skip to main content

Hip fracture regional analgesia — FRCA Final MCQ

Instant feedback + full explanation. One question, done properly.

EasyRegional AnaesthesiaHip fracture regional analgesiaFRCA Final

A 72-year-old man has fractured neck of femur and severe pain despite intravenous morphine. He is confused, has respiratory rate 10/min after opioids, and needs positioning for spinal anaesthesia. There is no anticoagulant use and no local infection. What is the most appropriate pain management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Ultrasound-guided fascia iliaca compartment block

A fascia iliaca compartment block provides effective opioid-sparing analgesia for hip fracture and can facilitate positioning for spinal anaesthesia. Further systemic opioid may worsen respiratory depression and delirium. Epidural analgesia is disproportionate and less practical in an emergency hip fracture pathway. Regional analgesia should be combined with regular paracetamol unless contraindicated.

Reference: NICE CG124 hip fracture management; Association of Anaesthetists hip fracture guidance