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Worksheetsneuraxial anesthesia
Total questions: 10
Worksheet time: 5mins
The anterior and posterior spinal arteries originate from the
Common carotid and vertebral arteries
Internal carotid and vertebral arteries
Internal carotid and posterior cerebral arteries
Vertebral, radicular arteries and the posterior inferior cerebellar arteries
The posterior 1/3 of the spinal cord is supplied by
artery of Adamkiewicz
posterior spinal arteries
anterior spinal artery
posterolateral spinal vein
Which of the following is not an advantage of epidural anesthesia
Better control of pain
provides post-op analgesia
More intense blockade
good for OB patients
Which of the following is not included in the epidural space?
spinal nerve roots
lymphatics
fatty connective tissue
muscle tissue
You are doing an epidural on a 30 year old male prior to procedure. When you administer the test dose of lidocaine with epi the patient complains of ringing in his ears and you see an increased HR on the monitor. Is it ok to proceed with the injection?
These are expected side effects, OK to proceed
Wait 3 mins, see if ear ringing subsides, then continue injection
stop injection as these are signs of intravascular injection
This is a sign of accidental dural puncture, just give a smaller dose
The angle of scapula roughly correlates to which vertebrae?
C7
T7
L3
L1
Postdural puncture headaches
Usually occur immediately after dural puncture
Are relieved 8-12 hours after an epidural blood patch is performed
Occur more frequently in non-pregnant patients compared with pregnant patient
Can be associated with neurologic deficits
Five days after knee arthroscopy under spinal anesthesia, a 55 year old complains of double vision and difficulty hearing. The other likely finding would be
headache
fever
weakness in legs
backache
Through which of the following would a spinal needle not pass during a midline placement of a subarachnoid block in the L3-l4 lumbar space?
supraspinous ligament
interspinous ligament
ligamentum flavum
posterior longitudinal ligament
After placement of an epidural catheter in a 55 year old patient for total hip arthroplasty, an entire epidural dose is administered into the subarachnoid space. Physiologic effects consistent with subarachnoid injection of large volumes of local anesthetic include the following except?
hypotension
bradycardia
respiratory depression
constricted pupils
