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Anaesthesia · Regional anaesthesia and pain anatomy: curriculum recognition
Sample itemBefore an open umbilical hernia repair under spinal anaesthesia, the surgeon tests sensation with a cold swab at the umbilicus. Which dermatomal level does this correspond to?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. T10
The umbilicus is supplied by T10, the nipple by T4, the xiphoid by about T6 and the inguinal region by L1. Knowing these landmarks lets the anaesthetist check that the block reaches the required level before surgery.
Option by option
A. T6
T6 corresponds to the xiphoid region.
B. T4
T4 corresponds to the nipple line.
C. T10 (correct)
Correct. The umbilicus lies in the T10 dermatome.
D. L1
L1 corresponds to the inguinal region.
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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