Regional anaesthesia: fascia iliaca block: 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 · Regional anaesthesia: fascia iliaca block

Sample item

An elderly patient with a fractured neck of femur is in severe pain in the emergency room. Which block provides rapid analgesia?

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

The answer and the reasoning

D. Fascia iliaca or femoral nerve block

The femoral nerve, lateral femoral cutaneous nerve and obturator nerve supply the hip and thigh, and a fascia iliaca block covers them with a large volume of local anaesthetic. It reduces opioid use and delirium.

Option by option

  • A. Axillary block

    Axillary block is for the forearm and hand.

  • B. Stellate ganglion block

    Stellate ganglion block does not provide limb analgesia.

  • C. Interscalene block

    Interscalene block is for the shoulder.

  • D. Fascia iliaca or femoral nerve block (correct)

    Correct. The block covers hip analgesia.

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 D, Fascia iliaca or femoral nerve block. The femoral nerve, lateral femoral cutaneous nerve and obturator nerve supply the hip and thigh, and a fascia iliaca block covers them with a large volume of local anaesthetic.

Why is "Axillary block" not the answer?

Axillary block is for the forearm and hand.

Why is "Stellate ganglion block" not the answer?

Stellate ganglion block does not provide limb analgesia.

Why is "Interscalene block" not the answer?

Interscalene block is for the shoulder.

What concept does this question test?

It tests Regional anaesthesia: fascia iliaca block in Anaesthesia. It reduces opioid use and delirium.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Regional anaesthesia: fascia iliaca block?

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.