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NBSTSA Review > CRQ Neurology > Flashcards

CRQ Neurology Flashcards

1
Q

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

A) cerebellum

B) pia mater

C) choroid bodies/plexus

D) subarachnoid space

A

C) choroid bodies/plexus

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2
Q

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

A

C) saved with the patients chart

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3
Q

Electrical stimulation is artificially applied post operative electrical current that influences

A) osteomalacia

B) osteogenesis

C) osteoporosis

D) osteoarthritis

A

B) osteogenesis

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4
Q

Cranial Nerve X is the

A) Trochlear

B) Olfactory

C) Vagus

D) Trigeminal

A

C) Vagus

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5
Q

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

A

B) peritoneum and right atrium

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6
Q

The following are types of brain tumors EXCEPT

A) meningioma

B) glioma

C) ependyoma

D) hematoma

A

D) hematoma

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7
Q

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

A) dura mater

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8
Q

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

A

D) Both A and C

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9
Q

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

A

C) Midas Rex/ Anspache with attachments

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10
Q

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

A) heparin

B) topical thrombin

C) mannitol

D) epinephrine

A

B) topical thrombin

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11
Q

Meniere’s is associated with which cranial nerve?

A) VII

B) VIII

C) IX

D) X

A

B) VIII

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12
Q

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

A

D) monopolar coagulation

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13
Q

A gigli saw is used during a

A) laminectomy

B) Cloward

C) cordotomy

D) craniotomy

A

D) craniotomy

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14
Q

Upon craniotomy closure, the bone flap is sutured on with

A) stainless steel suture

B) silk

C) absorbable suture

D) nonabsorbable suture

A

A) stainless steel suture

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15
Q

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

A

B) Creutzfeldt-Jakob disease

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16
Q

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

A

C) topical thrombin

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17
Q

A tumor rising from the covering of the brain is?

A) Meningioma

B) Hemangioblastoma

C) Glioma

D) Epidural hematoma

A

A) Meningioma

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18
Q

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

A) Craniotome

B) Raney

C) Gelpi

D) Yasargil

A

D) Yasargil

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19
Q

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

A) Monopolar electrosurgery

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20
Q

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

A

B) dupuytrens

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21
Q

Lumbar Symphathectomy is performed for the diagnosis of

A) intermittent claudication

B) myocardial ischemia

C) Peptic ulcer disease

D) empyema

A

A) intermittent claudication

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22
Q

A hemostatic agent used on bone is

A) heparin

B) bone wax

C) lidocaine

D) cottonoid

A

B) bone wax

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23
Q

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

A) Papaverine

B) Lidocaine

C) Mannitol

D) Topical thrombin

A

C) Mannitol

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24
Q

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

A) sympathectomy

B) neurectomy

C) cordotomy

D) thermocoagulation

A

C) cordotomy

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25
Q

The cause of arteriorvenous malformation is a /an:

A) Hematoma

B) Congenital defect

C) Atherosclerosis

D) Tumor

A

B) Congenital defect

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26
Q

Which operative procedure facilitates the draining of a subdural hematoma?

A) Cranioplasty

B) Hypophysectomy

C) Craniosyntosis

D) Burr Holes

A

D) Burr Holes

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27
Q

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

A

D) methylene blue

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28
Q

Which of the following meninges lies proximal to the brain?

A) Dura mater

B) Pia mater

C) Arachnoid

D) Subarachnoid

A

B) Pia mater

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29
Q

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

A

D) CT scan

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30
Q

The most common site for a bone graft is

A) iliac crest

B) femur

C) vertebral spine

D) acetabulum

A

A) iliac crest

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31
Q

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

A) irrigating drill site as hole is drilled

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32
Q

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

A) Lateral ventricle, peritoneal cavity

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33
Q

Raney clips are

A) skin clips

B) hemostatic clips

C) aneurysm clips

D) hemostatic scalp clips

A

D) hemostatic scalp clips

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34
Q

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

A) continuous cerebral blood flow

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35
Q

A gigli saw is used during a/an?

