum
- The epidural space is between [A] and [B].
a. Ligamentum Flavum b. Dura Mater
- The most common complication associated with a supraclavicular brachial plexus block is: a. Blockade of the phrenic nerve b. Blockade of the recurrent laryngeal nerve c. Intravascular injection in the vertebral artery d. Pneumothorax
a. Blockade of the phrenic nerve
- Which of the following is TRUE regarding intravenous regional anesthesia (Bier Block)? a. Can be used for extremity surgeries lasting 2 to 3 hours b. Lidocaine is most commonly used c. Useful for postoperative pain in extremity surgery d. Bupivacaine is the drug of choice for prolonged blocks
b. Lidocaine is most commonly used
- A 76 yr. old female patient is undergoing a carotid endarterectomy under a deep cervical plexus nerve block. Which of the following complications would be LEAST likely with this unilateral block? a. Blockade of the spinal accessory nerve b. Subarachnoid injection c. Unilateral phrenic nerve paralysis d. Vertebral artery injection
a. Blockade of the spinal accessory nerve