Spinal anaesthesia: transient neurological symptoms: practice question

A Anaesthesia question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Anaesthesia · Spinal anaesthesia: transient neurological symptoms

Sample item

Which local anaesthetic given intrathecally is associated with transient neurological symptoms (back pain radiating to the buttocks and legs)?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Lignocaine

Transient neurological symptoms occur in up to 15 to 30% of patients after hyperbaric lignocaine spinals, particularly in lithotomy position or for knee arthroscopy, and settle within a few days. Bupivacaine has a low incidence.

Option by option

  • A. Ropivacaine

    Ropivacaine is rarely used intrathecally.

  • B. Chloroprocaine

    Chloroprocaine has low incidence.

  • C. Lignocaine (correct)

    Correct. Lignocaine has the highest incidence.

  • D. Bupivacaine

    Bupivacaine is rarely associated.

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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Questions about this Anaesthesia question

What is the answer to this Anaesthesia question?

The best answer is C, Lignocaine. Transient neurological symptoms occur in up to 15 to 30% of patients after hyperbaric lignocaine spinals, particularly in lithotomy position or for knee arthroscopy, and settle within a few days.

Why is "Ropivacaine" not the answer?

Ropivacaine is rarely used intrathecally.

Why is "Chloroprocaine" not the answer?

Chloroprocaine has low incidence.

Why is "Bupivacaine" not the answer?

Bupivacaine is rarely associated.

What concept does this question test?

It tests Spinal anaesthesia: transient neurological symptoms in Anaesthesia. Bupivacaine has a low incidence.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Spinal anaesthesia: transient neurological symptoms?

Make a table of each agent, its key advantage and its main side effect. Then use the flashcards and the other Anaesthesia questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.