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Anaesthesia · Regional anaesthesia: TAP block
Sample itemA transversus abdominis plane block is deposited between which two muscle layers?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Internal oblique and transversus abdominis
Local anaesthetic spreads in this fascial plane and blocks the thoracolumbar nerves T6 to L1 running there. It gives analgesia of the anterior abdominal wall in lower abdominal surgery but not visceral pain.
Option by option
A. Psoas and quadratus lumborum
That plane is relevant to a quadratus lumborum block.
B. Internal oblique and transversus abdominis (correct)
Correct. The plane lies between internal oblique and transversus abdominis.
C. Rectus abdominis and peritoneum
The peritoneum lies deep to the transversalis fascia.
D. External oblique and rectus abdominis
That plane is relevant to a rectus sheath block.
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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