Oral Boards
Case 3 · Regional

Local Anesthetic Systemic Toxicity (LAST)

Seizure and arrhythmia after a regional block.

12 key phrases across 3 phases
The case

Minutes after an interscalene block with bupivacaine, the patient complains of perioral numbness and tinnitus, then has a seizure and becomes hypotensive with a wide-complex rhythm.

3-phase oral exam

The examiner will give you one prompt at a time. Answer each out loud, then continue. We'll score the key phrases you said at the end.

Voice input needs Safari (iPhone) or Chrome/Edge — you can type your answers instead.