Regional Exam 3

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  • 1/75 Questions

    Stimulation of the oculocardiac reflex will result in which of the following?

    • Bradycardia
    • Hypertension
    • PVC’s
    • Tachycardia
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Regional Exam 3 - Quiz
About This Quiz

A review to material for test 3 on peripheral nerve blocks.

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  • 2. 

    What monitoring is required when performing a Retrobulbar block on a pt?

    • ECG, O2 sat, and BP cuff

    • A-line, CVP, pulse ox, ECG

    • ECG and O2 sat only

    • BP cuff only

    Correct Answer
    A. ECG, O2 sat, and BP cuff
  • 3. 

    Which of the following is the proper sequence, from proximal to distal, for the composition of the brachial plexus?

    • Trunks, Cords, Roots, Divisions, Branches

    • Cords, Roots, Branches, Trunks, Divisions

    • Roots, Trunks, Divisions, Cords, Branches

    • Branches, Divisions, Trunks, Roots, Cords

    Correct Answer
    A. Roots, Trunks, Divisions, Cords, Branches
  • 4. 
    Idenity nerve #3 in the photo below. - ProProfs

    Idenity nerve #3 in the photo below.

    • Femoral

    • Saphenous

    • Sciatic

    • Lateral Femoral Cutaneous

    Correct Answer
    A. Sciatic
  • 5. 
    In above picture, what is nerve #2? - ProProfs

    In above picture, what is nerve #2?

    • Ulnar

    • Median

    • Radial

    • None of Above

    Correct Answer
    A. Ulnar
  • 6. 

    What is the largest nerve in the body?

    • Sciatic nerve

    • Brachial Plexus nerve

    • Femoral nerve

    • Spinal cord

    Correct Answer
    A. Sciatic nerve
  • 7. 

    Which of the following nerves does not play a role in lower extremity nerve blockade?

    • Lateral femoral cutaneous

    • Ilioinguinal

    • Obturator

    • Femoral

    Correct Answer
    A. Ilioinguinal
  • 8. 

    The Sciatic Nerve divides to form which two nerves of lower leg? (more than one  answer)

    • Medial Fibial Nerve

    • Dorsal Digital Nerve

    • Tibial Nerve

    • Common Peroneal Nerve

    Correct Answer(s)
    A. Tibial Nerve
    A. Common Peroneal Nerve
  • 9. 

    The brachial plexus is formed by the nerve roots of which vertebrae in the majority of people?

    • C5-C8

    • C2-T2

    • T1-T2

    • C1-C4

    Correct Answer
    A. C5-C8
  • 10. 

    Where is the proper insertion point for a femoral block (after having identified other landmarks, of course)?

    • 2 cm medial from femoral pulse

    • 2 cm caudad from femoral pulse

    • 2 cm distal from femoral pulse

    • 2 cm lateral from femoral pulse

    Correct Answer
    A. 2 cm lateral from femoral pulse
  • 11. 

    Blocking the lumbar plexus will block all sensory nerves of the leg and is sufficient for surgery.

    • True

    • False

    Correct Answer
    A. False
  • 12. 

    When injecting local anesthetic for a femoral block you should stop and re-aspirate every…

    • 5 ml’s

    • 2-3 ml’s

    • 10 ml’s

    • You don’t have to after the initial aspiration.

    Correct Answer
    A. 5 ml’s
  • 13. 

    How many nerves must be blocked for a properly performed ankle block?

    • 5

    • 4

    • 1

    • 3

    Correct Answer
    A. 5
  • 14. 

    Which of the following is not a landmark used when performing a Sciatic Block?

    • Superior Lateral corner of Pubic Tubercle

    • Posterior superior iliac spine

    • Greater Trochanter of hip

    • Sacral Hiatus

    Correct Answer
    A. Superior Lateral corner of Pubic Tubercle
  • 15. 

    You are delivering regional anesthetic to a patient when they begin to complain of feeling light headed and ringing in their ears. What should you do?

    • Slow down your rate of injection, and then administer rest of anesthetic.

    • Immediately notify MD and prepare pt for cardiac bypass, your plasma concentration is most likely too high now.

    • Immediately stop injection, start lipid infusion, monitor patient, your plasma concentration should still be low enough to reverse this.

    • Comfort the patient that this is normal to experience and deliver rest of anesthetic quickly.

    Correct Answer
    A. Immediately stop injection, start lipid infusion, monitor patient, your plasma concentration should still be low enough to reverse this.
  • 16. 

    A retrobulbar block typically involves use of what gauge of needle?

    • 25

    • 22

    • 20

    • 18

    Correct Answer
    A. 25
  • 17. 

    Stimulation of the radial nerve at level of elbow would result in which of the following?

    • Extension of wrist and fingers

    • Pronation of forearm and flexion of wrist

    • Flexion of pinky finger and ulnar wrist deviation

    • Contraction of deltoid muscle

    Correct Answer
    A. Extension of wrist and fingers
  • 18. 

