REGIONAL REVIEW BRIEF

Question 1

The ankle block is performed by anesthetizing the five nerves at the level of the ankle:

Answer 1

SSSTD
sural nerve
superficial peroneal nerve
saphenous nerve
tibial nerve
deep peroneal nerve, and the

Question 2

Ankle block anesthesizes how many nerves?

Answer 2

5

Question 3

Cardiac accelerator fibers Levels

Answer 3

T1-T4

Question 4

Spinal cord invested in 3 meninges:

Answer 4

PIA, Arachnoid, Dura mater

Question 5

Subarachnoidspace lies between the

Answer 5

pia mater and the arachnoid mater

Question 6

Spinal Cord ends at____for adults, L3 for children

Answer 6

L1 f

Question 7

Spinal Cord ends at L1 for adults, ___for children

Answer 7

L3

Question 8

What artery provides the majority of the blood supply to the anterior, lower 2/3 of the spinal cord?

Answer 8

Artery of Adamkiewicz

Question 9

Which portion of the spinal cord is most associated with transmission of pain signals?

Answer 9

DORSAL HORN

Question 10

Blood flow to the posterior 1/3 of the spinal cord is provided by the

Answer 10

posterior spinal artery.

Question 11

Cauda Equina extends from

Answer 11

L1 to S5

Question 12

3 interlaminar ligaments:

Answer 12

Superficial supraspinous ligaments, interspinous ligament, ligamentum flavum.

Question 13

How many vertebrae form the vertebral column?

Answer 13

33 bones called vertebrae

Question 14

Three major factors contributing to the negative chronotropic and inotropic effects of local anesthetics.

Answer 14

Hypoxia, hypercarbia, and acidosis

Question 15

Blockade of which of the following nerves would result in an inability to adduct the legs?

Answer 15

Obturator

Question 16

With neuraxial anesthesia, a differential block is produced which typically results in a sympathetic block that can be as

Answer 16

high as 6 dermatome levels above the sensory blockade.

Question 17

Can disrupt platelet aggregation for up to 7 days after discontinuation.

Answer 17

Garlic

Question 18

2 herbal that can both impair coagulation for about 36 hours after discontinuation.

Answer 18

Ginkgo and ginseng

Question 19

One of the hallmark signs of PDPH is that it is aggravated by______ or _____and relieved by _____

Answer 19

sitting or standing and relieved by lying down.

Question 20

Out of all of the ventilatory parameters what is the only one to consistently improve the respiratory function of morbidly obese individuals?

Answer 20

PEEP

Question 21

Which of the following parameters would NOT be elevated in the obese patient?

Answer 21

Chest wall compliance