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Neurosurgery Flashcards

1
Q

A localized collection of extravasated blood that is usually clotted is called a/an

A

Hematoma

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2
Q

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

A

Meningioma

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3
Q

The second cervical vertebra is called the

A

Axis

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4
Q

This suture could be used when the surgeon requests to close the dura.

A

Silk

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5
Q

A condition characterized by excruciating piercing pain in the face is known as:

A

Tic douloureux

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6
Q

The number of pairs of cranial nerves is:

A

12

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7
Q

Of the following equipment, which would least likely be used for neurosurgery?

A

Insufflation tubing

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8
Q

Which of the following instruments is used for placement of cottonoid strips during a craniotomy

A

Bayonet forceps

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9
Q

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

A

Cordotomy

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10
Q

Burr holes are enlarged with a

A

Rongeur

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11
Q

Which is the correct position for an anterior cervical discectomy and fusion?

A

Supine with head turned away from the affected side

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12
Q

During a craniotomy, the brain is protected with:

A

Cottonoid pledgets/patties

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13
Q

Which term is used to describe the area above or outside the dura mater?

A

Epidural

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14
Q

In a laminectomy for intervertebral disc, the _________ is/are excised exposing the _______ and the _______ is removed.

A

Ligamentum flavum, dura and nerve root, nucleus pulposus

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15
Q

Which of the following terms describes a “Leskell”?

A

Rongeur

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16
Q

Which of the following will a Love retractor be used to retract?

A

Nerve root

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17
Q

Which of the following terms means to remove pressure?

A

Decompress

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18
Q

A neurologic study in which radiopaque substance is injected into the subarachnoid space through a lumbar puncture is called a/an:

A

Myelogram

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19
Q

In which lobe of the brain is the auditory processing center located?

A

Temporal

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20
Q

The largest part of the brain is the:

A

Cerebrum

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21
Q

CSF is formed from the blood principally through the activity of the:

A

Choroid plexus of the ventricles

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22
Q

The structure connecting the spinal cord with the brain is the:

A

Brain Stem

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23
Q

Which supply should be checked if the cloward technique is used?

A

Bone chips and dowels

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24
Q

Hair removed during preparation for cranial surgery should be:

A

Saved because it is personal property

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25
Q

All of the following are self-retraining retractors EXCEPT for:

A

Taylor

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26
Q

During a laminectomy, disk material is removed with:

A

A pituitary Rongeur

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27
Q

The total number of vertebrae in the adult is:

A

26

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28
Q

The neurosurgeon requests a brain spatula. You will moisten it with?

A

Saline

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29
Q

A lumbar meningocele involves removal of:

A

A fluid-filled sac

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30
Q

Mannitol (Osmitrol) is used in neurosurgical procedures to:

A

Decrease intracranial pressure

31
Q

Which of the following Penfield dissectors are single ended?

32
Q

Which of the following hinged, self-retaining retractors would you pass the surgeon during a lumbar laminectomy?

A

Beckmann-Adson

33
Q

Cranial nerve number II is called the _____ nerve

34
Q

The meninges is composed of three membranous layers. The thin, elastic layer in subdural space is the…

A

Arachnoid mater

35
Q

The diencephalon is composed of the

A

Thalamus and hypothalamus

36
Q

The diencephalon is composed of the:

A

Thalamus and hypothalamus

37
Q

All of the following are used for hemostasis in a neurological procedure except

A

Monopolar coagulation

38
Q

The neurosurgeon is requesting a ball tip scissor. Which of the following will you hand them?

39
Q

Craniosynostosis is a defect due to

A

Premature closure of the cranial sutures

40
Q

Which cranial nerve arises from the medulla and innervates the cervical, thoracic and abdominal regions?

41
Q

Which of the following is the outermost meningeal layer?

A

Dura mater

42
Q

Once the spinous process is exposed during a laminectomy the next instrument needed for the removal of the lamina is a

A

Kerrison rongeur

43
Q

Which cranial rongeur has the largest bite size?

44
Q

What is the correct order of the layers of the meninges anterior to posterior (outermost to innermost)?

A

Dura, arachnoid, pia

45
Q

Hemorrhaging that occurs between the skull and outer meningeal covering is a/an:

A

Epidural hematoma

46
Q

The _____ is a surgical procedure for decompression of the median nerve.

A

Carpal tunnel release

47
Q

In preparation for a cranial aneurysm, which of the following pieces of equipment would MOST likely be used?

A

Microscope

48
Q

Scoliosis is MOST commonly found in which of the following curves of the vertebral column?

49
Q

The division of the autonomic nervous system that is responsible for conservation and restoration of body resources is the ______ nervous system.

A

Parasympathetic

50
Q

Dural traction sutures are secured with:

51
Q

A perforator is used for which of the following procedures?

A

Perforating the cranium

52
Q

A _____ is performed to remove an anterior pituitary tumor through an opening into the upper gum.

A

Transsphenoidal hypophysectomy

53
Q

The area of the brain whose function is the control or coordination of muscles and equilibrium is the:

A

Cerebellum

54
Q

Which of the following is the opening in the occipital bone through which the spinal cord passes?

A

Foramen magnum

55
Q

In neurosurgical operations osseous bleeding is controlled with:

56
Q

Which of the following is NOT a component of the central nervous system?

A

Cranial nerves

57
Q

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

A

Smell and sight

58
Q

Which of the following is the proper name for a tubing holding forceps?

59
Q

During a craniotomy, which of the following types of bone is entered?

60
Q

The layers of tissue that cover the CNS are referred to as the:

61
Q

During a craniotomy, removal of the bone flap is followed by:

A

Incision of the dura mater

62
Q

Which statement is NOT correct regarding the placement of the bone flap?

A

The bone flap is placed after the muscle layer is closed with an absorbable suture

63
Q

The ring of arteries that give rise to the various branches that supply blood to the brain is called:

A

Circle of Willis

64
Q

Mannitol (Osmitrol) is used in neurosurgical procedures to:

A

Decrease intracranial pressure

65
Q

Increased accumulation of CSF in the ventricles is known as:

A

Hydrocephalus

66
Q

What is ICP?

A

Pressure of the CSF in the subarachnoid space

67
Q

A herniated nucleus pulposus is treated with which surgical procedure?

A

Laminectomy

68
Q

A lumbar meningocele involves removal of:

A

A fluid-filled sac

69
Q

The midbrain connects the _____ and the ______ with the _______.

A

Pons, cerebellum, cerebral hemispheres

70
Q

Scalp clips that are used to adhere the scalp to the bone flap during a craniotomy are called:

71
Q

Shunts placed for the treatment of hydrocephalus commonly drain into the

A

Peritoneum and right atrium

72
Q

Shunts placed for the treatment of hydrocephalus commonly drain into the

A

Peritoneum and right atrium

73
Q

Which of the following is NOT a positioning aid for intracranial procedures?

A

Wilson Frame

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