Nagelhout Regional Anesthesia for Upper and Lower
Extremity Blocks EXAM 2026-2027 LATEST UPDATED
VERSION QUESTIONS AND ANSWERS
The two major branches of the sacral plexus are (select two) - answer>>sciatic nerve and the pudendal
nerves.
You inject local anesthetic subcutaneously at the inferior border of the medial malleolus. Which nerve
are you anesthetizing? - answer>>saphenous nerve
A paravertebral block is indicated for management of pain due to (select two)
A. cholecystectomy
B. paravertebral neoplasm
C. knee arthroscopy
D. appendectomy - answer>>A and D
useful for pain management pain management for thoracic surgery, herniorraphy, appendectomy,
cholecystectomy, rib fractures, flail chest, and blunt abdominal trauma.
You are preparing to perform a Bier block. After starting an IV in the dorsum of the hand, placing a
double pneumatic tourniquet on the arm and exsanguinating the extremity with an Eschmark bandage,
you should - answer>>Inflate the proximal tourniquet
Patients can tolerate a procedure under Bier block for a longer period of time if a double-tourniquet is
used.
The proximal cuff is then inflated.
If the proximal cuff of the tourniquet becomes too painful for the patient to tolerate, the distal cuff can
be inflated and then the proximal cuff deflated to allow the surgeon more time to complete the
procedure.
For what procedures is an axillary brachial plexus block best suited? - answer>>Surgery on the forearm
, An axillary brachial plexus block is best suited for procedures at or below the elbow.
The cricoid cartilage is an anatomic landmark that corresponds to the vertebral body of - answer>>The
cricoid cartilage is an anatomic landmark that corresponds to the vertebral body of C6.
Following a successful axillary approach to a brachial plexus block, you perform a separate block to
anesthetize the intercostobrachial nerve because - answer>>it doesn't travel in the brachial plexus
sheath at all
When performing a brachial plexus block using the axillary approach, it is often necessary to perform
separate blocks of the medial brachial cutaneous and intercostobrachial nerves because the former
exits the sheath just below the clavicle and the latter doesn't travel in the sheath at all.
These two nerves provide sensation to the skin of the medial and posterior proximal arm.
You have injected 5-8 mL of local anesthetic in a fanlike manner posterior to the medial malleolus and
lateral to the posterior tibial artery at the level of the superior edge of the medial malleolus. What
nerve have you blocked? - answer>>tibial
To block the tibial nerve, place the patient in the prone position, inject 5-8 mL of local anesthetic in a
fanlike manner posterior to the medial malleolus lateral to the posterior tibial artery and at the level of
the superior edge of the medial malleolus.
During an axillary brachial plexus block, you can choose to begin the injection high in the axilla, in the
middle, or near the inferior border of the axilla. What is the primary benefit of choosing a higher
approach? - answer>>Greater chance of blocking the musculocutaneous nerve
Any one of these locations can be used for an axillary brachial plexus block, but the higher the
approach, the greater the chances that the block will anesthetize the musculocutaneous nerve before it
exits the sheath.
As the sciatic nerve approaches the popliteal fossa it splits into two branches. What are they? (select
two) - answer>>At the popliteal fossa, the sciatic nerve splits into the common peroneal nerve and the
tibial nerve.
Extremity Blocks EXAM 2026-2027 LATEST UPDATED
VERSION QUESTIONS AND ANSWERS
The two major branches of the sacral plexus are (select two) - answer>>sciatic nerve and the pudendal
nerves.
You inject local anesthetic subcutaneously at the inferior border of the medial malleolus. Which nerve
are you anesthetizing? - answer>>saphenous nerve
A paravertebral block is indicated for management of pain due to (select two)
A. cholecystectomy
B. paravertebral neoplasm
C. knee arthroscopy
D. appendectomy - answer>>A and D
useful for pain management pain management for thoracic surgery, herniorraphy, appendectomy,
cholecystectomy, rib fractures, flail chest, and blunt abdominal trauma.
You are preparing to perform a Bier block. After starting an IV in the dorsum of the hand, placing a
double pneumatic tourniquet on the arm and exsanguinating the extremity with an Eschmark bandage,
you should - answer>>Inflate the proximal tourniquet
Patients can tolerate a procedure under Bier block for a longer period of time if a double-tourniquet is
used.
The proximal cuff is then inflated.
If the proximal cuff of the tourniquet becomes too painful for the patient to tolerate, the distal cuff can
be inflated and then the proximal cuff deflated to allow the surgeon more time to complete the
procedure.
For what procedures is an axillary brachial plexus block best suited? - answer>>Surgery on the forearm
, An axillary brachial plexus block is best suited for procedures at or below the elbow.
The cricoid cartilage is an anatomic landmark that corresponds to the vertebral body of - answer>>The
cricoid cartilage is an anatomic landmark that corresponds to the vertebral body of C6.
Following a successful axillary approach to a brachial plexus block, you perform a separate block to
anesthetize the intercostobrachial nerve because - answer>>it doesn't travel in the brachial plexus
sheath at all
When performing a brachial plexus block using the axillary approach, it is often necessary to perform
separate blocks of the medial brachial cutaneous and intercostobrachial nerves because the former
exits the sheath just below the clavicle and the latter doesn't travel in the sheath at all.
These two nerves provide sensation to the skin of the medial and posterior proximal arm.
You have injected 5-8 mL of local anesthetic in a fanlike manner posterior to the medial malleolus and
lateral to the posterior tibial artery at the level of the superior edge of the medial malleolus. What
nerve have you blocked? - answer>>tibial
To block the tibial nerve, place the patient in the prone position, inject 5-8 mL of local anesthetic in a
fanlike manner posterior to the medial malleolus lateral to the posterior tibial artery and at the level of
the superior edge of the medial malleolus.
During an axillary brachial plexus block, you can choose to begin the injection high in the axilla, in the
middle, or near the inferior border of the axilla. What is the primary benefit of choosing a higher
approach? - answer>>Greater chance of blocking the musculocutaneous nerve
Any one of these locations can be used for an axillary brachial plexus block, but the higher the
approach, the greater the chances that the block will anesthetize the musculocutaneous nerve before it
exits the sheath.
As the sciatic nerve approaches the popliteal fossa it splits into two branches. What are they? (select
two) - answer>>At the popliteal fossa, the sciatic nerve splits into the common peroneal nerve and the
tibial nerve.
