Quiz: 9-Regional anasethia

1- Spinal anesthesia is given at which of the following levels:

A a) L1-2 B b) L.3-4 C c) Midline of thorax D d) Below LS ( caudal)

2- Central Neuraxial ( spinal and epidural) anesthesia is not contraindicated in-

A a) Platelets< 80,000 B b) Patient on aspirin C c) Patient on oral anticoagulants D d) Raised intracranial pressure

3- All are contraindications of spinal anesthesia Except-

A a) Bleeding disorder B b) Raised intracranial tension C c)hypertension D d) Infection at injection site

4- In spinal anesthesia the drug is deposited between?

A a)Pia and arachnoid B b) Dura and arachnoid C c) Dura and vertebrae D d) Into spinal cord

5- In spinal anesthesia which fibers

A a) Sensory B b) Motor C c)SympathЕТic preganglionic D d) Vibration

6- Complications of epidural anesthesia are all EXCEPT:

A a) headache B b) hypotension C c)DIC D d) Epidural hematoma

7. Neuraxial block is not contraindicated for patients on which

A a) Warfarin B b) Low- molecular- weight heparin C c)Aspirin D d) Clopidogrel

8. Contraindications to safely perform peripheral regional anesthesia include all of the following except

A a)Patients who may not provide absolute cooperation during nerve block placement ( mental retardation) without administration of sedation B b) Patient refusal C c) Severe coagulopathy while anticipating a deep nerve plexus blockade D d) Evidence of infection at injection site

9. While performing a peripheral nerve block in an awake patient, access and/ or use of all of the following should be considered mandatory,

A a) Administer supplemental oxygen B b) Apply standard ASA monitors C c) Access to resuscitation medications and equipment D d) Immediate access to a mechanical ventilator

10- The paramedian approach of lumber puncture, all the following are true except:

A a) The needle penetrate the ligamentum flavum. B b) Lateral or sitting C c) The needle does not penetrate interspinous ligament D D)it is necessary to fies the spine

11- All the following are contraindicated in spinal anesthesia except:

A a) Coagulopathy B b) bCoronary artery disease. C c) c) Bacteremia D d) d) hypovolemia

12- All the following Complications of single shot Spinal Anesthesia are true Except:

A a) hematoma B b) b) hypotension C c) c) headache D d) CathЕТer Infection

13- The subdural space:

A a)Exists between the dura mater and arachnoid mater. B b) Contains CSF C c) Exists between the dura mater and ligament fla D d) Can be easily found in all patient

14- Compared to adults, in the pediatric patient

A a)The dural sac ends at a lower level B b) The CSF volume per kilogram of body weight is less C c)" Loss of resistance" is usually more prominent during placement of an epidural D d) The upper limit to local anesthЕТic dosing is greater than in adults

15- Spinal anesthesia can have all of the following expected effects on cardiovascular physiology EXCEPT

A a) hypotension B b) Bradycardia C c) Decreased right- sided filling pressures D d) An increase in preload.

16- Anesthesia applied directly to the skin is....

A a) local block. B b) Topical anesthesia. C c) General anesthesia. D d) Caudal block.

17- In a caudal block, where is the anesthesia injected?

A a) Thoracic Canal B b) Lumbar Canal C c)Sacral Canal D d) Coccyx Canal

18- Which of the following is a potential complication of regional anesthesia?

A a) hypertension B b) Bradycardia C c) c) hypoglycemia D d) d) Respiratory acidosis

19- Which of the following regional anesthesia techniques involves injecting local anesthЕТic into the cerebrospinal fluid?

A a) Epidural anesthesia B b) Spinal anesthesia C c) Brachial plexus block D d) Femoral nerve block

20- Which of the following agents is commonly used for local infiltration anesthesia?

A a)Lidocaing B b) Bupivacaine C c) Ropivacaine D d) Mepivacaine

21 Which of the following is an example of an adjuvant medication used to enhance the effects of local anesthЕТics?

A a) Epinephrine B 5) Atropine C c) Dexamethasone D d) Nitroglycerin

22- AnesthЕТic agent with vasoconstrictor is contraindicated in

A a) Finger block B b) Spinal block E C c) pidural block D d) d) Regional anesthesia

23. Most common local anesthЕТic for spinal block:

A a) Buprenorphine B b) Xylocaine C c)Bupivacaine D d) Propofol

25- Absolute contraindications to regional anesthesia including all except:

A a) Patient refusal B b) b) Infection at puncture site C c) e) Coagulation abnormalities D d) d) Full stomach.

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