ANSWERS FOR THE QUIZ THREE :
QUESTION NUMBER 1 a. ANSWER IS: Cerebral angiography
QUESTION NUMBER 1 b. ANSWER IS: Myelography
QUESTION NUMBER 1 c. ANSWER IS: Pneumoencephalography
QUESTION NUMBER 1 d. ANSWER IS: Lumbar puncture
QUESTION NUMBER 1 e. ANSWER IS: Ventriculography
QUESTION NUMBER 1 f. ANSWER IS: Electroencephalography
QUESTION NUMBER 1 g. ANSWER IS: Echoencephalography
QUESTION NUMBER 1 h. ANSWER IS: Digitalized angiography
QUESTION NUMBER 1 i. ANSWER IS: Computerized axial tomography
Examples of mechanical methods of hemostasis used during neurosurgery:
1. Scalp clips, 2. Gauge sponges, 3. Hemostatic clips, 4. Compressed rayon cotton sponges (cottonoids), 5. Monopolar and Bipolar electrocoagulation, 6. Bone wax
QUIZ FOUR:
Write which option is correct e.g This is Neurosurgery quiz three / four.
Correct answer is 'four'.
During the Craniotomy procedure:
1. Mayfield Headrest pins are placed before / after the prep.
2. #3 Knife handles with #10 / #7 knife handles with #11 scalpel blades are used to make the incision for the burr holes.
3. Burr hole are made with craniotome / stryker saw and burrholes drill bit / 5093 saw blade.
4. Bone wax is used on a freer / cobb elevator to control bleeding.
5. Burr holes are enlarged with Rongeur / Scalpel / knife / Burr hole enlarger / Kerrison.
6. Periosteum is stripped from the bone with a Periosteal knife / Periosteal elevator / Scalpel / Knife.
7. After exposing, brain surface is protected with Moist sponge / Bone wax / Moist Cottonoid strips / Dry gauge.
8. #Three Fraiziers / Yankauer suction tips are used to suction the blood from the site.
9. Copious amount of Lactated ringers / Normal saline solutions are used to irrigate the site.
10. Operating Microscopes / Surgical Loupes are used for all Craniotomy.
11. Always Bovie / Bipolar units are used to cauterize the galea,periostrum, surface of the dura, and in the brain.
12. Mayfield / Sugita / Bean bag is always used to securely position the skull during the surgery.
13. Drills and Perforators used for the drilling are powered by Nitrogen / Oxygen / Electricity.
14. Mayfield overhead instrument table / Double Mayo stands are used for all craniotomy.
15. Gelfoam / Seprafilm is soaked in topical Thrombin always used for hemostasis on the brain.
16. Calcium chloride / Mannitol a diuretic, may be given to prevent brain swelling, increased intracranial pressure.
17. Hyperthermia / Hypothermia units are always used for the surgery.
18. # 4 Penfield / Hagar dissector is used for blunt dissection.
19. Silk / Chromic suture is used to close the dura.
20. 3-O Nylon / Vicryl is used to suture any drains to the scalp.
Have fun with this Quiz Four.
Answers will be posted on my next blog.
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