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1. The anterior scalene muscle is located where? - ANSWER Posterior to
the sternocleidomastoid
2. A color doppler may be used to differentiate the nerve from a vessel. What
does red mean? - ANSWER Blood flow is coming towards the probe
3. A color doppler may be used to differentiate the nerve from a vessel. What
does blue mean? - ANSWER Blood flow is going away from the probe
4. A color doppler may be used to differentiate the nerve from a vessel. Does
the doppler identify what kind of vessel it is? - ANSWER No; it does not
identify vein vs. artery
5. What is the frequency of a high-frequency probe? - ANSWER 10-13 MHz
6. What is the frequency of a low-frequency probe? - ANSWER 2-5 MHz
,7. What setting is used to adjust the contrast of the picture and obtain a better
view of structures? - ANSWER Gain
8. Before injection of local anesthetic, you always do what first? - ANSWER
Aspirate
9. What should you do if your patient has pain when injecting local
anesthetic? - ANSWER Immediately stop
10.When doing an interscalene block, what structures are you looking for?
What will it look like? - ANSWER The roots
Stoplight
11.There are many benefits to doing regional nerve blocks. Name five benefits.
- ANSWER Inexpensive
Less Nausea and Vomiting
Increase Pain control
Decreased opioid use
Increase patient satisfaction
12.Name five contraindications to peripheral nerve blocks. - ANSWER
Patient refusal
Injection at infected site
Coagulopathy
,Pre-existing neurologic disease
Uncooperative patient (Dementia, Drunk, Pediatric, etc)
13.How many pairs of spinal nerves are there? - ANSWER 31 pairs
14.How many cervical spinal nerves are there? Do they exit the spinal column
above or below the vertebrae? - ANSWER 8; Above except for C8 spinal
nerve
15.How many pairs of thoracic spinal nerves are there? - ANSWER 12
16.How many pairs of lumbar spinal nerves are there? - ANSWER 5
17.How many pairs of sacral spinal nerves are there? - ANSWER 5
18.How many pairs of coccygeal spinal nerves are there? - ANSWER 1
19.How many cervical vertebrae are there? - ANSWER 7
20.How many thoracic vertebrae are there? - ANSWER 12
21.How many lumbar vertebrae are there? - ANSWER 5
, How many sacral vertebrae are there? - ANSWER 5 fused
How many coccygeal vertebrae are there? - ANSWER 3-5 fused
The cervical plexus is at what level? - ANSWER C1-C4
The brachial plexus is at what level? - ANSWER C5-T1
The lumbar plexus is at what level? - ANSWER L1-L4
The sacral plexus is at what level? - ANSWER L4-S4
The cervical plexus innervates what? - ANSWER Skin and musculature of neck
The brachial plexus innervates what? - ANSWER upper limb including
shoulder down
The lumbar plexus innervates what? - ANSWER mostly the anterior thigh
The sacral plexus innervates what? - ANSWER Posterior thigh/gluteal muscles
as well as lower limb