CRQ Neurology Flashcards by Taylor Arciola

The tissue respocible for the secretion of cerebrospinal fluid is the;

A) cerebellum

B) pia mater

C) choroid bodies/plexus

D) subarachnoid space

C) choroid bodies/plexus

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During cranial surgery, the patient’s hair is

A) discarded

B) sent to pathology

C) saved with the patients chart

D) there is no standard procedure

C) saved with the patients chart

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Electrical stimulation is artificially applied post operative electrical current that influences

A) osteomalacia

B) osteogenesis

C) osteoporosis

D) osteoarthritis

B) osteogenesis

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Cranial Nerve X is the

A) Trochlear

B) Olfactory

C) Vagus

D) Trigeminal

C) Vagus

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Shunts placed for the treatment of hydrocephalus commonly drain into the:

A) peritoneum and left atrium

B) peritoneum and right atrium

C) right and left atrium

D) peritoneum and portal vein

B) peritoneum and right atrium

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The following are types of brain tumors EXCEPT

A) meningioma

B) glioma

C) ependyoma

D) hematoma

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During a craniotomy, a penfield dissector or a Woodson dissector are used to release the ______ from cranial bone

A) dura mater

B) galia

C) rami

D) gyri

A) dura mater

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Neurosurgical sponges soaked in solution are placed within the reach of the surgeon and displayed on a/n

A) inverted emesis basin

B) dry sterile towel

C) plastic drape

D) Both A and C

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Equipment used to emulsify and remove a benign tumor is a/an:

A) cryosurgical unit

B) ultrasonic aspirator

C) Midas Rex/ Anspache with attachments

D) craniotome

C) Midas Rex/ Anspache with attachments

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Hemostasis in neurosurgery is achieved by using Gelfoam saturated with saline solution or

A) heparin

B) topical thrombin

C) mannitol

D) epinephrine

B) topical thrombin

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Meniere’s is associated with which cranial nerve?

A) VII

B) VIII

C) IX

D) X

B) VIII

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All of the following are used for hemostasis in a neurosurgical procedure EXCEPT

A) bone wax

B) compressed cotton strips

C) bipolar coagulation

D) monopolar coagulation

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A gigli saw is used during a

A) laminectomy

B) Cloward

C) cordotomy

D) craniotomy

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Upon craniotomy closure, the bone flap is sutured on with

A) stainless steel suture

B) silk

C) absorbable suture

D) nonabsorbable suture

A) stainless steel suture

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A fatal disease of the nervous system that is caused by a prion (unfectious protein) which cannot be destroyed by normal disinfection and sterilization is

A) Parkinsons disease

B) Creutzfeldt-Jakob disease

C) Meniere disease

D) hydrocephalus

B) Creutzfeldt-Jakob disease

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To effect hemostasis during a neurosurgical procedure, small pieces of gelfoam are cut into several different sizes and soaked in

A) saline

B) Avitene

C) topical thrombin

D) hydrogen peroxide

C) topical thrombin

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A tumor rising from the covering of the brain is?

A) Meningioma

B) Hemangioblastoma

C) Glioma

D) Epidural hematoma

A) Meningioma

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What self-retaining retractor is used to maintain traction of brain tissue?

A) Craniotome

B) Raney

C) Gelpi

D) Yasargil

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All of the following are used to obtain hemostasis during Neurosurgery EXCEPT:

A) Monopolar electrosurgery

B) Bipolar electrosurgery

C) Cottonoid Strips

D) Bone wax

A) Monopolar electrosurgery

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The condition where, fibrous bands cause contractures in the fingures, commonly the ring finger and the little finger is

A) compartment syndrome

B) dupuytrens

C) exostosis

D) ganglion

B) dupuytrens

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Lumbar Symphathectomy is performed for the diagnosis of

A) intermittent claudication

B) myocardial ischemia

C) Peptic ulcer disease

D) empyema

A) intermittent claudication

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A hemostatic agent used on bone is

A) heparin

B) bone wax

C) lidocaine

D) cottonoid

B) bone wax

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What medication is used to prevent increased intracranial pressure and reduce cerebral or spinal edema?