    Stimulation of the ulnar nerve would result in which of following actions?

    • Flexion of pinky finger and ulnar wrist deviation

    • Extension of wrist and fingers

    • Pronation of forearm and flexion of wrist

    • Contraction of deltoid muscle

    Correct Answer
    A. Flexion of pinky finger and ulnar wrist deviation
  • 19. 

    Which nerve supplies sensation to the lateral aspect of the thigh down to the knee?

    • Femoral

    • Sciatic

    • Lateral Femoral Cutaneous

    • Ilioinguinal

    Correct Answer
    A. Lateral Femoral Cutaneous
  • 20. 

    Which of the following is not a complication commonly associated with interscalane blocks?

    • Phrenic Nerve blockade

    • Accidental vertebral artery injection

    • Horners Syndrome

    • All are associated with interscalane blocks

    Correct Answer
    A. All are associated with interscalane blocks
  • 21. 

    You are the SRNA for Mr. Pret who is having a carpal tunnel release today. The beir block was done and surgeon was done within 5 minutes. Trying to be helpful, the tech deflates your cuff for you once the procedure is finished. You are now crapping your pants because what might happen?

    • Increased risk for Malignant hyperthermia

    • Increases risk of permament nerve damage to arm

    • Increases risk of local anesthetic toxicity

    • All the above

    Correct Answer
    A. Increases risk of local anesthetic toxicity
  • 22. 

    COMIC RELIEF: Extreme sheep herding

    • Well, at least the bored shephards aren't doing *other* terrible things to the sheep...

    • PONG!!

    • He he he! Cute!

    • All the Above

    Correct Answer
    A. All the Above
  • 23. 

    Which of the following describes the anatomical landmarks used when doing an interscalene block?

    • Axillary artery below the pectoralis major muscle at the insertion of the bicep muscle.

    • The brachial pulse and medial epicondyle

    • The coracoid process, distal portion of the clavicle

    • The interscalene groove, located posterior to the clavicular insertion of the SCM.

    Correct Answer
    A. The interscalene groove, located posterior to the clavicular insertion of the SCM.
  • 24. 

    Which of the following describes the landmarks used when performing an axillary block?

    • Axillary artery below the pectoralis major muscle at the insertion of the bicep muscle.

    • The brachial pulse and medial epicondyle

    • The coracoid process, distal portion of the clavicle

    • The interscalene groove, located posterior to the clavicular insertion of the SCM.

    Correct Answer
    A. Axillary artery below the pectoralis major muscle at the insertion of the bicep muscle.
  • 25. 

    Which of the following nerves provides motor enervation to the quadriceps muscle and sensation to the anterior thigh?

    • Ilioinguinal

    • Obturator

    • Lateral Femoral Cutaneous

    • Femoral

    Correct Answer
    A. Femoral
  • 26. 
    Idenity nerve #5 in the photo below. - ProProfs

    Idenity nerve #5 in the photo below.

    • Tibial

    • Sural

    • Saphenous

    • Common Peroneal

    Correct Answer
    A. Common Peroneal
  • 27. 

    You are performing a femoral block and are giving a test dose of Lidocaine 2% with epi. What would you expect to be the first signs of accidental intravascular injection?

    • Increase in pt HR

    • Pt c/o ringing in ears

    • Seizures

    • Pt C/o numbness in extremity

    Correct Answer
    A. Increase in pt HR
  • 28. 

    A patient experiencing numbness of posterior forearm, thumb, and first two digits would most have a block of which nerve?

    • Ulnar

    • Radial

    • Medial

    • Obturator

    Correct Answer
    A. Radial
  • 29. 

    Which of the following nerve blocks is most effective for treatment of pain from knee surgery?

    • Sciatic

    • Lateral Femoral Cutaneous

    • Femoral

    • Obturator

    Correct Answer
    A. Femoral
  • 30. 

    What would be the appropriate choice of LA to use for a Bier Block?

    • Lidocaine 0.5% with epi

    • Bupivacaine 0.75% plain

    • Lidocaine 0.5% plain

    • Bupivacaine 0.75% with epi

    Correct Answer
    A. Lidocaine 0.5% plain
  • 31. 
    Idenity nerve #1 in the photo below. - ProProfs

    Idenity nerve #1 in the photo below.

    • Saphenous

    • Laterial Femoral Cutaneous

    • Sciatic

    • Femoral

    Correct Answer
    A. Femoral
  • 32. 
    In above picture, what is nerve #3? - ProProfs

    In above picture, what is nerve #3?

    • Ulnar

    • Median

    • Radial

    • None of Above

    Correct Answer
    A. Radial
  • 33. 

    Which of the following is not one of anatomical landmarks required to perform a femoral block?

    • Anterior Superior Iliac spine

    • Sacral Hiatus

    • The femoral artery

    • Superior lateral corner of pubic tubercle

    Correct Answer
    A. Sacral Hiatus
  • 34. 

    Which of the following complications would not be due to technique of the anesthesia provider?

