42 - Stellate ganglion block

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Try answering this question from the AIPGME 2009 paper.

Q:Which of the following is not a sign of successful stellate ganglion block?

a. Nasal stuffiness

b. Guttman sign

c. Horner's syndrome

d. Bradycardia

answer d. Bradycardia

*The nasal stuffiness or nasal congestion that occurs as a result of the obstruction of the ipsilateral half of the nose is called GUTTMAN SIGN. It is an important sign of the successful stellate ganglion block.
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27 - AIIMS may 2001 anaesthesia mcqs

1q: a patient who was on aspirin for a long period was selected for an elective surgery . what should be done ?

a. infusion of platelet concentrate
b. infusion of fresh frozen plasma
c. stop aspirin for 7 days
d. go ahead with surgery maintaining adequate hemostasis

answer c. stop aspirin fir 7 days

2q: a patient selected for surgery who was induced with thiopentone IV through one of the antecubital veins complains of severe pain of whole hand. The next line of management is ?

a. give I.V. ketamine through same needle
b. give I.V.propofol through same needle
c. leave it alone
d. give I.V.lignocaine through same needle

answer d. give I.V lignocaine through same needle

3q: in high spinal anaesthesia what is seen ?

a. hypertension and bradycardia
b. hypertension and tachycardia
c. hypotension and bradycardia
d. hypotension and tachycardia

answer d. c. hypotension and bradycardia

4q: a patient in the ICU was on invasive monitoring with intraarterial cannulation through the right radial artery. For the last 3 days later he developed swelling and discoloration of the right hand . the next line of management is ?

a. brachial block
b. stellate ganglion block
c. application of lignocaine jelly over the site
d. radial nerve block on the same side

answer b. stellate ganglion block