A) Papaverine

B) Lidocaine

C) Mannitol

D) Topical thrombin

C) Mannitol

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A surgical procedure used most frequently to control intractable pain of terminal cancer is called a

A) sympathectomy

B) neurectomy

C) cordotomy

D) thermocoagulation

C) cordotomy

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The cause of arteriorvenous malformation is a /an: A) Hematoma B) Congenital defect C) Atherosclerosis D) Tumor

B) Congenital defect

Which operative procedure facilitates the draining of a subdural hematoma? A) Cranioplasty B) Hypophysectomy C) Craniosyntosis D) Burr Holes

D) Burr Holes

Which of the following is a dye that should not be used to mark the skin prior to neurosurgical procedures? A) gentian violet B) indigo carmen C) brilliant green D) methylene blue

D) methylene blue

Which of the following meninges lies proximal to the brain? A) Dura mater B) Pia mater C) Arachnoid D) Subarachnoid

B) Pia mater

Which of the following diagnostic procedures utlizes a contrast medium, a computer, and x-ray technology to show differences between normal and abnormal tissues? A) echoencephalography B) evoked potential C) pneumoencephalography D) CT scan

D) CT scan

The most common site for a bone graft is A) iliac crest B) femur C) vertebral spine D) acetabulum

A) iliac crest

When using the perforator to create burr holes, heat is counteracted by A) irrigating drill site as hole is drilled B) surrounding the area with cool lap pads C) dipping perforator in water D) working quickly, stopping often

A) irrigating drill site as hole is drilled

When performing a ventriculoperitoneal shunt, the catheter is placed in the______and ______. A) Lateral ventricle, peritoneal cavity B) Epidural space, peritoneal cavity C) Third ventricle, subcutaneous space D) Third ventricle, peritoneal cavity

A) Lateral ventricle, peritoneal cavity

Raney clips are A) skin clips B) hemostatic clips C) aneurysm clips D) hemostatic scalp clips

D) hemostatic scalp clips

The advantage of using a javid shunt during a carotid endartectomy is A) continuous cerebral blood flow B) prevention of dislodging debris C) ease in securing patch to artery D) clearer view of surgical site

A) continuous cerebral blood flow

A gigli saw is used during a/an? A) Craniotomy B) Laminectomy C) Hypophysectomy D) Radiosurgery

A) Craniotomy

The treatment of AVM or ateriovenous malformation includes all of the following techniques except: A) coagulation using a laser B) coating with methylmethacrylate resin C) ligating with clips D) implanting of silicone beads

B) coating with methylmethacrylate resin

Hydrocephalus is treated by which surgical procedure? A) Craniectomy B) Ventriculoperitoneal Shunt C) Cranioplasty D) Laminectomy

B) Ventriculoperitoneal Shunt

During neurosurgical procedures, venous stasis in the lower extremities and maintainance of blood pressure may be aided by all of the following EXCEPT A) Esmarch bandage wrapped groin to toe B) elastic bandages wrapped toe to groin C) sequential comkpression devices D) special tensor stockings(TED) stockings

A) Esmarch bandage wrapped groin to toe

A slow growing tumor of the vestibular branch of the eighth cranial nerve is A) acoustic neuroma B) glioma C) seizure disorder D) meningioma

A) acoustic neuroma

Incomplete closure of the spine is A) scoliosis B) intervertebral disc disease C) subdural hematoma D) spina bifida

D) spina bifida

A herniation of the brain and its coverings through a defect in the skull is? A) Meningoencephalocele B) Myelomeningocele C) Encephaloma D) Aneurysm

A) Meningoencephalocele

What type of bone is the cranium? A) Irregular B) Round C) Sesamoid D) Flat

D) Flat

All of the following procedures would usually require a craniotomy incision except. A) intracranial clipping of the aneurysm B) transphenopidal hypophysectomy C) anteriovenous malformation repair D) excision of an acoustic neuroma

B) transphenopidal hypophysectomy

The most common cause of intracerebral hemorrhage is: A) Transient ischemic attack B) Hypertension C) Congenital Aneurysm D) Brain tumor

B) Hypertension

A tumor arising from the covering of the brain is a/an A) hemangioblastoma B) angioma C) meningioma D) glioma

C) meningioma

What cranial nerve is responsible for the sense of smell? A) I B) II C) III D) IV

A) I

A self -retaining nuerosurgical retractor is: A) Raney-crutchfield B) Leyla-Yasargil C) Davis D) Cushing

B) Leyla-Yasargil

The intraoperative use of bone allografts requires all of the following responses from the scrub team EXCEPT A) culture before implant B) wash with an antibiotic solution C) completely thaw D) Both A and B

C) completely thaw

During a craniotomy the brain is protected with? A) cottonoid pledgets/patties B) 4x4 sponges C) laparotomy tapes D) Telfa

A) cottonoid pledgets/patties

Which of the following are tongs providing skeletal traction for cervical fracture/dislocation? A) Yasargil B) Cushing C) Gigli D) Crutchfield

