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Anatomy II > Neuraxial Block Test Questions > Flashcards

Neuraxial Block Test Questions Flashcards

1
Q

Which nerve blocks the anterior AND posterior of the medial one and a half fingers?

a. Ulnar
b. Median
c. Radial
d. Musculocutaneous
e. Axillary

A

Ulnar

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2
Q

Which of the following nerves is not blocked during an axillary block?

a. Median
b. Ulnar
c. Axillary
d. Radial

A

Axillary

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3
Q

In order to obtain optimal visualization the most ______ nerve should be anesthetized first in an axillary block.

a. Anterior
b. Posterior
c. Lateral
d. Superficial

A

Posterior

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4
Q

Which block is associated with Horner syndrome?

a. Interscalene
b. Axillary Block
c. Stellate Ganglion
d. TAP Block

A

Stellate Ganglion

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5
Q

What block would increase blood flow for frost bite of the three and a half lateral fingers?

a. Radial
b. Median
c. Axillary
d. Stellate Ganglion

A

Stellate Ganglion

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6
Q

Which one of these nerve blocks provides sensory anesthesia to the medial knee and medial leg?

a. iPACK
b. Sciatic
c. Adductor Canal
d. Femoral

A

Adductor Canal

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7
Q

During an adductor canal nerve block, what are 3 muscles you identify on the ultrasound?

a. Sartorious, Adductor Longus, Vastus Medialis
b. Adductor Longus, Rectus Femoris, Sartorius
c. Vastus Medialis, Vastus Lateralis, Adductor Longus
d. Pectineus, Adductor Longus, Vastus Medialis

A

Sartorious, Adductor Longus, Vastus Medialis

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8
Q

Which of the following would be an indication for an adductor canal block?

a. Ankle arthroscopy
b. TKA
c. Bunionectomy
d. Tibia/Fibula ORIF

A

TKA

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9
Q

Where does an iPACK nerve block provide anesthesia?

a. Lateral knee
b. Anterior knee
c. Posterior knee
d. Medial knee

A

Posterior knee

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10
Q

Which of the following nerve blocks is used in conjunction with an iPACK in order to provide analgesia for post-op TKA?

a. Adductor canal
b. Femoral
c. Fascia Iliaca
d. Sciatic

A

Adductor canal

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11
Q

During what type of procedure would a sciatic nerve block be indicated?

a. hysteroscopy
b. craniotomy
c. appendectomy
d. corrective foot surgery

A

corrective foot surgery

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12
Q

What nerve(s) does the sciatic nerve bifurcate into at the popliteal fossa?

a. saphenous nerve
b. biceps femoris
c. tibial nerve
d. common peroneal nerve
e. Both C & D

A

Both C & D

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13
Q

The sciatic nerve innervates what portions of the lower limb?

a. quadriceps femoris
b. entire lower limb below (knee down)
c. lower limb below the knee, except medial aspect
d. gluteus maximus and quadriceps femoris

A

lower limb below the knee, except medial aspect

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14
Q

The SPEDI (single penetration dual injection) technique includes what block(s)?

a. saphenous & sciatic nerve blocks
b. sciatic nerve block only
c. saphenous nerve block only
d. lumbar plexus block

A

saphenous & sciatic nerve blocks

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15
Q

Regional anesthetic blockade of the sciatic nerve is possible at the following locations EXCEPT:

a. sacral plexus
b. brachial plexus
c. transgluteal
d. subgluteal
e. Popliteal

A

brachial plexus

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16
Q

Which of the following is an indication for a celiac plexus block?

A. Pancreatic cancer
B. Brain cancer
C. Lateral leg surgery
D. Abdominal incision pain

A

Pancreatic cancer

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17
Q

When doing a TAP block, where do the target nerves lie in relation to abdominal wall muscle layers?

A. Between the transverse abdominus and the peritonium
B. Between the external oblique and the internal oblique
C. Between the internal oblique and the transverse abdominus
D. Between the external oblique and the transverse abdominus

A

Between the internal oblique and the transverse abdominus

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18
Q

Which of the following correctly lists the anatomical landmarks that are used when performing a BLIND approach TAP block?

A
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19
Q

Which of following is a potential complication of performing the celiac plexus block?

A. Subclavian vein puncture
B. Right common carotid puncture
C. Stomach puncture
D. Aortic puncture

A

Aortic puncture

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20
Q

What part of the abdomen is covered by a TAP block?

