Surgical Technology Tutor

Wednesday, December 6, 2017

SURGICAL TECHNOLOGY QUIZ


ANSWERS FOR THE QUIZ NINE :

QUESTION NUMBER 1 . ANSWER IS : e) all of the above

QUESTION NUMBER 2 . ANSWER IS: b) two operative sites



QUESTION NUMBER 3 . ANSWER IS:  c) transverse

QUESTION NUMBER 4 . ANSWER IS: d) carotid


QUESTION NUMBER 5 . ANSWER IS:   b)  iliac crest

QUESTION NUMBER 6 . ANSWER IS: c)  pituitary rongeur


QUESTION NUMBER 7 . ANSWER IS: b)  thrombin soaked cotton pledgets

QUESTION NUMBER 8 . ANSWER IS: e) a and d only


QUESTION NUMBER 9 . ANSWER IS: e) all of the above


QUESTION NUMBER 10 . ANSWER IS: a) taylor retractor





NEUROSURGERY POSITIONING:
Special care is provided in positioning for neurosurgery include protecting the eyes from pressure,scratch and chemical burn. The joints are protected with proper padding. The foley catheter is checked for tension and kinks to allow proper drainage. 


QUIZ TEN  :

Match  neurosurgical procedures with the correct description.


1. A herniated intervertebral disc is a condition of the spine in which 

a) covering of the spinal cord degenerates
b) body of the vertebrae degenerates
c) laminae fail to fuse and allow the meninges to protrude
d) cushion between the vertebrae breaks down
e) spinal cord ruptures

2. Anterior cervical laminectomy and fusion involves identification of the 

a) anterior surface of the spine 
b) platysma muscle
c) sternocleidomastoid muscle
d) carotid sheath
e)  all of the above

3. During anterior cervical laminectomy and fusion surgery platysma muscle is divided with a

a) metzenbaum 
b) mayo
c) iris
d) all of the above
e) a only

4. During anterior cervical laminectomy and fusion surgery what artery must retracted 

a) transverse cervical
b) thoracic
c) anterior longitudinal
d) carotid
e) vesical

5.   During anterior cervical laminectomy and fusion surgery what structure is retracted medially

a) carotid artery
b)  trachea
c)  esophagus
d) clavicle
e) b and c only

6. During anterior cervical laminectomy and fusion surgery a x-ray is taken to identify  

a)  pedicle
b)  spinous process
c)  level of the disc space
d) none of the above 

7. During anterior cervical laminectomy and fusion surgery bleeding on the walls of the disc hole is controlled using except


a) neuro cottonoid
b)  thrombin soaked cotton pledgets
c)  gelatin sponge
d) bone wax

8.  During anterior cervical laminectomy and fusion surgery dura leak is controlled using 

a) 5-0 or 6-0 silk suture
b) staples
c) 3-0 black braided nylon
d) 5-0 vicryl
e) none of the above

9.  During anterior cervical laminectomy and fusion surgery instruments used to expose are

a) vertebral spreader 
b) markham - meyerding
c)  scoville retractor
d) none of the above
e) all of the above


10.  During anterior cervical laminectomy and fusion surgery a surgairtome may be used to 

a) to reach the depth                                                            
b) to drill deeper hole                                                            
c) to make the hole larger                                                          
d) none of the above           



Have fun with this Quiz Ten.
Answers will be posted on my next blog.

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Folks buy these Dagacci Scrubs for your every day practice. I have used them they are comfortable for the long time usage. Cotton blended very natural scrubs you can get for a reasonable price.

Monday, November 6, 2017

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ EIGHT :

QUESTION NUMBER 1 . ANSWER IS : b) meningoma

QUESTION NUMBER 2 . ANSWER IS: a) scoliosis



QUESTION NUMBER 3 . ANSWER IS:  c) spina bifida

QUESTION NUMBER 4 . ANSWER IS: b) craniosynostosis


QUESTION NUMBER 5 . ANSWER IS: a) angioma  

QUESTION NUMBER 6 . ANSWER IS: c) meningomyelocele


QUESTION NUMBER 7 . ANSWER IS: d) spina bifida

QUESTION NUMBER 8 . ANSWER IS: a) neurofibroma


QUESTION NUMBER 9 . ANSWER IS: b)  tic douloureux


QUESTION NUMBER 10 . ANSWER IS: d) spondylolisthesis





USE OF NEURO COTTONOIDS / PATTIES:
Cottonoids are to be counted as soon as introduced to the field. Do not leave cottonoids in the pitcher before they are used. These can be moistened as placed on the petri dish. Gelfoam should be cut to the same size of the cottonoids, can be soaked in Thrombin per preference of the surgeon. When used with topical medication the cell saver should not be used. 


