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SELF/Anesthesia and Critical Care/Spinal Anesthesia/Indication and contraindication quiz

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▼Created by the West African College of Surgeons for the Surgical Education Learners Forum.Please see the Terms of Use and do not edit without permission.
Instructions

Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.

1

A 75-year-old patient with mild chronic kidney disease is scheduled for a transurethral resection of the prostate (TURP). The procedure is expected to last 4–5 hours, and his coagulation studies are normal. Which factor most supports choosing spinal anesthesia for this case?

The patient’s age
Mild chronic kidney disease
The surgical site is below the umbilicus
Expected surgical duration of 4–5 hours

2

Which situation represents an absolute contraindication to spinal anesthesia?

Patient refusal
Mild hypovolemia
Spinal scoliosis
Stable aortic stenosis

3

A patient with severe coagulopathy undergoes spinal anesthesia and later develops acute lower-limb weakness. Which complication best explains this outcome?

Local anesthetic systemic toxicity
Epidural abscess
High spinal block
Intraspinal hematoma

4

A clinician prepares to perform a spinal on a febrile patient with a draining skin lesion at the lumbar puncture site. What is the clinical error in this scenario?

Proceeding without fluid preloading
Ignoring an absolute contraindication
Not checking expected surgical duration
Using a sitting position instead of lateral

5

A pregnant patient with cardiovascular disease is planned for spinal anesthesia for a cesarean section. What preparation is most appropriate before initiating the block?

Withholding all IV fluids to avoid overload
Premedicating with opioids to reduce blood pressure swings
Pre- or co-loading with fluids and preparing vasopressors
Avoiding vasopressors due to fetal risk


Page data
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors Global Surgical Training Challenge
License CC-BY-SA-4.0
Organizations WACS, SELF
Language English (en)
Related 0 subpages, 0 pages link here
Redirects WACS Training Modules/Spinal Anesthesia/Indication and contraindication quiz
Views 22 page views (analytics)
Created November 13, 2025 by Fabrice Sodogas
Last edit March 8, 2026 by Ian-laurel
Cite as Fadogas (2025–2026). "SELF/Anesthesia and Critical Care/Spinal Anesthesia/Indication and contraindication quiz". Appropedia. Retrieved June 4, 2026.
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