Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Regional 1 > Test 1 UE blocks > Flashcards

Test 1 UE blocks Flashcards

1
Q

Correct twitch for interscalene block

A

Bicep or forearm movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Infraclavicular block see bicep twitch

A

Too superior

Withdraw and reinsert more caudal

Musculocutaneous nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Infraclavicular block see deltoid muscle response

A

Too inferior
Withdraw and angle more superior

Axillary nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Interscalene block elevation of scapula

A

Too posterior

Levator scapula muscle- dorsal scapular nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Muscles innervated by thoracodorsal nerve

S&M

A

C6,7,8

Latissimus Dorsi

M- extends, adductor, medically rotates humerus
- raises body toward arms when climbing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Thoracodorsal (middle scapular nerve) origins

A

C6,7,8

Posterior Cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Interscalene block. Diaphragm stimulated

A

Phrenic nerve

Too anterior (between SCM and ASM)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Infraclavicular block see local twitch resembling latissimus

A

Subscapularis muscle

Too deep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Interscalene block. Trapezius movment in neck

A

Accessory nerve

To superior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Muscles innervated by radial nerve

A

Triceps

Extension of arm, wrist, proximal finger joints, supination, thumb abduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Musculocutaneous nerve contributors

A

C5,6,7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Muscles innervated by suprascapular

S&M

A

Infraspinatus and Supraspinatus

S- internal capsule of shoulder

M- shoulder abduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Muscles innervated by musculocutaneous nerve

M&S

A

BBC- biceps, brachialis, coracobrachialis

M- flex arm at elbow, supination

S- lateral surface of forearm (via antebrachial cutaneous) (thumb side)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Infraclavicular block stimulation wanted

A

Hand twitch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Infraclavicular block see arm adduction

A

Direct stimulation of pectoralis muscle

Too shallow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Muscles innervated by dorsal scapular nerve

S&M

A

Rhomboid Major and Minor
Levator Scapula

M- raises medial border of scapula up and medial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Muscles innervated by long thoracic nerve

S&M

A

Serratus Anterior

M- pulls medial border to scapula to posterior thoracic wall and stabilizes it
- rotates scapula with abduction of arm above a right angle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Correct placement of axillary block. Twitch want to see

A

Hand twitch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Nerves blocked by deep cervical plexus

A

Lesser Occipital
Greater Auricular
Transverse Cervical
Supraclavicular

Also ansa cervicalis, hypoglossal, accessory nerve portions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Nerves blocked with cervical plexus block

A

Lesser Occipital
Greater Auricular
Transverse Cervical
Supraclavicular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Medial brachial cutaneous nerve innervates

A

Medial upper arm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Medial antebrachial cutaneous nerve innervates

A

Medial forearm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Dorsal scapular nerve origin

A

C5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Phrenic nerve origin

A

C5,6,7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Medial pectoral nerve origin
C8,T1 | Medial cord
26
Axillary nerve origin
C5,6,7,8,T1 | Posterior cord
27
Radial nerve contributors
C5,6,7,8,T1 Posterior cord
28
Median nerve contributors
C5,6,7,8,T1 Medial and lateral cords
29
Medial brachial cutaneous nerve origin
T1
30
Muscles innervated by lateral pectoral and medial pectoral nerves
Pectoralis major and minor -adduction, medial rotation, flexion of humerus (shoulder joint)
31
Medial pectoral nerve origin
C8-T1
32
Lateral pectoral origin
C5,6,7
33
Muscles innervated by axillary nerve S&M
Deltoid and teres minor S- dome of shoulder M- abduction of arm at shoulder >15 degrees
34
Muscles innervated by ulnar nerve S&M
M- finger adduction and abduction - flexion of digit 4&5 - wrist flexion and adduction S- skin medial surface of hand (pinky and 1/2 ring finger)
35
Muscles innervated by median nerve S&M
M- thumb flexion and opposition - flex digit 2&3 - wrist flexion, abduction, pronation S- anterolateral hand (palm thumb to 1/2 ring finger)
36
Medial antebrachial cutaneous nerve origin
C8-T1 Medial cord
37
Ulnar nerve contributions
C8-T1
38
Long thoracic nerve origin
C5,6,7
39
Suprascapular nerve origin
C5-6
40
Area of nerves blocked by cervical plexus block
Ventral roots of C2,3,4
41
Superficial Cervical plexus block landmark approach
Midway between mastoid process and clavicle. Posterior SCM border C4 level
42
Amt of LA of superior cervical plexus block
22G short-bevel needle 0.5% or less bupiv/Ropiv/Marc 5-10ml fan direction
43
Innervates all muscles of larynx
Ansa cervicalis
44
Deep cervical plexus landmark approach
Line between mastoid process and chassignacs tubercle (cricoid) Move 1 cm behind that line 1-2cm down is C2 Make contact with cervical transverse process, withdraw 1-2 mm. Aspirate and inject 3-5ml at each level (2,3,4)
45
Nerves missed by interscalene block
Ulnar nerve Median antebrachial Medial brachial cutaneous nerves
46
Interscalene block Depth LA
1-3cm 15-20ml
47
Nerves missed by supraclavicular block
Suprascapular or dorsal scapular nerves Corner pocket injection covers ulnar nerve
48
Aka total spinal for arm
Supraclavicular
49
Supraclavicular block LA amt
20-25ml 6-7 ml corner pocket 10ml sheath 5ml above and medial
50
Infraclavicular cord location
Lateral to axillary artery- lateral cord Below axillary artery- posterior cord Medial to axillary artery- medial cord (between axillary artery and vein)
51
Relies of horseshoe spread of LA
Infraclavicular
52
Infraclavicular depth and LA
Deep. 3-5cm 30-40mlLA
53
Axillary block nerves missed
Musculocutaneous and axillary nerves
54
Axillary block depth and LA
Shallow. 1-2cm 25-30ml for main RUM block bottom to top Musculocutaneous nerve is always superior to axillary artery block with 6-8 ml Intercostobrachial to get antebrachial and medial brachial cutaneous 6-8ml
55
Radial nerve block
Lateral aspect and 3-4cm above elbow crease Hyperchoic on humerus and under tricep 2-3 ml
56
Median nerve block
Buried in muscle Adjacent to brachial artery at elbow 2-3ml
57
Ulnar nerve block
Adjacent to ulnar artery Hyperchoic 2-3ml Mid forearm
58
Infraspinatus > supraspinatus Reduced arm abduction and external rotation
Suprascapular nerve palsy
59
Thumb externally rotated into plane of palm
Median nerve palsy
60
Claw hand of first and second finger
Ulnar nerve palsy
61
Shoulder elevated and abducted Deltoid weakness
Axillary nerve palsy
62
Inability to flex at elbow
Musculocutaneous nerve palsy
63
Hand drop
Radial nerve palsy
64
Winged scapula
Dorsal scapular nerve palsy Rhomboid paralysis
65
S/S horners syndrome
Ptosis Anhydrosis Nasal congestion Miosis
66
Sympathetic mediated response without ptosis or miosis Facial flushing and sweating
Harlequin syndrome
67
2 absolute laws of avoiding pleural dome and causing pneumothorax
STAY AWAY from medial 1/3 of clavicle Stay anterior to 1st rib

Regional 1 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions