LESI LESI Complications and Risks 2

Question 1

An epidural hematoma after LESI is most likely to occur in patients who:

Accepted Answer

Are taking anticoagulant or antiplatelet medications

Answer

Are older than 65 years

Answer

Have a history of diabetes

Answer

Are receiving physical therapy concurrently

Question 2

Steroid flare after ESI is characterized by:

Accepted Answer

Temporary increase in pain 24-48 hours after injection

Answer

Severe infection requiring antibiotics

Answer

Anaphylaxis requiring epinephrine

Answer

Permanent neurological deficit

Question 3

Which symptom after LESI should prompt immediate emergency evaluation for cauda equina syndrome?

Accepted Answer

Bilateral leg weakness, saddle anesthesia, and bowel/bladder dysfunction

Answer

Mild soreness at the injection site

Answer

Transient leg weakness for 2 hours

Answer

Mild headache when standing

Question 4

Facial flushing and increased energy occurring 1-2 days after an ESI are most likely caused by:

Accepted Answer

Systemic corticosteroid effects (steroid flush)

Answer

Allergic reaction to contrast dye

Answer

Intravascular local anesthetic injection

Answer

Infection with bacteremia

Question 5

Which of the following best describes the risk of infection (epidural abscess) following a single ESI?

Accepted Answer

Rare, estimated at approximately 1 in 1,000 to 1 in 100,000

Answer

Very common, occurring in 1 in 10 injections

Answer

Never reported in the literature

Answer

Common only with corticosteroid use

Question 6

In the event of a vasovagal reaction during LESI, the first-line treatment is:

Accepted Answer

Place patient supine, elevate legs, and administer IV fluids and atropine if bradycardic

Answer

Intravenous epinephrine 0.3 mg

Answer

Administer oral antihistamines

Answer

Terminate the procedure and discharge immediately