A) Craniotomy

B) Laminectomy

C) Hypophysectomy

D) Radiosurgery

A

A) Craniotomy

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36
Q

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

A

B) coating with methylmethacrylate resin

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37
Q

Hydrocephalus is treated by which surgical procedure?

A) Craniectomy

B) Ventriculoperitoneal Shunt

C) Cranioplasty

D) Laminectomy

A

B) Ventriculoperitoneal Shunt

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38
Q

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

A) Esmarch bandage wrapped groin to toe

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39
Q

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

A) acoustic neuroma

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40
Q

Incomplete closure of the spine is

A) scoliosis

B) intervertebral disc disease

C) subdural hematoma

D) spina bifida

A

D) spina bifida

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41
Q

A herniation of the brain and its coverings through a defect in the skull is?

A) Meningoencephalocele

B) Myelomeningocele

C) Encephaloma

D) Aneurysm

A

A) Meningoencephalocele

42
Q

What type of bone is the cranium?

A) Irregular

B) Round

C) Sesamoid

D) Flat

A

D) Flat

43
Q

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

A

B) transphenopidal hypophysectomy

44
Q

The most common cause of intracerebral hemorrhage is:

A) Transient ischemic attack

B) Hypertension

C) Congenital Aneurysm

D) Brain tumor

A

B) Hypertension

45
Q

A tumor arising from the covering of the brain is a/an

A) hemangioblastoma

B) angioma

C) meningioma

D) glioma

A

C) meningioma

46
Q

What cranial nerve is responsible for the sense of smell?

A) I

B) II

C) III

D) IV

A

A) I

47
Q

A self -retaining nuerosurgical retractor is:

A) Raney-crutchfield

B) Leyla-Yasargil

C) Davis

D) Cushing

A

B) Leyla-Yasargil

48
Q

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

A

C) completely thaw

49
Q

During a craniotomy the brain is protected with?

A) cottonoid pledgets/patties

B) 4x4 sponges

C) laparotomy tapes

D) Telfa

A

A) cottonoid pledgets/patties

50
Q

Which of the following are tongs providing skeletal traction for cervical fracture/dislocation?

A) Yasargil

B) Cushing

C) Gigli

D) Crutchfield

A

D) Crutchfield

51
Q

The incomplete closure of the vertebral arches in a newborn is:

A) Hydrocephalus

B) Spina Bifida

C) Scoliosis

D) Meningocele

A

B) Spina Bifida

52
Q

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

A

D) neurolysis

53
Q

The tissue encountered under the skin of the scalp is the :

A) dura mater

B) arachnoid space

C) galea/aponeurosis

D) periosteum

A

C) galea/aponeurosis

54
Q

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

A

C) subdural hematoma

55
Q

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

A

C) chromic gut

56
Q

The system controlling the “fight or flight” response of the body is

A) sympathetic

B) parasympathetic

C) autonomic

D) Both A and B

A

A) sympathetic

57
Q

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

A) Middle of the upper gum

58
Q

A type of malignant brain tumor is

A) meningioma

B) glioma

C) sacrococcygeal tumor

D) teratoma

A

B) glioma

59
Q

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

A) Arteriovenous Malfomation (AVM)

60
Q

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

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

61
Q

Diagnostic test used to measure electrical activities of the brain is

A) electrocardiogram

B) myelogram

C) electromyography

D) electroencephalogram

A

D) electroencephalogram

62
Q

Dopamine-deficient diseases include all of the following except:

A) parkinsons disease

B) Huntingtons disease

C) alzheimers disease

D) cushing’s diseasae

A

D) cushing’s diseasae

63
Q

Surgical trauma to the first and second cranial nerves would cause the loss of smell and:

A) Taste

B) Speech

C) Hearing

D) Sight

A

D) Sight

64
Q

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

A

D) kitners

65
Q

A lateral curvature of the spine is

A) kyphosis

B) scoliosis

C) lordosis

D) orthosis

A

B) scoliosis

66
Q

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

A

B) epidural hematoma

67
Q

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

A) pituitary ronguer

68
Q

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

A

D) subdural space

69
Q

Craniosynostosis is treated with which surgical procedure?