QUIZ NINE :

Match  neurosurgical procedures with the correct description.


1. Laminectomy is the removal of one or more laminea to expose the spinal cord to treat  

a) herniated disc
b) spinal tumor
c) compression injury
d) scoliosis
e) all of the above

2. Anterior cervical laminectomy and fusion with auto graft involves with 

a) one operative site
b) two operative sites
c) three operative sites
d) four operative sites
e)  none of the above

3. During anterior cervical laminectomy and fusion surgery incision is 

a) longitudinal
b) oblique
c) transverse
d) all of the above
e) b only

4. During anterior cervical laminectomy and fusion surgery what artery must be identified

a) transverse cervical
b) thoracic
c) anterior longitudinal
d) carotid
e) vesical

5.   During anterior cervical laminectomy and fusion surgery bone graft is taken from

a) femur
b)  iliac crest
c)  rib
d) clavicle
e) none of the above

6. During anterior cervical laminectomy and fusion surgery disc is removed with fine curettes or 

a)  periosteal elevator
b)  osteotome
c)  pituitary rongeur
d) bipolar 

7. During anterior cervical laminectomy and fusion surgery bleeding on the walls of the disc hole is controlled using 


a) neuro cottonoid
b)  thrombin soaked cotton pledgets
c)  gelatin sponge
d) bone wax

8.  During anterior cervical laminectomy and fusion surgery spinal cord is retracted to expose the disc using

a) love nerve retractor
b)  penfield 
c) cloward
d) derrico nerve root retractor
e) a and d only

9.  During anterior cervical laminectomy and fusion surgery instruments used to expose

a) cloward cervical retractor
b) markham - meyerding
c)  scoville retractor
d) none of the above
e) all of the above


10.  During anterior cervical laminectomy and fusion surgery instruments used to expose

a) taylor retractor                                                            
b) deaver retractor                                                             
c) hohmann retractor                                                          
d) bennett retractor           



Have fun with this Quiz Nine.
Answers will be posted on my next blog.

Folks I am putting these advertisements to raise the fund needed to support this blog. I am requesting you to use the advertisement to purchase your scrubs and other items from the amazon.

Folks buy these Dagacci Scrubs for your every day practice. I have used them they are comfortable for the long time usage. Cotton blended very natural scrubs you can get for a reasonable price.

Sunday, October 8, 2017

ANSWERS FOR THE QUIZ SEVEN :

QUESTION NUMBER 1 . ANSWER IS : e) all of the above

QUESTION NUMBER 2 . ANSWER IS: b)   aneurysms



QUESTION NUMBER 3 . ANSWER IS:  b)  aneurysms of the circle of willis

QUESTION NUMBER 4 . ANSWER IS:
a) congenital or acquired hydrocephalus 

QUESTION NUMBER 5 . ANSWER IS:   a) to treat vascular disorders

QUESTION NUMBER 6 . ANSWER IS: c) silver,mckenzie or hemoclips


QUESTION NUMBER 7 . ANSWER IS: b) iliac crest

QUESTION NUMBER 8 . ANSWER IS: a)  is impacted with bone tamp


QUESTION NUMBER 9 . ANSWER IS: c)  a median nerve decompression


QUESTION NUMBER 10 . ANSWER IS: b) olivecrona clips





DRAPING THE MICROSCOPE:
It is lot easier if you attach the black ring to the objective first and then proceed with the rest of the draping. This allows confinement of the drape and less worrying whether or not you will drop it. I always put extra gloves to drape the microscope, and take the outer gloves off after the draping.



QUIZ EIGHT :

Match  neurosurgical procedures with the correct description.


1. Tumor of the coverings of the brain  

a) neurofibroma
b) meningoma
c) angioma
d) meningomyelocele
e) none of the above

2. Curvature of the spine

a) scoliosis
b) spina bifida
c) herniated disc
d) spondylolisthesis
e)  neurofibroma

3. Non-closure of the vertebral canal

a) craniosynostosis
b) lordosis
c) spina bifida
d) spondylolisthesis
e) scoliosis

4. Premature closure of the cranial suture

a) acquired hydrocephalus
b) craniosynostosis
c) spondylolisthesis
d) scoliosis
e) angioma

5. Tumor made up of blood vessels  

a) angioma 
b)  sarcoma
c) meningioma
d) fibroma
e) none of the above

6. Herniation of the meninges through an abnormal opening in the vertebrae

a)  herniated disc
b)  scoliosis
c) meningomyelocele
d) spondylolisthesis

7. Herniation of the meninges and the spinal cord through an abnormal opening in the vertebrae

a) spondylolisthesis
b) scoliosis
c) herniated disc
d) spina bifida

8. Tumor of cranial nerve fibers

a) neurofibroma
b)  pons varolii
c) meningomyelocele
d)  angioma
e) none of the above

9. Trigeminal neuralgia

a) pons varolii
b)  tic douloureux
c) neuroma
d) neurofibroma
e) none of the above

10.  Forward dislocation of lumbar vertebrae

a) scoliosis
b) nucleus pulposa
c)  contusion
d) spondylolisthesis
e) herniated disc


Have fun with this Quiz Eight.
Answers will be posted on my next blog.

