Regional - Quiz 2

82 Questions | Total Attempts: 133

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Regional - Quiz 2

A review of material for test 3. Contains spinal, epidural and combined technique. Not a whole lot from the last week's ppt as Vince really didn't cover it.


Questions and Answers
  • 1. 
    Where would you expect the spinal canal to end on an adult patient?
    • A. 

      L1- L2

    • B. 

      L3

    • C. 

      L5

    • D. 

      Sacral Hiatus

  • 2. 
    Where you expect the Spinal Cord to end on an adult patient?
    • A. 

      L1-L2

    • B. 

      L3

    • C. 

      L5

    • D. 

      Sacral Hiatus

  • 3. 
    You have just performed spinal anesthesia and found you have a sympathetic blockade at the level of T6. Is this safe for your patient?
    • A. 

      No, they are at increases risk for dural puncture headache.

    • B. 

      Yes, this is considered a safe level of sympathetic blockade.

    • C. 

      No, the patient is at risk for profound bradycardia

    • D. 

      No, the level of blockade. is inadequate.

  • 4. 
    You have just performed spinal anesthesia and found you have a motor blockade at the level of T6. Is this safe for your patient?
    • A. 

      No, they are at increases risk for dural puncture headache.

    • B. 

      Yes, this is considered a safe level of sympathetic blockade.

    • C. 

      No, the patient is at risk for profound bradycardia.

    • D. 

      No, the level of blockade is inadequate.

  • 5. 
    You are performing an epidural on a with a large abdominal tumor, would you expect this to change your dose of anesthetic used?
    • A. 

      Nope, amount of anesthetic used will stay the same.

    • B. 

      You will require more anesthetic to reach the desired effect.

    • C. 

      This is a contraindication to epidural anesthesia, I would not do the block.

    • D. 

      I would expect to use less anesthetic.

  • 6. 
    After performing Spinal anesthesia you have a Sensory blockade at the level of T 10.  You would expect to see a sympathetic blockade at the level of _____ and a motor blockade at the level of _____.
    • A. 

      T8, T12

    • B. 

      T 6, T8

    • C. 

      T12, L2

    • D. 

      T12, T8

  • 7. 
    Which of the following patients is an Absolute contraindication to spinal anesthesia?
    • A. 

      Mrs. A what has severe mitral stenosis.

    • B. 

      Mr. B who has advanced HIV disease.

    • C. 

      Mrs. C who suffers from scoliosis.

    • D. 

      Mr. D who will have a long procedure.

  • 8. 
    The angle of the scapula roughly correlates to which vertebrae?
    • A. 

      C7

    • B. 

      T7

    • C. 

      L3

    • D. 

      L1

  • 9. 
    Where is CSF produced?
    • A. 

      Ependymal cells of choroid plexus

    • B. 

      Enterochromatic cells in ventricular system

    • C. 

      In the aquaduct of Sylvius in the 4th ventricle

    • D. 

      In the lymphatic system

  • 10. 
    Which area of the brain is responsible for motor function and movement away from painful stimuli?
    • A. 

      Post Central Gyrus

    • B. 

      White matter of spinal cord

    • C. 

      Precentral Gyrus

    • D. 

      Dorsal Root

  • 11. 
    How many pairs of spinal nerves do we have?
    • A. 

      24

    • B. 

      29

    • C. 

      30

    • D. 

      31

  • 12. 
    Which of the following carries all efferent signals heading out to the periphery?
    • A. 

      Ventral Root

    • B. 

      Dorsal Root

    • C. 

      Unmyelinated fibers of White Matter

    • D. 

      Epineurium

  • 13. 
    Where do preganglionic fibers of the parasympathetic nervous system end?
    • A. 

      Sympathetic chain

    • B. 

      In the organ they innervate

    • C. 

      Intermediolateral gray matter

    • D. 

      Sacral nerves

  • 14. 
    What are the primary neurotransmitters of the sympathetic nervous system? (two answers)
    • A. 

      Norepinephrine

    • B. 

      Acetylcholine

    • C. 

      Serotonin

    • D. 

      Dopamine

  • 15. 
    What is the primary neurotransmitter of the parasympathetic nervous system?
    • A. 

      Norepinephrine

    • B. 

      Glutamate

    • C. 

      Dopamine

    • D. 

      Acetylcholine

  • 16. 
    Upon injection of local anesthetic for spinal anesthesia, which fibers are blocked first?
    • A. 

      C fibers of sympathetic system

    • B. 

      Alpha delta fibers of sympathetic system

    • C. 

      B fibers of sympathetic system

    • D. 

      Alpha delta fibers of parasympathetic system

  • 17. 
    You are the SRNA for a patient who has just been given Spinal anesthesia. The spinal goes higher than expected and the patient becomes profoundly bradycardic. What should you do first?
    • A. 

      Administer 100% O2

    • B. 

      Administer Atropine

    • C. 

      Administer Glycopyrolate

    • D. 

      Administer Epinephrine

  • 18. 
    Which of the following will not effect the level of spinal anesthesia?
    • A. 

      Contour of Spinal Cord

    • B. 

      Dosage of LA used

    • C. 

      Cardiac status of pt

    • D. 

      Intrabdominal pressure

  • 19. 
    When the CSF if heavier then the LA injected, causing the LA to float up. The local anesthetic solution is said to be…
    • A. 

      Isobaric

    • B. 

      Semibaric

    • C. 

      Hyperbaric

    • D. 

      Hypobaric

  • 20. 
    How would you mix a hyperbaric solution of bupivicaine?
    • A. 

      By adding glucose to increase the density

    • B. 

      By mixing equal parts LA and CSF

    • C. 

      By adding 6-8ml of sterile water

    • D. 

      None of above

  • 21. 
    How would you make an isobaric solution of bupivicaine?
    • A. 

      By adding glucose to increase the density

    • B. 

      By mixing equal parts LA and CSF

    • C. 

      By adding 6-8ml of sterile water

    • D. 

      None of above

  • 22. 
    After administering a hyperbaric solution of Local anesthetic for spinal anesthesia, what position would you place the pt into in order to achieve a level of T6-7 blockade?
    • A. 

      Supine with head slightly up

    • B. 

      Supine with head slightly down

    • C. 

      Supine level

    • D. 

      Lateral decubitus position

  • 23. 
    How would you expect ascites to effect your level of blockade when giving spinal anesthesia?
    • A. 

      The level of your blockade will be lower due to increased intrabdominal pressure

    • B. 

      Level of blockade will not be effected

    • C. 

      Spinal anesthesia is contraindicated for this patient

    • D. 

      The level of blockade will be higher due to increased intrabdominal pressure

  • 24. 
    How would you prepare your OR for a patient undergoing spinal anesthesia?
    • A. 

      Prepare your standard monitors, but you do not need your GA drugs drawn up

    • B. 

      Draw up only the medications necessary for a MAC case

    • C. 

      Prepare your room exactly as you would for a GA case

  • 25. 
    Which of the following is most frequently added to local anesthetic in order to prolong their duration of action?
    • A. 

      Epinephrine 0.1-0.2 mg

    • B. 

      Phenylephrine 2-5mg

    • C. 

      Ephedrine 5mg

    • D. 

      Atropine .3-.5 mg