    • Neurapraxia

    • Pneumothorax

    • Vasovagal response

    • Compartment syndrome

    Correct Answer
    A. Vasovagal response
  • 35. 

    Which of the following properly describes the musculocutaneous nerve?

    • It supplies motor enervation to the deltoid muscle it also supplies sensory enervation to the same area both anteriorly and posteriorly

    • Sensory it supplies the thumb, index, middle and half of the ring finger on the palmar(bolar) side on the dorsum of the hand it supplies the distal 3rd of the thumb and index fingers.

    • Stimulation of the nerve causes extension of the wrist.

    • Provides motor enervation to biceps and coracobrachialis, sensory to lateral aspect of forearm.

    Correct Answer
    A. Provides motor enervation to biceps and coracobrachialis, sensory to lateral aspect of forearm.
  • 36. 

    Which of the following would confirm successful exsanguination of the arm following Eschmark wrap?

    • Pale blotchy extremity, cool to touch

    • Loss of radial pulse and capillary refill

    • Pt stating arm is numb

    • Loss of motor control of wrist

    Correct Answer
    A. Loss of radial pulse and capillary refill
  • 37. 

    The sciatic nerve arises from which nerve roots?

    • L1-L3

    • L4-S3

    • S3-S5

    • T12-L2

    Correct Answer
    A. L4-S3
  • 38. 

    In the cervical region nerve roots exit _____ the vertebrae for which they are named, but starting in the Thoracic region nerve roots exit _____ the vertebrae for which they are names.

    • Below, above

    • Above, below

    • Beside, above

    • Below, Beside

    Correct Answer
    A. Above, below
  • 39. 
    In above picture, what is nerve #1? - ProProfs

    In above picture, what is nerve #1?

    • Ulnar

    • Median

    • Radial

    • None of Above

    Correct Answer
    A. Median
  • 40. 

    When blocking the sciatic nerve at the popilteal fossa, where should you aim to inject the local anesthetic?

    • 2-5 cm above the posterior crease of knee

    • 7-10 cm above the posterior crease of knee

    • 10-12 cm above the patella on anterior portion of thigh

    • 2-3 cm below the posterior crease of knee

    Correct Answer
    A. 7-10 cm above the posterior crease of knee
  • 41. 

    After a Bier Block has been successfully done, how long must you wait before deflating the tourniquet?

    • 10 minutes

    • 45 minutes

    • 20 minutes

    • 30 minutes

    Correct Answer
    A. 20 minutes
  • 42. 

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

    • Deep Peroneal nerve

    • Dorsal Digital nerve

    • Sural Nerve

    • Saphenous Nerve

    Correct Answer
    A. Dorsal Digital nerve
  • 43. 

    What is the most common complication associated with a retrobulbar block?

    • Globe Perforation

    • Neurogenic Apnea

    • Optic Nerve Atrophy

    • Retrobulbar Hemorrhage

    Correct Answer
    A. Retrobulbar Hemorrhage
  • 44. 

    When performing an eschmark wrap for a bier block you would first inflate the ____ cuff of the tourniquet and then the ____ cuff.

    • Distal, Proximal

    • Inflate both at the same time

    • Proximal, Distal

    Correct Answer
    A. Distal, Proximal
  • 45. 

    What would you expect to hear your patient say if you accidentally give a direct intraneural injection of local anesthetic?

    • “You said for me to tell if my ears started ringing ,well….. they just started ringing really bad”

    • “Wow, My whole arm feels totally numb now”

    • Nothing, it’s hard to talk when you’re having a seizure

    • “OW! OW! OWWWW!!!! That REALLY Hurts!!!!!!”

    Correct Answer
    A. “OW! OW! OWWWW!!!! That REALLY Hurts!!!!!!”
  • 46. 
    Idenity nerve #6 in the photo below. - ProProfs

    Idenity nerve #6 in the photo below.

    • Tibial

    • Common Peroneal

    • Sciatic

    • Femoral

    Correct Answer
    A. Tibial
  • 47. 

    The Ulnar nerve arises from the inferior roots of which vertebrae?

    • C5-C6

    • C6-C8

    • C2-C4

    • C8-T1

    Correct Answer
    A. C8-T1
  • 48. 

    Which of the following provides sensory and motor enervation to the deltoid muscle?

    • Scalene nerve

    • Axillary nerve

    • Median nerve

    • Musculocutaneous nerve

    Correct Answer
    A. Axillary nerve
  • 49. 

    Where would you perform a transtracheal block?

    • 2 cm caudad to Styloid process posterior to angle of jaw

    • Directly above greater cornu of Hyoid bone

    • Posterior to Tonsillar pillars

    • Through the Cricothyrohyoid membrane

    Correct Answer
    A. Through the Cricothyrohyoid membrane

Quiz Review Timeline (Updated): Dec 31, 2012 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Dec 31, 2012
    Quiz Edited by
    ProProfs Editorial Team
  • Apr 14, 2009
    Quiz Created by
    Scottishduffy
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