D) Crutchfield

The incomplete closure of the vertebral arches in a newborn is: A) Hydrocephalus B) Spina Bifida C) Scoliosis D) Meningocele

B) Spina Bifida

A surgical procedure in which a nerve is freed from binding adhesion for relief of pain and restoration of function is termed a A) neurexeresis B) neurorrhaphy C) neurotomy D) neurolysis

D) neurolysis

The tissue encountered under the skin of the scalp is the : A) dura mater B) arachnoid space C) galea/aponeurosis D) periosteum

C) galea/aponeurosis

A large, encapsulated collection of blood over one or both cerebral hemispheres that produces intracranial pressure is known as a/n A) epidural hematoma B) intracranial hematoma C) subdural hematoma D) subarachnoid hematoma

C) subdural hematoma

Closure of the dura mater would be accomplished using any of the following suture materials except: A) silk B) polyglycolic acid/ polyglactin C) chromic gut D) braided nylon

C) chromic gut

The system controlling the “fight or flight” response of the body is A) sympathetic B) parasympathetic C) autonomic D) Both A and B

A) sympathetic

What is the incisional approach used to effect a transphenoidal hypophysectomy? A) Middle of the upper gum B) Bifrontal approach C) Frontal approach D) Frontotemporal approach

A) Middle of the upper gum

A type of malignant brain tumor is A) meningioma B) glioma C) sacrococcygeal tumor D) teratoma

B) glioma

An abnormal connection between arteries and veins,bypassing the capillary system which most commonly occurs in the central nervous system. A) Arteriovenous Malfomation (AVM) B) Hydrocephalus C) meningocele D) Acoustic Neuroma

A) Arteriovenous Malfomation (AVM)

Stereotaxis provides; A) the location of a fixed point in space using geometric coordinates B) images of vascular structures of the brain C) images of outlines of the ventricles to assess for obstruction D) A sample of cerebrospinal fluid for analysis

A) the location of a fixed point in space using geometric coordinates

Diagnostic test used to measure electrical activities of the brain is A) electrocardiogram B) myelogram C) electromyography D) electroencephalogram

D) electroencephalogram

Dopamine-deficient diseases include all of the following except: A) parkinsons disease B) Huntingtons disease C) alzheimers disease D) cushing’s diseasae

D) cushing’s diseasae

Surgical trauma to the first and second cranial nerves would cause the loss of smell and: A) Taste B) Speech C) Hearing D) Sight

D) Sight

Which of the following is used to control bleeding beneath the skull and around the spinal cord? A) Webril B) Gauze sponges C) Cottonoid D) kitners

D) kitners

A lateral curvature of the spine is A) kyphosis B) scoliosis C) lordosis D) orthosis

B) scoliosis

Bleeding that has occured between the skull and the outer covering of the brain is a/an: A) subdural hematoma B) epidural hematoma C) intracerebral hemorrhage D) arteriovenous malformation

B) epidural hematoma

The instrument used to remove a herniated nucleus pulposus during laminectomy/discectomy is the: A) pituitary ronguer B) penfield dissector C) Kerrison ronguer D) Midas rex or Anspache

A) pituitary ronguer

The meningeal layer space where bleeders most commonly occurs following trauma is the A) epipial space B) subpial space C) subarachnoid space D) subdural space

D) subdural space

Craniosynostosis is treated with which surgical procedure? A) Craniectomy B) Cordotomy C) Ventriculoperitoneal Shunt Placement D) Cranioplasty

D) Cranioplasty

Which of the following positions would be most likely used for performing a Lumbar Laminectomy? A) Fowler B) modified prone C) modified supine D) left lateral

B) modified prone

Surgical creation of a lesion in the treatment of a disease such as Parkinsons is called A) cryosurgery B) diathermy C) rhizotomy D) pallidotomy

A) cryosurgery

What instrument is used to excise the laminae overlying the herniated disc during its removal in a laminectomy procedure? A) Cloward B) Leksell C) Kerrison D) Beckman-Adson

C) Kerrison

The diagnostic test used to measure electrical activity of the brain is called: A) echoencephalography B) isotope brain scanning C) electroencephalography D) cerebral angiograophy

C) electroencephalography

A CUSA probe is used for: A) freezing destruction of tissue B) emulsification and aspiration of tissue C) caterization of tissue D) drainage of excessive cerebrospinal fluis

B) emulsification and aspiration of tissue

Tumors in the brain include all of the following except? A) pheochromocytomas B) meningiomas C) astrocytomas D) gliomas

A) pheochromocytomas

A ventriculoperitoneal shunt treats A) Parkinsons disease B) hydrocephalus C) Menieres disease D) trigeminal neuralgia

