MAC Regional Anesthesia & Pain Management 2

Question 1

Which analgesic approach best exemplifies multimodal analgesia?

Accepted Answer

Combining NSAIDs, acetaminophen, regional block, and low-dose opioids

Answer

Multimodal analgesia combines medications with different mechanisms to achieve superior analgesia while minimizing opioid-related side effects.

Question 2

What complication is specifically associated with intrathecal morphine administration?

Accepted Answer

Delayed respiratory depression up to 24 hours

Answer

Intrathecal morphine can cause delayed respiratory depression up to 24 hours after administration due to its hydrophilic nature and rostral spread in CSF.

Question 3

Which dermatome level must be achieved for a cesarean section under spinal anesthesia?

Accepted Answer

T4

Answer

A sensory block to T4 (nipple line) is required for cesarean section to prevent pain from peritoneal manipulation.

Question 4

What is the most common complication of epidural analgesia?

Accepted Answer

Hypotension

Answer

Hypotension is the most common complication of epidural analgesia, resulting from sympathetic blockade causing vasodilation and decreased preload.

Question 5

Which coagulation parameter is most important before performing neuraxial anesthesia in a patient on anticoagulants?

Accepted Answer

INR and platelet count

Answer

INR and platelet count must be within acceptable ranges before neuraxial procedures to minimize epidural hematoma risk per ASRA guidelines.

MAC - Maintaining Anesthesia Certification Practice Test

MAC - Maintaining Anesthesia Certification Practice Test

MAC Regional Anesthesia & Pain Management 2