Neurosurgery

Question 1

Type of cell of the nervous system located throughout the body

Answer 1

Neuron

Question 2

Soma

Answer 2

Acts as the sending and receiving area for nerve impulses and is the energy center of the cell

Question 3

Carry/carries nerve impulses toward the cell

Answer 3

Dendrites

Question 4

Carry/carries nerve impulses away from the cell

Answer 4

Axon

Question 5

Which bones are on the side of the skull and contribute to the structure for the sides of the cranium.

Answer 5

Temporal

Question 6

Two bones on either side of the skull provide structure for the sides and roof of the cranium

Answer 6

Parietal

Question 7

The pericranium is the periosteal layer of the skull bones. It is covered with:

Answer 7

Muscle, galea, skin.

NOT COVERED WITH DURA

Question 8

The Brain is divided into three main sections:

Answer 8

The cerebrum
Cerebellum
Brainsteam

Question 9

Also know as the forebrain

Answer 9

Cerebrum

Question 10

Also know as the hindbrain

Answer 10

Cerebellum

Question 11

What is the major structure of the midbrain:

Answer 11

Thalamus
Hypothalamus
Posterior pituitary gland
Pineal gland

Question 12

How many Cervical vertebrae there are

Answer 12

Seven

Question 13

How many lumbar vertebrae there are

Answer 13

Five.

Question 14

How many sacral vertebra there are

Answer 14

Five

Question 15

Number of thoracic vertebrae

Answer 15

12

Question 16

The Cranial Nerves

Answer 16

12 pair of nerves that originate in the brain and are responsible for the sensory and motor functions of the body

Question 17

Composed of small bundles of nerve fibers called fascicles which are surrounded by a sheath called the endoneurium.

Answer 17

Peripheral Nerves

Question 18

Occur in pair and originated from the spinal cord near their corresponding vertebra

Answer 18

Spinal Nerves

Question 19

Small, square, felt sponges made of cotton or rayon to control bleeding on neutral and vascular tissue are referred to as

Answer 19

Cottonoids

Question 20

What type of dressing would be placed on a spinal incision

Answer 20

Telfa

Question 21

Gardner-Wells tongs may be used to secure

Answer 21

Patient’s head

Question 22

Used for patient position

Answer 22

Headrest, Or table and Wilson frame

Question 23

During a craniotomy, the patient is positioned using

Answer 23

Horseshoe headrest or pin fixation

Question 24

What type of ESU is used during a craniotomy

Answer 24

Bipolar

Question 25

During a microdiscectomy, what type of retractor is used?

Answer 25

Tubular

Question 26

During a microdiscectomy, the wounds edges are approximated with

Answer 26

Steri-Strips and Dermabond

Question 27

During a microdiscectomy, Gelfoam pledges are soaked in

Answer 27

Topical thrombin

Question 28

Used in neurosurgical procedures of the cranium to stabilize the patient's head?

Answer 28

Mayfield

Question 29

A patient in the OR has suffered a head injury and has clear fluid leakage from the nose. Which fluid is most likely leaking from the patient's nose?

Answer 29

Cerebrospinal Fluid

Question 30

In which position would a patient be placed for access to a parietal lobe tumor.

Answer 30

Supine

Question 31

During a laminectomy procedure, which tissue is the ST expecting to be removed and is passed off the sterile field as a specimen.

Answer 31

Disk?

Question 32

How should the ST anticipate that bleeding from the dura should be controlled during craniotomy

Answer 32

With bipolar bayonet

Question 33

Transsphenoidal hypophysectomy surgical procedure is the recommended approach for pituitary tumors that are

Answer 33

Large (Not sure about this answer)

Question 34

Why are all nasal instruments kept on a separate Mayo stand during transsphenoidal hypophysectomy?

Answer 34

They are contaminated

Question 35

Which instrument should the ST have ready for retraction of the nerve root during a laminectomy?

Answer 35

Love

Question 36

Which Rongeur Should the surgical tech have ready for the removal of disk material during lumbar laminectomy

Answer 36

Pituitary

Question 37

why is the hip slightly elevated during positioning the patient for anterior cervical discectomy and fusion?

