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Anaesthesia · Regional anaesthesia: cervical plexus block
Sample itemWhich regional technique allows awake neurological assessment during carotid endarterectomy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Cervical plexus block
A deep or superficial cervical plexus block (C2 to C4) anaesthetises the neck, allowing the patient to remain awake and responsive. This permits direct monitoring of cerebral function during carotid clamping. Outcomes are comparable with general anaesthesia.
Option by option
A. Cervical plexus block (correct)
Correct. A cervical plexus block covers the surgical field in the neck.
B. Caudal block
A caudal block covers sacral dermatomes only.
C. Brachial plexus block
A brachial plexus block does not cover the carotid region.
D. Lumbar plexus block
A lumbar plexus block covers the hip and thigh.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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