A review to material for test 3 on peripheral nerve blocks.
Ulnar
Median
Radial
None of Above
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Fewer needle sticks for pt
Decreased risk of infection
Easier to perform for anesthesia provider
Fewer hemodynamic effects
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ECG, O2 sat, and BP cuff
A-line, CVP, pulse ox, ECG
ECG and O2 sat only
BP cuff only
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Trunks, Cords, Roots, Divisions, Branches
Cords, Roots, Branches, Trunks, Divisions
Roots, Trunks, Divisions, Cords, Branches
Branches, Divisions, Trunks, Roots, Cords
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Ulnar
Median
Radial
None of Above
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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.
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C5-C8
C2-T2
T1-T2
C1-C4
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Flexion of pinky finger and ulnar wrist deviation
Extension of wrist and fingers
Pronation of forearm and flexion of wrist
Contraction of deltoid muscle
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Femoral
Sciatic
Lateral Femoral Cutaneous
Ilioinguinal
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Sciatic nerve
Brachial Plexus nerve
Femoral nerve
Spinal cord
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Ilioinguinal
Obturator
Lateral Femoral Cutaneous
Femoral
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True
False
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2 cm medial from femoral pulse
2 cm caudad from femoral pulse
2 cm distal from femoral pulse
2 cm lateral from femoral pulse
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Bradycardia
Hypertension
PVC’s
Tachycardia
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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.
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Lateral femoral cutaneous
Ilioinguinal
Obturator
Femoral
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Medial Fibial Nerve
Dorsal Digital Nerve
Tibial Nerve
Common Peroneal Nerve
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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.
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Well, at least the bored shephards aren't doing *other* terrible things to the sheep...
PONG!!
He he he! Cute!
All the Above
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Increased risk for Malignant hyperthermia
Increases risk of permament nerve damage to arm
Increases risk of local anesthetic toxicity
All the above
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5
4
1
3
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Saphenous
Laterial Femoral Cutaneous
Sciatic
Femoral
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25
22
20
18
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Ulnar
Median
Radial
None of Above
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5 ml’s
2-3 ml’s
10 ml’s
You don’t have to after the initial aspiration.
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Phrenic Nerve blockade
Accidental vertebral artery injection
Horners Syndrome
All are associated with interscalane blocks
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Lidocaine 0.5% with epi
Bupivacaine 0.75% plain
Lidocaine 0.5% plain
Bupivacaine 0.75% with epi
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Increase in pt HR
Pt c/o ringing in ears
Seizures
Pt C/o numbness in extremity
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Closing their hand
Leg Lunges
Bicep Curl
Wrist dorsiflexion
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Tibial
Common Peroneal
Sciatic
Femoral
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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.
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Obturator
Femoral
Lateral Femoral Cutaneous
Ilioinguinal
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Distal, Proximal
Inflate both at the same time
Proximal, Distal
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Extension of wrist and fingers
Flexion of pinky finger and ulnar wrist deviation
Pronation of forearm and flexion of wrist
Contraction of deltoid muscle
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L5-S3
T10-T12
L1-L4
C7-T3
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Anterior Superior Iliac spine
Sacral Hiatus
The femoral artery
Superior lateral corner of pubic tubercle
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Tibial
Sural
Saphenous
Common Peroneal
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Neurapraxia
Pneumothorax
Vasovagal response
Compartment syndrome
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L1-L3
L4-S3
S3-S5
T12-L2
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Extension of wrist and fingers
Pronation of forearm and flexion of wrist
Flexion of pinky finger and ulnar wrist deviation
Contraction of deltoid muscle
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Ulnar
Radial
Medial
Obturator
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C5-C6
C6-C8
C2-C4
C8-T1
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2 cm caudad to Styloid process posterior to angle of jaw
Directly above greater cornu of Hyoid bone
Posterior to Tonsillar pillars
Through the Cricothyroid membrane
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Lateral femoral cutaneous nerve
Femoral nerve
Obturator nerve
Sciatic Nerve
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Sciatic
Lateral Femoral Cutaneous
Femoral
Obturator
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Below, above
Above, below
Beside, above
Below, Beside
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Median
Scalene
Radial
Ulnar
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Wrist and thumb flexion
Foot dorsiflexion
Twitching of lateral thigh
Plantar flexion
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