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Q 1/13
Score 0
A patient presents with painful paresthesia radiating to the dorsal web space between the
thumb and forefinger following a midhumeral fracture. Which of the following nerves is MOST
likely to have been injured by the midhumeral feracture?
60
Median nerve
Radial nerve
Ulnar nerve
Musculocutaneous nerve
Q 2/13
Score 0
One of the factors that determine the blood level of local anesthetic agent following regional
anesthesia is the site of injection. In order of decrease serum local anesthetic concentration
after placement of a regional block, which of the following is the MOST accurate sequence?
60
Caudal epidural, intercostal, brachial plexus
Lumbar epidural, femoral nerve, intercostal
Intercostal, femoral nerve, caudal epidural
Caudal epidural, lumbar epidural, femoral nerve
13 questions
Q.
A patient presents with painful paresthesia radiating to the dorsal web space between the
thumb and forefinger following a midhumeral fracture. Which of the following nerves is MOST
likely to have been injured by the midhumeral feracture?
1
60 sec
Q.
One of the factors that determine the blood level of local anesthetic agent following regional
anesthesia is the site of injection. In order of decrease serum local anesthetic concentration
after placement of a regional block, which of the following is the MOST accurate sequence?
2
60 sec
Q.
A patient about to undergo arthroscopic surgery for knee pain has a perivascular femoral 3
in 1 block for anesthesia and postoperative analgesia. During placement of the arthroscopic
trocars, it is noted that the patient still has intact sensation along the distal medial thigh
extending to the knee. Which of the following nerves was likely NOT blocked?
3
60 sec
Q.
When delivered by intravenous patient controlled analgesia, which of the following
analgesics is MOST likely to cause seizures in a patient with acute renal failure?
4
60 sec
Q.
A popliteal block is performed as the primary anesthetic for repair of an Achilles tendon
rupture. During the surgery the patient begins to complain of pain along the medial aspect of
his ankle. Which of the following nerves is MOST likely to be inadequately blocked?
5
60 sec
Q.
You are planning on placing an epidural catheter in a patient who has been receiving enoxaparin (1 mg/kg every 12 hours) for treatment of a deep venous thrombosis. According to the 2010 American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines, which of the following is the MINIMUM amount of time that should elapse between the last dose of
enoxaparin and placement of the epidural in this patient?
6
60 sec
Q.
A 63 year old man needing repair of a fracture of the distal humerus has a history of severe
chronic obstructive pulmonary disease. Which of the following is MOST likely to provide
adequate surgical anesthesia while minimizing the risk of respiratory complications?
7
60 sec
Q.
Failure to block the musculocutaneous nerve while performing an axillary nerve block will MOST likely result in inadequate anesthesia for which of the following areas?
8
60 sec
Q.
Which statement about suprascapular nerve block is MOST likely true?
9
60 sec
Q.
A patient presents with burning pain and tingling behind the medial malleolus with radiation to the arch and plantar aspect of the heel. Prolonged walking and standing exacerbate the symptoms. Entrapment of which of the following nerves is MOST likely causing the patient’s symptoms?
10
60 sec
Q.
Which of the following is a known risk factor for transient neurologic symptoms after a spinal anesthetic?
11
60 sec
Q.
Which of the following statements is TRUE of the use of tourniquet and neurologic injury?
12
60 sec
Q.
An 81-year-old male is undergoing right total knee arthroplasty under spinal anesthesia. During insertion of cement, the patient’s blood pressure drops from 134/72 to 84/54. What is the most common reason for the observed hypotension?
