FM-quiz UGRAbas

Sonoanatomy of the ultrasound guided intercostal nerve block. The US image is a parasagittal scan of an intercostal space with two ribs (r)

The cyan arrows point at the pleura
The red arrow points at the fascial plane between the innermost and the internal intercostal muscle layers
The green arrow points at the fascial plane between the internal and external intercostal muscle layers
Local anaesthetic is injected at the tip of the green arrow
Local anaesthetic is injected at the tip of the red arrow

The ultrasound guided rectus sheath block. What is true about the ultrasound guided rectus sheath block? Select all that apply.

The local anaesthetic is injected posterior to the rectus sheath
The major indication is periumbilical surgery
The posterior layer of the rectus sheath only extends 3-5 cm below the umbilicus
The rectus sheath is made by the anterior extensions of the aponeuroses of the lateral abdominal muscles
The needle tip is inserted through the transverse abdominis muscle

Fascia iliaca compartment block. What is true regarding the anatomy of the fascia iliaca compartment block? Select all that apply.

The cyan line is the fascia iliaca
The green line is the fascia iliaca
The oval green profile is the obturator nerve
The oval green profile is the femoral nerve
The yellow asterix is the iliacus muscle

Innervation of the shoulder. Which are the two most important nerves innervating the shoulder joint?

Axillary nerve and radial nerve
Axillary nerve and supraclavicular nerve
Axillary nerve and suprascapular nerve
Radial nerve and supraclavicular nerve
Musculocutaneous nerve and radial nerve
Median nerve and ulnar nerve

Patient case. After an ankle alloplasty and a popliteal sciatic block strong pain is located on the medial side of the ankle joint and the toes are completely anaesthetised. What is the problem?

The popliteal sciatic nerve blocks has failed
The pain is located in the saphenous nerve territory and a saphenous nerve block is indicated
Peripheral nerve blocks are not useful for alleviating pain after ankle alloplasty because the pain is so intense
The saphenous nerve innervates the lateral malleolus and cannot alleviate the patient’s pain

The tibial nerve. What is true about the tibial nerve? Select all that apply.

The tibial nerve innervates the sole of the foot
The tibial nerve innervates the dorsum of the foot
The tibial nerve innervates the knee joint and the ankle joint
The tibial nerve runs in the anterior compartment of the leg
The tibial nerve innervates the heel

The common peroneal nerve. What is true about the common peroneal nerve and its branches? Select all that apply.

The common peroneal nerve innervates the sole of the foot
The branches of the common peroneal nerve innervate the dorsum of the foot
The common peroneal nerve innervates the knee joint
The superficial peroneal nerve runs in the anterior compartment of the leg
The common peroneal nerve innervates the heel

Performance of the sciatic popliteal block. What is true about the performance of the sciatic popliteal block? Select all that apply.

Start by locating the pulsatile popliteal artery in the popliteal fossa
Look for the tibial nerve anterior to popliteal artery
The sciatic genicular nerves of the knee are blocked by a sciatic nerve block proximal to the sciatic bifurcation
The common peroneal nerve is typically an anechoic round profile just before it branches off the sciatic nerve
The endpoint of injection is perineural spread of local anesthetic around the sciatic nerve or its branches

The intercostal TAP block. What is true about the intercostal (IC) TAP block? Select all that apply.

The IC TAP block anaesthetise Th6-Th9
The IC TAP block anaesthetise Th10-L1
The needle entry point is as high and as medial as possible
The needle entry point is between the iliac crest and the thoracic cage in the anterior axillary line
The local anaesthetic is injected between the posterior rectus sheath and the rectus abdominis muscle

The classic TAP block. What is true about the classic TAP block? Select all that apply.

The classic TAP block anaesthetise Th6-Th9
The classic TAP block anaesthetise Th10-L1
The needle entry point is as high and as medial as possible
The needle entry point is between the iliac crest and the thoracic cage in the anterior axillary line
The local anaesthetic is injected between the transversus abdominis and the internal oblique

The BD-TAP block. What is true about the BD-TAP block? Select all that apply.

"BD-TAP block" is an abbreviation of "Bilateral Dual TAP block"
BD-TAP block anaesthetises the entire anterolateral abdominal wall including the parietal peritoneum
BD-TAP block alleviates abdominal visceral pain
BD-TAP block is sufficient for abdominal surgical anaesthesia
BD-TAP block is a combination of four blocks