Final Review Flashcards

1
Q
  1. Place in the correct order of blockade/differential blockade. (Motor function, superficial pain, touch, and temperature, autonomic, proprioception)
A

a. Autonomic b. Superficial pain, touch, temperature c. Motor function d. Proprioception

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2
Q
  1. 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

a. Oral ETT

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3
Q
  1. 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

a. T & S b. Fluid warmer c. Nasal ETT f. ETCO2 monitoring

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4
Q
  1. What are the two local anesthetics that are s enantiomers [A] and [B]?
A

a. Ropivacaine b. Levobupivacaine

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5
Q
  1. Place in correct order the nerves which are blocked following epidural administration of local anesthetic.
A

a. B fibers b. C and A delta fibers c. A gamma fibers d. A beta fibers e. A alpha fibers

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6
Q
  1. What local anesthetics are approved by the FDA for spinals? Select all that apply. a. Tetracaine b. 2-Chloroprocaine c. Bupivacaine d. Lidocaine
A

a. Tetracaine c. Bupivacaine d. Lidocaine

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7
Q
  1. 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
A

b. Near the surface of the skin and oral mucosa

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8
Q
  1. What is the distance from skin to the midline epidural space [A] cm?
A

a. 2.5-8

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9
Q
  1. 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
A

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

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10
Q
  1. 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

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

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11
Q
  1. 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

a. Deeper skin layers, joint capsules, ligaments, tendons, muscles, and periosteum

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12
Q
  1. The epidural space is between [A] and [B].
A

a. Ligamentum Flavum b. Dura Mater

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13
Q
  1. 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

a. Blockade of the phrenic nerve

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14
Q
  1. 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
A

b. Lidocaine is most commonly used

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15
Q
  1. 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

a. Blockade of the spinal accessory nerve

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16
Q
  1. A 69 yr old man with a history of diabetes mellitus and chronic renal failure is to undergo placement of a dialysis fistula under regional anesthesia. During needle manipulation for a supraclavicular brachial plexus block, the patient begins to cough and complain of chest pain and shortness of breath. The MOST likely diagnosis is: a. Angina b. Phrenic nerve irritation c. Pneumothorax d. Intravascular injection of local anesthetic
A

c. Pneumothorax

17
Q
  1. Which is NOT a potential complication of a stellate ganglion block? a. Subarachnoid block b. Recurrent laryngeal nerve paralysis c. Brachial plexus block d. Increased heart rate
A

d. Increased heart rate

18
Q
  1. (T or F) Sciatic nerve blocks in combination with lumbar plexus or femoral block provide complete anesthesia and postoperative analgesia for lower-extremity surgery.
A

True

19
Q
  1. Match the terms with the definitions (Analgesia, allodynia, hyperalgesia, neuralgia, neuropathy, paresthesia)
A

a. Algesia- increased sensitivity to pain b. Allodynia- a normally nonharmful stimulus is perceived as painful c. Hyperalgesia- a heightened response to a normally painful stimulus d. Neuralgia- pain in the distribution of a peripheral nerve e. Neuropathy- an abnormal disturbance in the function of a nerve f. Paresthesia- an abnormal sensation, whether spontaneous or evoked

20
Q
  1. Somatic pain is sharp and well-localized. Visceral pain is vague and associated with nausea/vomiting.
A

True

21
Q
  1. List three chemical mediators affiliated with transduction [A], [B}, and [C].
A

(Can be any combination of the following) a. Substance P b. Glutamate c. Bradykinin d. Histamine e. Serotonin (5-HT) f. Prostaglandins g. Thromboxane h. Leukotrienes i. Cytokines j. Calcitonin gene-related peptide (CGRP)

22
Q
  1. The three anatomical regions affiliated with pain are:
A

a. Peripheral b. Spinal c. Cerebral

23
Q
  1. (T or F) The only nerve to innervate the foot that is not branched from the sciatic nerve is the saphenous nerve.
A

True

24
Q

Label the Brachial Plexus

A