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Regional Anesthesia Ultrasound Anatomy Worksheet Questions

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

In an ultrasound image of the supraclavicular brachial plexus, the “bundle of grapes” pattern lies:

a)

Lateral to subclavian artery

b)

Medial to subclavian artery

c)

Deep to subclavian artery

d)

Superficial to the first rib

2.

During an interscalene block, which muscle lies medial to the brachial plexus roots?

a)

Anterior scalene

b)

Middle scalene

c)

Sternocleidomastoid

d)

Longus colli

3.

Which probe orientation best identifies the costoclavicular space for a brachial plexus block?

a)

Sagittal over coracoid

b)

Transverse inferior to clavicle, medial to coracoid

c)

Oblique along clavicle shaft

d)

Coronal over pectoralis major

4.

The most reliable sono-landmark for identifying the femoral nerve is:

a)

Sartorius muscle

b)

Femoral vein

c)

Iliacus fascia

d)

Femoral artery

5.

In a sciatic block at popliteal fossa, the “figure-of-8” configuration refers to:

a)

Tibial and peroneal nerves

b)

Popliteal artery and vein

c)

Biceps femoris and semitendinosus

d)

Common peroneal and sural nerves

6.

Which ultrasound artifact can falsely obscure a deep nerve near bone?

a)

Reverberation

b)

Acoustic shadow

c)

Mirror image

d)

Refraction

7.

In the transversus abdominis plane (TAP) block, which statement is true?

a)

Needle tip should enter between EO and IO

b)

Nerves lie between IO and TA

c)

Spread beneath TA gives better analgesia

d)

The block covers midline incision pain

8.

For an erector spinae plane block, injectate spreads:

a)

Between psoas and quadratus lumborum

b)

Between erector spinae and transverse process

c)

Within multifidus muscle

d)

Superficial to thoracolumbar fascia

9.

The sono-anatomy of the paravertebral space includes:

a)

Hypoechoic pleura superficial to transverse process

b)

Costotransverse ligament deep to pleura

c)

Pleura deep to internal intercostal membrane

d)

Sympathetic chain superficial to costotransverse ligament

10.

In the subgluteal sciatic block, the sciatic nerve lies:

a)

Deep to gluteus maximus and between biceps femoris and adductor magnus

b)

Between gluteus medius and minimus

c)

Superficial to long head of biceps femoris

d)

Deep to quadratus femoris

11.

Which block provides anesthesia to both femoral and lateral femoral cutaneous nerves?

a)

Fascia iliaca block

b)

Lumbar plexus block

c)

Psoas compartment block

d)

Obturator block

12.

During suprapatellar scan, which structure confirms the plane for adductor canal block?

a)

Femoral artery beneath sartorius

b)

Vastus medialis muscle deep to sartorius

c)

Great saphenous vein lateral to artery

d)

Adductor magnus superficial to artery

13.

In an ultrasound image of the intercostal space, which layer directly overlies the pleura?

a)

Innermost intercostal muscle

b)

Internal intercostal membrane

c)

External intercostal muscle

d)

Transversus thoracis

14.

Which approach offers the highest success in visualizing the lumbar plexus?

a)

Posterior paramedian sagittal scan

b)

Transverse scan at L3 midline

c)

Oblique transverse through psoas

d)

Axial scan at L1

15.

In the scan at the femoral crease, a hyperechoic triangular structure lies lateral to the femoral artery under the fascia iliaca. This is the target for which block?

a)

Femoral nerve block

b)

Adductor canal block

c)

Lateral femoral cutaneous nerve block

d)

Obturator nerve block

16.

In an ultrasound view of the forearm, the ulnar nerve is seen medial to the ulnar artery. Which block is being shown?

a)

Median nerve block

b)

Ulnar nerve block

c)

Radial nerve block

d)

Posterior interosseous nerve block

17.

The ultrasound shows the femoral artery beneath the sartorius, and a smaller hyperechoic nerve lateral to it in the adductor canal region. Which nerve is this?

a)

Femoral nerve

b)

Lateral femoral cutaneous nerve

c)

Saphenous nerve

d)

Obturator nerve

18.

On a coronal ultrasound scan over the supraspinous fossa, a hyperechoic nerve lies adjacent to the suprascapular notch and under the fascial plane. Which block is this?

a)

Interscalene block

b)

Suprascapular nerve block

c)

Axillary nerve block

d)

Plane block of serratus anterior

19.

In the abdominal wall ultrasound scan, the local anaesthetic is deposited between which two muscle layers in a classic TAP block?

a)

External oblique & internal oblique

b)

Internal oblique & transversus abdominis

c)

Transversus abdominis & peritoneum

d)

Rectus abdominis & linea alba

20.

The image shows the bifurcation of the sciatic nerve into tibial and common peroneal branches in the popliteal fossa. Which block is this?

a)

Femoral nerve block

b)

Tibial nerve block

c)

Popliteal sciatic nerve block

d)

Lateral femoral cutaneous nerve block

21.

The ultrasound shows the fascia iliaca plane with a large space lateral to the femoral nerve where local anaesthetic is being deposited. Which block is this?

a)

Femoral nerve block

b)

Fascia iliaca block

c)

Adductor canal block

d)

Lateral femoral cutaneous block

22.

In a gluteal-region scan, a hyperechoic oval nerve lies deep to gluteus maximus and superficial to piriformis. Which nerve block is this?

a)

Posterior (subgluteal) sciatic nerve block

b)

Anterior approach sciatic nerve block

c)

Femoral nerve block

d)

Lateral femoral cutaneous nerve block

23.

The ultrasound shows a small hyperechoic structure beneath the inguinal ligament and lateral to the sartorius at the anterior thigh. Which nerve block is depicted?

a)

Saphenous nerve block

b)

Lateral femoral cutaneous nerve block

c)

Obturator nerve block

d)

Femoral nerve block

24.

On an anterior thigh ultrasound the nerve is seen between the adductor longus and adductor brevis muscles, medial to the femoral vessels. Which nerve is this?

a)

Femoral nerve

b)

Saphenous nerve

c)

Obturator nerve

d)

Lateral femoral cutaneous nerve

25.

A transverse neck ultrasound shows three round hypoechoic nodules between the anterior and middle scalene muscles — the "traffic light" pattern. Which block is this?

a)

Supraclavicular block

b)

Interscalene block

c)

Axillary block

d)

Infraclavicular block