A. Anterior midline
B. Upper lateral abdomen
C. Sub-umbilical anterolateral abdomen
D. Lateral wall to midline, costal margin to iliac crest

A

Sub-umbilical anterolateral abdomen

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21
Q

An interscalene block targets what level of the brachial plexus?

a. Roots
b. Trunks
c. Divisions
d. Cords
e. Branches

A

Roots

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22
Q

An interscalene block is effective for anesthetizing

A
23
Q

Where is the injection made for an interscalene block?

a. Thyroid Cartilage
b. Cricoid Cartilage
c. Internal Jugular Vein
d. Sternocleidomastoid

A

Cricoid Cartilage

24
Q

Which are the following are complications of an interscalene block?

A
25
Q

Which of the following are true regarding an anterior suprascapular block?

a. It has more complications and side effects than an interscalene block
b. It may require supplementation
c. It provides inferior pulmonary function compared to an interscalene block
d. It is commonly used in patients with pre-existing pulmonary pathology where an interscalene block is contraindicated
e. A and B
f. B and D
g. A, B, D
h. All of the above

A

B and D

26
Q

Regarding an ultrasound guided femoral nerve block, what is the most correct statement:

a. The femoral nerve is deep so a low frequency probe is usually used
b. Continuous infusion with an epidural catheter is contraindicated because of close proximity to the femoral artery
c. The femoral nerve is a major contributor of sensation to the knee joint and blocking it will provide useful analgesia for knee surgery
d. The femoral nerve arises from nerve roots L3-S4

A

The femoral nerve is a major contributor of sensation to the knee joint and blocking it will provide useful analgesia for knee surgery

27
Q

The knee joint is innervated by all the following nerves, except:

a. Femoral nerve
b. Lateral femoral cutaneous
c. Obturator nerve
d. Sciatic nerve (L4-S3)

A

Lateral femoral cutaneous

28
Q

The landmarks for the fascia iliaca block include all of the following, except:

a. ASIS (Anterior superior iliac spine)
b. Ipsilateral pubic tubercle
c. Umbilicus
d. Femoral arterial pulse

A

Umbilicus

29
Q

An 88-year old woman is scheduled for an elective total hip arthroplasty, which of the following regional techniques would be most appropriate for analgesia?

a. Deep peroneal
b. Obturator
c. Popliteal
d. Fascia iliaca

A

Fascia iliaca

30
Q

The ___________ nerve is the largest terminal branch of the lumbar plexus, formed by the dorsal divisions of the anterior rami of L2-L4.

a. Femoral
b. Lateral femoral cutaneous
c. Obturator
d. Genitofemoral

A

Femoral

31
Q

When performing a paravertebral block, the tip of the needle should pass between the

a. spinous processes of the vertebrae
b. transverse processes of the vertebrae
c. ribs
d. vertebral foramen

A

transverse processes of the vertebrae

32
Q

An intercostal nerve blockade should include

a. one dermatome below and one dermatome above the surgical site
b. two dermatomes below and one dermatome above the surgical site
c. two dermatomes below and two dermatomes above the surgical site
d. three dermatomes below and three dermatomes below the surgical site

A

two dermatomes below and two dermatomes above the surgical site

33
Q

An intercostal block can be difficult to perform

a. above T7
b. above T8
c. above T9
d. above T10

A

above T7

34
Q

This block has the highest chance of local anesthetic toxicity

a. paravertebral block
b. serratus plane block
c. PECs block
d. intercostal block

A

intercostal block

35
Q

An intercostal block is commonly performed

a. just medial to the transverse process
b. along the angle of the rib
c. along the midaxillary line
d. along the midclavicular line

A

along the angle of the rib

36
Q

he intercostal neurovascular bundle is oriented (from top to bottom)

a. vein-artery-nerve
b. artery-vein-nerve
c. nerve-vein-artery
d. vein-nerve-artery

A

vein-artery-nerve

37
Q

In a serratus plane block, the local anesthetic is administered between

a. the serratus and pectoralis minor muscles
b. the serratus and pectoralis major muscles
c. the latissimus dorsi and pectoralis minor muscles
d. the serratus and latissimus dorsi muscles

A

the serratus and latissimus dorsi muscles

38
Q

This digital block involves 4 injections to anesthetize both dorsal and both palmar nerves.

A) Webspace
B) Ring
C) Transthecal
D) Wing

A

Ring

39
Q

Which Digital block technique allows for the least amount of the hand to be anesthetized?