Folks I am putting these advertisements to raise the fund needed to support this blog. I am requesting you to use the advertisement to purchase your scrubs and other items from the amazon.

Folks buy these Dagacci Scrubs for your every day practice. I have used them they are comfortable for the long time usage. Cotton blended very natural scrubs you can get for a reasonable price.


Friday, September 8, 2017

SURGICAL TECHNOLOGY TUTOR



ANSWERS FOR THE QUIZ SIX :

QUESTION NUMBER 1 . ANSWER IS : e) b,c,d

QUESTION NUMBER 2 . ANSWER IS: b) dependent upon the position of the patient and type of procedure


QUESTION NUMBER 3 . ANSWER IS: a) A-P and lateral spine x-rays, myelogram, discogram

QUESTION NUMBER 4 . ANSWER IS: b) pneumoencephalogram, visual field examination, brain scan 

QUESTION NUMBER 5 . ANSWER IS:   e) c and d ............. c) may be done to diagnose cerebral thrombosis, subdural hematoma, or tumor
d) is done in the x-ray department and patient come to the operating room right after diagnosis.

QUESTION NUMBER 6 . ANSWER IS: c) requires surgical treatment if they are either compound or depressed


QUESTION NUMBER 7 . ANSWER IS: d) all of the above

QUESTION NUMBER 8 . ANSWER IS: a) may be due to a ruptured aneurysm or injury


QUESTION NUMBER 9 . ANSWER IS: a) extradural or subdural


QUESTION NUMBER 10 . ANSWER IS: e) a and b


QUESTION NUMBER 11.  ANSWER IS:   e) all of the above                                 a) astrocytoma
b) menigiomas
c) neurofibromas
d) gliomase



The location of the incision and bone flap for craniotomy:
will determine the position of the patient and orientation of the room set up, depends on the location of the pathology, is usually within the hairline so it won't show when healed. 


QUIZ SEVEN:

Match  neurosurgical procedures with the correct descriptions.


1. Brain tumors  

a) can be benign or malignant
b) cause symptoms because of brain tissue destruction
c) cause symptoms because of increased intracranial pressure
d) may be both primary and metastatic lesions
e) all of the above

2. Vascular disorders of the brain that are treatable by surgery include

a) atherosclerosis
b) aneurysms
c) cerebral embolisms
d) all of the above
e)  b and c

3. Carotid artery ligation is done for

a) atherosclerosis
b) aneurysms of the circle of willis
c) angiomas of the jugular vein
d) an increased blood flow to occipital region
e) all of the above

4. Shunt operations are done for

a) congenital or acquired hydrocephalus
b) craniosynostosis
c) spondylolisthesis
d) scoliosis
e) angioma

5. A sympathectomy may be done  

a) to treat vascular disorders 
b)  through burr holes
c) in the knee-chest position
d) to relieve headaches
e) to treat tic douloureux

6. Special equipment used during sympathectomy includes

a)  crutchfield tongs
b)  vinke tongs
c) silver,mckenzie or hemoclips
d) steinman pins


7. Most common donor site of bone for a spinal fusion is

a) ischium
b) iliac crest
c) femur
d) scapula

8. During a spinal fusion, the bone graft 

a)  is impacted with bone tamp
b)  sewed in with silk
c)  is held with a bolt
d)  a and b
e) none of the above

9. The surgical procedure done to relieve carpal tunnel syndrome is

a)  release of hamstring
b)  excision of the navicular head
c)  a median nerve decompression
d) a radial nerve decompression
e) an ulnar nerve decompression

10.  Surgical clips used on an aneurysm of the circle of willis include

a) sugiclips medium
b) olivecrona clips
c)  towel clip
d) vesclips
e) a and b


Have fun with this Quiz Seven.
Answers will be posted on my next blog.

Folks buy these Dagacci Scrubs for your every day practice. I have used them they are comfortable for the long time usage. Cotton blended very natural scrubs you can get for a reasonable price.