B) hydrocephalus

Dorsal sympathectomy entails removal of which of the following chains of the sympathetic division of the autonomic nervous system? A) Thoracolumbar B) Cervicothoracic C) Lumbar D) Cervical

B) Cervicothoracic

What is the most common congenital lesion encountered, requiring neurosurgical intervention? A) Meningomyelocele B) A-V malformation C) Aneurysm D) Neurofibromas

A) Meningomyelocele

The hemostatic clips applied on the scalp following the skin incision are called ________clips. A) Penfield B) McKenzie C) Raney D) Michel

C) Raney

Removal of an anterior cervical disc with accompanying spinal fusion is termed a A) Schwartz procedure B) Cloward procedure C) Torkildsen operation D) stereotactic procedure

B) Cloward procedure

A herniated nucleus pulposus is treated with which surgical treatment? A) Craniectomy B) Laminectomy C) Ventriculoperitoneal Shunt Placement D) Cordotomy

B) Laminectomy

The tissue structure found in the sella turcica is the A) Corpus callosum B) Fourth ventricle C) pituitary gland D) pineal gland

C) pituitary gland

Medication used during Transsphenoidal Hypophysectomy to aid in incisionla hemostasis would be A) lidocaine hydrochloride with epinephrine B) dexamethasone C) lidocaine hydrochloride without epinephrine D) cocaine hydrochloride

D) cocaine hydrochloride

Malabsorption of cerebrospinal fluid (CSF) and resultant hydrocephalus are connected by a neurosurgical A) VP shunt B) AV shunt C) VA shunt D) both A and C

D) both A and C

The area of cerebral circulation where the basilar arteries feed into is referred to as the: A) Circle of Magendie B) Circle of Sylvius C) Circle of Willis D) Circle of Raney

C) Circle of Willis

The procedure for the treatment of chronic painwhich involves surgeryon the nerve root is referred to as: A) Rhizotomy B) Cingulotomy C) Kyphoplasty D) Neurolysis

A) Rhizotomy

During a craniotomy, the instrument commonly used to separate the dura from the cranium is a /an: A) Penfield dissector B) Freer elevator C) Sachs nerve separator D) Scoville-spatula

A) Penfield dissector

Osteogenesis or bone growth can be induced by A) bone grafting, autogenous B) bone grafting, homogeneous C) hormone installation D) electrical stilulation

D) electrical stilulation

A sponge used in brain surgery ia a/n A) cottonoid patty B) Kitner C) impregnated gauze D) porcine

A) cottonoid patty

Which of the following diseases cannot be treated by a sympathectomy? A) Intractable nerve pain B) Vascular extremity disorders C) Hyperhydrosis D) Neuroma

D) Neuroma

Which of the following is used to control bleeding around the spinal cord? A) 4x4’s B) Thrombin C) Cottonoid D) Peanut

C) Cottonoid

Dural traction sutures are secured with; A) bulldogs B) allises C) oschners D) kellys/peans

A) bulldogs

Neurosurgical procedures done for the purpose of locating and destroying target structures in the brain are called A) stereotactic B) cranioplasties C) craniosynostosis D) trigeminal rhizotomies

A) stereotactic

Venous air embolism would be a surgical complication more likely to occur in patients having a/an: A) Lumbar Laminectomy for ruptured disk B) Repair of a meningocele with the patient in the prone position C) Anterior Cervical Disk in the supine position D) Posterior Fossa Craniotomy in the sitting position

D) Posterior Fossa Craniotomy in the sitting position

All of the following statements are true about knee-chest positioning for laminectomy EXCEPT A) decreased bleeding B) better exposure of laminae C) increased operating time D) increased ease of ventilation

C) increased operating time

Harrington rods are used to treat A) femoral fracture B) scoliosis C) talipes deformity D) congenital hip dislocation

scoliosis

There are_______ cervical vertebrae. A) 6 B) 7 C) 12 D) 4

B) 7

Imaging studies used to visualize the spinal cord are an MRI and ______. A) myelography B) electromyelography C) ultrasound D) discography

A) myelography

The headrest used for neurosurgical cases is called the ? A) Mayfield B) Penfield C) Penrose D) Raney

A) Mayfield

Of the following equipment, which would least likely be used for Neurosurgery A) Mayfield table attachment B) Insufflation Tubing C) hypothermia unit D) bipolar elctrosurgical unit

B) Insufflation Tubing

In laminectomy, herniated disc fragments are removed with a A) bayonet B) Cloward punch C) Scoville D) pituitary rongeur

D) pituitary rongeur