Entrance Exam Flashcards

1
Q

Identify the tab name with the corresponding letter.

Profile

A

A

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2
Q

Specialized sensory neurons in the skin and internal organs that are sensitive to painful stimuli (burns, trauma) are called….

A

Nociceptors

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3
Q

The ventral root carries sensory impulses from the brain and the dorsal root carries motor impulses to the brain.

A

false

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4
Q

Activation of the dorsal roots is typically avoided it:

A

A & B look this up**

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5
Q

Identify tabs on Program myStim

A

Look at picture

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6
Q

A ENS is an external neurostimulator used as the power source during an SCS trial

A

True

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7
Q

The process by which the nervous system senses and transmits pain signals to the brain is called the _______.

A

Central pain pathway

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8
Q

These unmyelinated fibers carry electrical messages more slowly to the spinal cord and are responsible for the delayed, dull, aching, and burning components of the pain sensation ( slow or continuous pain)

A

C fibers

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9
Q

Requires a laminectomy or laminotomy

A

Surgical Lead

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10
Q

The recharging screen displays key information such as the neurostimulation charge level, the recharger charge level, and the strength of the coupling connection during a recharge session

A

True

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11
Q

Signifies the presence of noxious tissue stimulus that produces actual tissue damage or possessed the potential to do so

A

Acute pain

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12
Q

What explains the strength duration curve and its significance as it relates to therapeutic effect?

A

Pulse width and the threshold stimulus current. The curve is characterized by a reduction of the stimulus amplitude when the pulse width is increased.

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13
Q

The ________ is the region immediately beneath the bony and ligamentous elements forming the vertebral canal.

A

Epidural space

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14
Q

What is the most commonly indicated condition in the United States for SCS

A

Failed Back Surgery Syndrome

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15
Q

Paresthesia is the tingling sensation superimposed over the painful area by spinal cord stimulation. the tingling sensation is meant to mask the targeted pain.

A

true

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16
Q

Identify the tab name with the corresponding letter.

Measurement

A

C

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17
Q

What is the definition of neuropathic pain?

A

Initiated or caused by a primary lesion or dysfunction in the nervous system

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18
Q

Middle of the 3 coverings

A

Arachnoid matter

19
Q

Duration of stimulation and is measured in microseconds determines the size of area stimulation will cover.

A

Pulse Width

20
Q

The myStim patient programmer may be used during the trial and after permanent implant of neurostimulation system

A

true

21
Q

Identify the factors that will affect a patient’s recharge duration

A

Ask Marlon

22
Q

The ascending tract conducts impulses to the brain and the descending tract sends signals from the brain stem to the spinal cord

A

true

23
Q

Percutaneous lead trials may be performed in a physicians office, surgery center or hospital

A

True

24
Q

Intensity or strength of stimulation and is measured in volts (V) determines the threshold of perception of pain

A

Amplitude

25
Q

A Medtronic neurostimulation system is indicated as an aid in the management of chronic, intractable pain of the trunk and/or limbs - including unilateral or bilateral pain

A

true

26
Q

The _______ is the inner most delicate fibrous membrane covering the brain and spinal cord

A

Pia Mater

27
Q

Identify leads, extension and power source of Neurostimulation system

A

Look at picture

28
Q

Ohm law defines the relationship between

A

Voltage, resistance and current

29
Q

To determine if a patient is an appropriate candidate for SCS, the clinician evaluates the patient’s pain history in combination with specific selection criteria during the physical evaluation.

A
  1. Diagnosis of chronic intractable pain
  2. History of more conservative therapies have failed
  3. Physiological origin of the pain
  4. Appropriate surgical candidate
  5. Additional surgery is contraindicated or unlikely to produce a successful outcome
30
Q

What is NOT a condition for which SCS is indicated

A

Postherpetic neuralgia

31
Q

Pain that extends beyond 3 months

A

Chronic pain

32
Q

Solve the unknown

V= 8.5
R= 931
A

.0091299

33
Q

The ____ is the outermost tough fibrous covering that prevents cerebrospinal fluid from leaking out of the Central Nervous System.

A

Dura Mater

34
Q

The _________ is the space which surrounds the spinal cord and lies between the pia and arachnoid mater containing CSF.

A

Intrathecal or subarachnoid space

35
Q

Identify the tab name with the corresponding letter.

End session

A

E

36
Q

What is the equation for ohms law?

A

V= I x R

37
Q

Gate Control Theory

A

Non-painful input closes the “gates” of painful input in the prevention of pain sensation traveling from the central nervous system to the brain

38
Q

Number of times per second that a stimulation pulse is delivered. Measured in pulses per second or Hertz. Determines the frequency of stimulation

A

Rate

39
Q

When considering the depth of an electrical field, the Holsheimer model theorizes that an electrical field created by electrodes spaced farther apart provides fairly deep stimulation of the dorsal column.

A

false

40
Q

A patient’s neurostimulation therapy team may include referring physician, psychologist, patient management coordinator, and the implanting physician

A

true

41
Q

May be inserted through a tuohy needle in the epidural space

A

Percutaneous Lead

42
Q

A dermatome is an area of the body supplied by one nerve root.

A

True

43
Q

These myelinated, afferent fibers are largest in size, and have the fasted conductive velocity. They respond to touch, pressure and kin esthetic sense.

A

AB fibers

Aa fibers

44
Q

Identify the tab name with the corresponding letter.

Start Session

A

B