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SELF/Anesthesia and Critical Care/Spinal Anesthesia/Technique and Administration of Spinal Anesthesia

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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

Question {Which lumbar interspace is typically selected for performing spinal anesthesia?

T12–L1
L3–L4
L1–L2
L2–L3

2

A patient in the sitting position has difficulty maintaining adequate lumbar flexion. Which adjustment is most likely to improve access to the interspinous spaces?

Supporting the feet and encouraging chin-to-chest flexion
Tilting the pelvis forward while keeping the spine neutral
Extending the cervical spine
Placing the patient in a semi-reclined position

3

A clinician performs a single injection at L3–L4 but needs the block to reach T6. Which factor most directly determines block height?

The puncture site location
The type of skin antiseptic chosen
The baricity and dose of the anesthetic solution
Whether a paramedian or midline approach is used

4

During needle advancement, the operator feels a firm “pop” followed by a subtle give. What does the second give most likely indicate?

Passage through the interspinous ligament
Contact with bone
Entry into the epidural space
Penetration of the dura into the subarachnoid space

5

A 70-kg patient requires hyperbaric bupivacaine for spinal anesthesia. Which technique aligns with safe practice?

Injecting before CSF appears in the needle hub
Increasing the dose to achieve spread instead of adjusting position
Injecting 1.5–3 mL slowly after confirming free CSF flow
Injecting 5–6 mL rapidly without aspirating


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/Technique and Administration of Spinal Anesthesia
Views 8 page views (analytics)
Created November 17, 2025 by Fabrice Sodogas
Last edit March 8, 2026 by Ian-laurel
Cite as Fadogas (2025–2026). "SELF/Anesthesia and Critical Care/Spinal Anesthesia/Technique and Administration of Spinal Anesthesia". Appropedia. Retrieved June 4, 2026.
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