A) Wing
B) Webspace
C) Transthecal
D) Wrist

A

Wing

40
Q

This nerve is part of the Wrist Block and is anesthetized by injecting between the Flexor Carpi Radialis and the Palmaris Longus.

A) Ulnar
B) Thenar
C)Radial
D) Median

A

Median

41
Q

Which Nerve of the Wrist block requires the highest volume of anesthetic due to its variances in branch locations from person to person?

A) Radial
B) Ulnar
C) Median
D) Dorsal Digital

A

Radial

42
Q

This digital block is considered the easiest for beginners as it has the greatest assurance of anesthesia due to high volume and circumferential application, but is inappropriate for a stuck wedding ring.

A) Transthecal
B) Wing
C) Ring
D) Palmar

A

Ring

43
Q

Ilioinguinal/Iliohypogastric nerve block may be indicated in which of the following surgeries:

a) Orchidopexy
b) Hydrocoele repair
c) Varicocele surgery
d) Inguinal hernia repair
e) All of above

A

All of above

44
Q

Ilioinguinal/Iliohypogastric block correct injectate placement is between:

a) Transversus abdominis and Internal oblique muscles
b) External oblique muscle and Internal oblique muscle
c) Transversus abdominis and Internal oblique muscle
d) Subcutaneous tissue and External oblique muscle

A

Transversus abdominis and Internal oblique muscles

45
Q

Common complications of a Ilioinguinal/Iliohypogastric block is:

a) Transient femoral nerve palsy
b) Pneumothorax
c) Intraperitoneal injection
d) Bowel/viscus perforation

A

Transient femoral nerve palsy

46
Q

A 66-year-old male, with a history of severe obstructive sleep apnea, presents for umbilical hernia repair. To reduce the need for postoperative opioid analgesia, the anesthesiologist plans to use a regional anesthetic. Which regional anesthetic procedure would help accomplish this?

a. Pectoralis plane block
b. Deep cervical plexus block
c. Quadratus lumborum block
d. Lumbar plexus block

A

Quadratus lumborum block

47
Q

Duration of a Quadratus lumborum block is:

a)Longer than a TAP block
b)Shorter than a TAP block
C) About the same as TAP

A

Longer than a TAP block

48
Q

Which is NOT a type of Quadratus Lumborum block (QLB)?

a) Lateral QLB
b) Medial QLB
c) Anterior QLB
d) Posterior QLB
e) Intramuscular QLB

A

Medial QLB

49
Q

What structure(s) is/are NOT included in those that make up the shamrock sign for a Quadratus lumborum block?

a) Transverse process of T4
b) Erector spinae
c) Quadratus lumborum
d) Psoas major
e) Latissimus Dorsi

A

Latissimus Dorsi

50
Q

Which artery is used as a landmark when performing an infraclavicular block?

A. subclavian artery
B. Axillary artery
C.Ulnar artery
D.Radial artery

A

Axillary artery

51
Q

Which of the following is not an advantage of infraclavicular nerve blocks?

A.Decreased risk of pneumothorax
B.The preferred site for catheter insertion
C.Utilized for shoulder surgery
D.Lower incidence of tourniquet pain

A

Utilized for shoulder surgery

52
Q

Which upper extremity peripheral nerve block is performed at the level of the cords of the brachial plexus?

A.Supraclavicular nerve block
B.Interscalene nerve block
C.Axillary nerve block
D. Infraclavicular nerve block

A

Infraclavicular nerve block

53
Q

The recommended concentration of Local Anesthesia for a Supraclavicular block is ?

A.Mepivacaine (1.5%)
B.Lidocaine (0.75 %)
C.Bupivacaine (0.5 % )
D.Lidocaine (1%)

A

Mepivacaine (1.5%)

54
Q

A 20 year old male who experienced a recent radius fracture is scheduled to undergo open reduction internal fixation of the radius. He elects to have regional anesthesia performed of the brachial plexus. Under ultrasonographic guidance, the typical supraclavicular view is obtained. If the needle is accidentally advanced medial to the brachial plexus, what would be the most likely structure to be contacted by the needle and what would be the most likely complication from traversing this medial structure?

A.External jugular artery; hematoma
B.Subclavian artery; hematoma
C.Pleura; pneumothorax and dyspnea
D.Phrenic nerve; dyspnea

A

Subclavian artery; hematoma

Anatomy II (8 decks)

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