Regional

Question 1

Answer 1

Question 2

Is the brachial plexus hyper or hypo echoic?

Answer 2

Hypoechoic

Question 3

The stellate ganglion is located where?

Answer 3

C7

Question 4

Horner’s syndrome symptoms:

Answer 4

Ptosis, miosis, anhidrosis

Question 5

Injection of large volumes of LA (>30ml) during interscalene block can cause _____ paralysis. This presents as?

Answer 5

RLN; hoarseness

Question 6

What reflex is implicated in the pt who experiences a hypotensive bradycardic episode under interscalene blockade?

Answer 6

Bezold-Jarisch reflex

Question 7

What is the most significant complication of a Supraclavicular block?

Answer 7

Pneumothorax

Question 8

Answer 8

Question 9

Answer 9

Question 10

Label the nerves

Answer 10

Question 11

Which terminal nerve is not targeted by an axillary nerve block?

Answer 11

Axillary nerve

Question 12

What landmarks are used for an axillary block using a nerve stimulation technique?

Answer 12

Axillary artery
Coracobrachialis
Pec major
Biceps
Triceps

Question 13

Describe the orientation of the terminal branches relative to the axillary artery

Answer 13

Median= anterior + medial
Ulnar= posterior + medial
Radial= posterior + lateral
Msc= anterior + lateral

Question 14

What size needle should be used for trans arterial approach for axillary block?

Answer 14

1 1/2 inch 25g

Question 15

Can you block the median nerve (AC approach) in a pt with carpal tunnel syndrome?

Answer 15

No it should be avoided

Question 16

Answer 16

Question 17

Answer 17

Question 18

What order do you inflate and deflate the cuffs for a bier block?

Answer 18

Question 19

What should tourniquet pressure be for bier block?

Answer 19

~250mmHg or at least 100mmHg over SBP

Question 20

Max inflation time for tourniquet

Answer 20

2 hour

Question 21

When performing an infraclavicular block with nerve stimulation, what response suggests posterior cord stimulation.

Answer 21

Finger extension

Question 22

Answer 22

Question 23

Answer 23

Question 24

Answer 24

Question 25

Answer 25

Question 26

Answer 26

Question 27

Answer 27

Question 28

The posterior branch of the femoral nerve becomes what nerve?

Answer 28

Saphenous

Question 29

The lumbar plexus arises from ____ and innervates the ___ of the leg

Answer 29

L1-L4; front

Question 30

The sacral plexus arises from ____ and innervates the ____ of the leg

Answer 30

L4-S4; back

Question 31

Answer 31

Question 32

Which lower extremity nerves are sensory only?

Answer 32

Lateral femoral cutaneous
Saphenous
Sural

Question 33

Answer 33

Question 34

Answer 34

Question 35

Answer 35