WorksheetsRegional Anesthesia Ultrasound Anatomy Worksheet Questions
Total questions: 25
Worksheet time: 13mins
In an ultrasound image of the supraclavicular brachial plexus, the “bundle of grapes” pattern lies:
Lateral to subclavian artery
Medial to subclavian artery
Deep to subclavian artery
Superficial to the first rib
During an interscalene block, which muscle lies medial to the brachial plexus roots?
Anterior scalene
Middle scalene
Sternocleidomastoid
Longus colli
Which probe orientation best identifies the costoclavicular space for a brachial plexus block?
Sagittal over coracoid
Transverse inferior to clavicle, medial to coracoid
Oblique along clavicle shaft
Coronal over pectoralis major
The most reliable sono-landmark for identifying the femoral nerve is:
Sartorius muscle
Femoral vein
Iliacus fascia
Femoral artery
In a sciatic block at popliteal fossa, the “figure-of-8” configuration refers to:
Tibial and peroneal nerves
Popliteal artery and vein
Biceps femoris and semitendinosus
Common peroneal and sural nerves
Which ultrasound artifact can falsely obscure a deep nerve near bone?
Reverberation
Acoustic shadow
Mirror image
Refraction
In the transversus abdominis plane (TAP) block, which statement is true?
Needle tip should enter between EO and IO
Nerves lie between IO and TA
Spread beneath TA gives better analgesia
The block covers midline incision pain
For an erector spinae plane block, injectate spreads:
Between psoas and quadratus lumborum
Between erector spinae and transverse process
Within multifidus muscle
Superficial to thoracolumbar fascia
The sono-anatomy of the paravertebral space includes:
Hypoechoic pleura superficial to transverse process
Costotransverse ligament deep to pleura
Pleura deep to internal intercostal membrane
Sympathetic chain superficial to costotransverse ligament
In the subgluteal sciatic block, the sciatic nerve lies:
Deep to gluteus maximus and between biceps femoris and adductor magnus
Between gluteus medius and minimus
Superficial to long head of biceps femoris
Deep to quadratus femoris
Which block provides anesthesia to both femoral and lateral femoral cutaneous nerves?
Fascia iliaca block
Lumbar plexus block
Psoas compartment block
Obturator block
During suprapatellar scan, which structure confirms the plane for adductor canal block?
Femoral artery beneath sartorius
Vastus medialis muscle deep to sartorius
Great saphenous vein lateral to artery
Adductor magnus superficial to artery
In an ultrasound image of the intercostal space, which layer directly overlies the pleura?
Innermost intercostal muscle
Internal intercostal membrane
External intercostal muscle
Transversus thoracis
Which approach offers the highest success in visualizing the lumbar plexus?
Posterior paramedian sagittal scan
Transverse scan at L3 midline
Oblique transverse through psoas
Axial scan at L1
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?
Femoral nerve block
Adductor canal block
Lateral femoral cutaneous nerve block
Obturator nerve block
In an ultrasound view of the forearm, the ulnar nerve is seen medial to the ulnar artery. Which block is being shown?
Median nerve block
Ulnar nerve block
Radial nerve block
Posterior interosseous nerve block
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?
Femoral nerve
Lateral femoral cutaneous nerve
Saphenous nerve
Obturator nerve
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?
Interscalene block
Suprascapular nerve block
Axillary nerve block
Plane block of serratus anterior
In the abdominal wall ultrasound scan, the local anaesthetic is deposited between which two muscle layers in a classic TAP block?
External oblique & internal oblique
Internal oblique & transversus abdominis
Transversus abdominis & peritoneum
Rectus abdominis & linea alba
The image shows the bifurcation of the sciatic nerve into tibial and common peroneal branches in the popliteal fossa. Which block is this?
Femoral nerve block
Tibial nerve block
Popliteal sciatic nerve block
Lateral femoral cutaneous nerve block
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?
Femoral nerve block
Fascia iliaca block
Adductor canal block
Lateral femoral cutaneous block
In a gluteal-region scan, a hyperechoic oval nerve lies deep to gluteus maximus and superficial to piriformis. Which nerve block is this?
Posterior (subgluteal) sciatic nerve block
Anterior approach sciatic nerve block
Femoral nerve block
Lateral femoral cutaneous nerve block
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?
Saphenous nerve block
Lateral femoral cutaneous nerve block
Obturator nerve block
Femoral nerve block
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?
Femoral nerve
Saphenous nerve
Obturator nerve
Lateral femoral cutaneous nerve
A transverse neck ultrasound shows three round hypoechoic nodules between the anterior and middle scalene muscles — the "traffic light" pattern. Which block is this?
Supraclavicular block
Interscalene block
Axillary block
Infraclavicular block