A) Craniectomy

B) Cordotomy

C) Ventriculoperitoneal Shunt Placement

D) Cranioplasty

A

D) Cranioplasty

70
Q

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

A

B) modified prone

71
Q

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

A) cryosurgery

72
Q

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

A

C) Kerrison

73
Q

The diagnostic test used to measure electrical activity of the brain is called:

A) echoencephalography

B) isotope brain scanning

C) electroencephalography

D) cerebral angiograophy

A

C) electroencephalography

74
Q

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

A

B) emulsification and aspiration of tissue

75
Q

Tumors in the brain include all of the following except?

A) pheochromocytomas

B) meningiomas

C) astrocytomas

D) gliomas

A

A) pheochromocytomas

76
Q

A ventriculoperitoneal shunt treats

A) Parkinsons disease

B) hydrocephalus

C) Menieres disease

D) trigeminal neuralgia

A

B) hydrocephalus

77
Q

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

A

B) Cervicothoracic

78
Q

What is the most common congenital lesion encountered, requiring neurosurgical intervention?

A) Meningomyelocele

B) A-V malformation

C) Aneurysm

D) Neurofibromas

A

A) Meningomyelocele

79
Q

The hemostatic clips applied on the scalp following the skin incision are called ________clips.

A) Penfield

B) McKenzie

C) Raney

D) Michel

A

C) Raney

80
Q

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

A

B) Cloward procedure

81
Q

A herniated nucleus pulposus is treated with which surgical treatment?

A) Craniectomy

B) Laminectomy

C) Ventriculoperitoneal Shunt Placement

D) Cordotomy

A

B) Laminectomy

82
Q

The tissue structure found in the sella turcica is the

A) Corpus callosum

B) Fourth ventricle

C) pituitary gland

D) pineal gland

A

C) pituitary gland

83
Q

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

A

D) cocaine hydrochloride

84
Q

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

A

D) both A and C

85
Q

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

A

C) Circle of Willis

86
Q

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

A) Rhizotomy

87
Q

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

A) Penfield dissector

88
Q

Osteogenesis or bone growth can be induced by

A) bone grafting, autogenous

B) bone grafting, homogeneous

C) hormone installation

D) electrical stilulation

A

D) electrical stilulation

89
Q

A sponge used in brain surgery ia a/n

A) cottonoid patty

B) Kitner

C) impregnated gauze

D) porcine

A

A) cottonoid patty

90
Q

Which of the following diseases cannot be treated by a sympathectomy?

A) Intractable nerve pain

B) Vascular extremity disorders

C) Hyperhydrosis

D) Neuroma

A

D) Neuroma

91
Q

Which of the following is used to control bleeding around the spinal cord?

A) 4x4’s

B) Thrombin

C) Cottonoid

D) Peanut

A

C) Cottonoid

92
Q

Dural traction sutures are secured with;

A) bulldogs

B) allises

C) oschners

D) kellys/peans

A

A) bulldogs

93
Q

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

A) stereotactic

94
Q

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

A

D) Posterior Fossa Craniotomy in the sitting position

95
Q

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

A

C) increased operating time

96
Q

Harrington rods are used to treat

A) femoral fracture

B) scoliosis

C) talipes deformity

D) congenital hip dislocation

A

scoliosis

97
Q

There are_______ cervical vertebrae.

A) 6

B) 7

C) 12

D) 4

A

B) 7

98
Q

Imaging studies used to visualize the spinal cord are an MRI and ______.

A) myelography

B) electromyelography

C) ultrasound

D) discography

A

A) myelography

99
Q

The headrest used for neurosurgical cases is called the ?

A) Mayfield

B) Penfield

C) Penrose

D) Raney

A

A) Mayfield

100
Q

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

A

B) Insufflation Tubing

101
Q

In laminectomy, herniated disc fragments are removed with a

A) bayonet

B) Cloward punch

C) Scoville

D) pituitary rongeur

A

D) pituitary rongeur

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