Anatomy

Question 1

C6 landmark

Answer 1

Chassaignac tubercle, carotid tubercle, cricoid cartilage

Question 2

C7 landmark

Answer 2

vertebra prominens, stellate ganglion

Question 3

T1-T4

Answer 3

cardioaccelerator fibers

Question 4

T3

Answer 4

axilla

Question 5

T4

Answer 5

nipple line

Question 6

T7

Answer 6

xiphoid

Question 7

T8

Answer 7

inferior border scapula

Question 8

origin of artery of adamkiewicz

Answer 8

T9-L2

Question 9

T10 landmark

Answer 9

umbilicus

Question 10

lumbar plxus

Answer 10

T12-L4

Question 11

celiac plexus

Answer 11

L1

Question 12

termination spinal cord adults

Answer 12

L2

Question 13

termination of spinal cord pediatrics

Answer 13

L3

Question 14

iliac crest

Answer 14

L4

Question 15

sacral plexus

Answer 15

L4-S3

Question 16

posterior superior iliac spine, termination of subarachnoid space (adults)

Answer 16

S2

Question 17

termination of subarachnoid space (peds)

Answer 17

S3

Question 18

interscalene landmark

Answer 18

mark the sternal and clavicular heads of the SCM, cricoid cartilage and clavicle. Needle goes in interscalene groove at C6 posterior to calvicular head of the SCM and between An and Mid scalene

Question 19

Infraclavicular landmark

Answer 19

coracoid process, needle insertion 2cm inferior and 2cm medial to coracoid

Question 20

axillary

Answer 20

pulse of axillary artery, guide needle through artery and aspirate, go further (past the artery is radial) when you pull back it is median and ulnar

Question 21

musculocutaenous

Answer 21

belly of coracobrachialis muscle, posterior to biceps

Question 22

ulnar block

Answer 22

at elbow, between medial epicondyle and olecranon process, medial to ulnar artery

Question 23

radial block

Answer 23

at elbow between brachioradialis and biceps,

Question 24

median block

Answer 24

at elbow medial to brachial artery at pronator teres

Question 25

femoral block

Answer 25

below inguinal ligament, lateral to fem artery at crease

Question 26

sciatic block

Answer 26

classic posterior: line between greater trochanter aand PSIS, 4cm distal to midpoint parasacral: line drawn between ischial tuberosity and PSIS, needle 6cm caudal to PSIS on line subgluteal: greater trochanter and ischial tuberosity, 4cm caudal to midpoint

Question 27

Popliteal block

Answer 27

posterior: popliteal fossa crease, lateral biceps femoris medial semitendinosus/membranosus, needle 8cm superior to crease at midpoint lateral: vastus lateralis, biceps femoris and popliteal crease, needle 8cm above popliteal crease in groove

Question 28

ankle block

Answer 28

saphenous - distal extremis of femoral nerve, medial surfac of tibial tuberosity at dorsomedial aspect of upper calf or at medial malleolus deep peroneal - lateral to extensor hallucis longus tendon at 1-2 digit webspace superficial peroneal - lateral to extensor digitorum longus tendon posterior tibial - posterior to posterior tibial artery sural - lateral malleolus posterior

Question 28

lumbar plexus block

Answer 28

spinous process, needle 4cm lateral to midline at level of crest

Question 29

IJV placement

Answer 29

between sternal and clavicular heads of SCM, lateral to carotid

Question 30

femoral vein placement

Answer 30

medial to artery at crease

Question 31

subclavian vein placement

Answer 31

midpoint of clavicle with needle directed toward suprasternal notch

Question 32

trachea landmarks

Answer 32

begings at C6, C-shaped cartilaginous rings that are lateral and anterior, posterior trachea is longitudinal muscular layer

Question 33

first carina landmark

Answer 33

T5

Question 34

thoracic duct landmark

Answer 34

left side, C7, empties into jxn of the left subclav and left IJV below clavicle

Question 35

cricothyroid membrane, cric landmark

Answer 35

incision through skin, cric membran between cric and thyroid cartilage, c6

Question 36

C shaped (forms circle with skull) hematoma

Answer 36

epidural

Question 37

moon shaped, follows shape of skull hematoma

Answer 37

subdural

Question 38

external branch of SLN innervates what

Answer 38

cricothyroid muscle, motor nerve

Question 39

internal branch of SLN innervates what

Answer 39

sensory to larynx above vocal cords

Question 40

recurrent laryngeal

Answer 40

mixed sensory and motor, sensory innervatino to upper trachea and innervates all intrinsic laryngeal muscles except cricothyroid