Last Written Test

Question 1

Why take a bone biopsy

Answer 1

Because it is medically necessary

Question 2

What PPE should you wear in the or

Answer 2

Hat, mask, shoe covers, their scrubs

Question 3

Why don’t you open product

Answer 3

In case it doesn’t get used, not in trouble if sterility is compromised because it’s not your fault

Question 4

True AP

Answer 4

Parallel end plate, Pedicles in upper 1/3, and spinous process is in the center

Question 5

True lateral

Answer 5

Superimposed Pedicles parallel end plates

Question 6

What are the anatomical characteristics that would suggest doing a transpedicular approach

Answer 6

T10-L5 lasts
Larger Pedicles
Lateral to medial orientation

Question 7

What image is the most useful for kyphos

Answer 7

Ster

Question 8

Why and when would you do an extrapedicular approach?

Answer 8

Upper thoracic
Thin Pedicles
Sagitally aligned Pedicles

Question 9

What other views might you use in a kypho?

Answer 9

En face - straight down the barrel of Pedicles

Oblique- off to the side

Question 10

In extrapedicular if you are docked on the lateral boarder of the bone in the AP and on posterior boarder in lateral where are you?

How do you fix it

Answer 10

On the inferior articulate facet

Pick up the tip and move more lateral and the handle will drop down

Question 11

What determines trajectory

Answer 11

Fracture morphology

Question 12

What cement can you not use in the spine

Answer 12

Simplex-P

Question 13

What is the alternative if the patient is allergic to contrast?

Answer 13

Gadolinium

Question 14

When jawing Xpede what should you consider?

Answer 14

You must move quickly when filling the 8 BFDs or the cement will set up quickly.

Question 15

In 22 degrees Celsius how long should the hv-r cement take to be ready?

Answer 15

8 minutes

Question 16

What happened if a surgeon inflates to 220 and suddenly it drops to 0? What should you do?

Answer 16

The balloon popped. Squeeze the handle, use a syringe to suck it out, flush, and report.

Question 17

Why should you use 2 balloons instead of one?

Answer 17

AO principles
Less force on end plates
Doubles lifting force 
Doctors goals 
It is a bilateral procedure

Question 18

Why should you reuse balloons

Answer 18

They have memory

We can’t guarantee the integrity because they are only indicated for one use

Question 19

What position is the patient in a Kyphoplasty

Answer 19

Prone