Answer 37

For access to the iliac crest

Question 38

How should the surgical tech care for the bone flap that is removed during a craniotomy surgical procedure?

Answer 38

By placing it in a basin with antibiotic solution

Question 39

Which cranial nerve is important to preserve during rhytidectomy?

Answer 39

V

Question 40

During cerebral aneurysm clipping, the anatomic structure that is probably involved is the:

Answer 40

Circle of Willis

Question 41

During a mastoidectomy, the surgeon uses a nerve stimulator to identify the

Answer 41

Facial Nerve (Cranial nerve VII)

Question 42

Which of the following instruments has a pistol-grip-type shape and is used to dissect bone for access in a laminectomy procedure.

Answer 42

Kerrison

Question 43

The patient in room 8 is scheduled for anterior cervical diskectomy and fusion. To fuse the cervical disk space, the surgeon will most likely harvest bone from the

Answer 43

Iliac crest

Question 44

For the approach on a lumbar laminectomy, the CST should expect the patient to be in what position?

Answer 44

Prone

Question 45

the CST in the scrub role anticipates that the surgeon will need thermal hemostatic for the resection of a brain tumor. what is the best choice for this method

Answer 45

Bipolar Cautery

Question 46

which instrument is used to pass a small portion of bone wax needed during the neurosurgical procedures?

Answer 46

Penfield

Question 47

Why is the hip slightly elevated during positioning the patient for anterior cervical discectomy and fusion?

Answer 47

For access to Iliac crest

Question 48

which of the following terms describe the removal of the large anterior portion of a vertebra during spinal decompression and fusion

Answer 48

Corpectomy

Question 49

What structures are contained in the hernia sac seen in myelomeningocele?

Answer 49

Spinal cord, meninges, and nerve roots

Question 50

During a Craniotomy, what is a frequently mechanical hemostasis on the edges of the incised scalp?

Answer 50

Raney Clips

Question 51

The patient in room 8 is scheduled for anterior cervical diskectomy and fusion. What area of the body will this surgery be performed?

Answer 51

Cervical Spine

Question 52

Vagotomy is performed in people with gastric ulcers and gastric secretion issues. The procedure involves ligations of the cranial nerve

Answer 52

X

Question 53

For practical purposes during craniotomy, the CST in the scrub role should perform all of the following except: - Keeping track of the amount of irrigation used - Preparing Raney clips for use on the scalp - Using hot NaCl solution for irrigation - Prepare for seeding isolation techniques when malignancy is discovered.

Answer 53

- Using hot NaCl solution for irrigation

Question 54

For the approach on a lumbar laminectomy, the surgeon has asked for a self-Retainer retractor with ratcheted arms. The CST should pass the surgeon a

Answer 54

Beckman Retractor

Question 55

During a craniotomy, the CST should anticipate what type of ESU to be used during the procedure?

Answer 55

Bipolar

Question 56

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

Answer 56

Creutzfeldt- Jakob disease

Question 57

During the craniotomy, holes are drilled into the cranium to

Answer 57

Provide means to pass instruments into the brain???

Question 58

Cranioplasty is performed to

Answer 58

- Prevention from infection. - Continuity of care - Protection of the brain

Question 59

During a lumbar Laminectomy and Discectomy, which of the following instruments is used to excise the lamina and create access to the disk?

Answer 59

Kerrison Rongeur

Question 60

Which method of homeostasis is used after the surgeon drills the cranium bone, and what should the CST have available for the surgeon to help control the bleeding bone

Answer 60

Cottonoids

Question 61

Which of the following procedures is indicated to release intracranial pressure caused by an accumulation of blood or other fluid beneath the dura mater?

Answer 61

Craniotomy

Question 62

A patient is scheduled for a lumbar discectomy, where is the patient intubated before being transferred to the operating room table?

Answer 62

In the operative room while the patient is on the stretcher.

Question 63

Patients undergoing a craniotomy may have a shunt inserted to relieve intracranial pressure, caused by excess cerebral spinal fluid build up, where is this shunt typically placed?

Answer 63

In one of the lateral ventricles