SURGICAL TECHNOLOGY TUTOR

SURGICAL TECHNOLOGY TUTOR

ANSWERS FOR THE QUIZ FIVE :

QUESTION NUMBER 1 . ANSWER IS : SHUNT OPERATIONS

QUESTION NUMBER 2 . ANSWER IS: CRANIOPLASTY

QUESTION NUMBER 3 . ANSWER IS: TRANSSPHENOIDAL HYPOPHYSECTOMY

QUESTION NUMBER 4 . ANSWER IS: CRANIOTOMY

QUESTION NUMBER 5 . ANSWER IS: BUR HOLES 

QUESTION NUMBER 6 . ANSWER IS: CRANIECTOMY

While positioning the neuro-surgical patient, it is important to remember:

to protect against trauma to the eyes

pressure areas must be padded

to allow room for adequate respiratory expansion

QUIZ SIX:

Match cranial neurosurgical procedures with the correct descriptions.

1. Pre-anesthesia medications are given to the neurosurgical patients

a) To sedate them heavily so they won't remember

b) To depress secretions and increase the stability of the heart

c) To replace anesthesia

d) To control seizures

e) b,c,d

2. Anesthesia for neurosurgery is generally

a) local

b) dependent upon the position of the patient and type of procedure

c) general inhalation with an endotracheal tube in place

d) deep, because there is much pain involved with neurosurgery

3. Diagnostic procedures done for a patient with a suspected herniated intravertebral disc may include

a) A-P and lateral spine x-rays, myelogram, discogram

b) A-P and lateral spine x-rays, myelogram, saggital sinus venogram

c)A-P  and lateral spine x-rays,myelogram,cisternal puncture

d)A-P and lateral spine x-rays, discogram, pneumoencephalogram

4. Diagnostic procedures done for a patient with a suspected brain tumor may include

a) pneumoencephalogram, cerebral angiogram, discogram

b) pneumoencephalogram, visual field examination, brain scan

c) electroncephalogram, spine puncture,thalamotomy

d) electroencephalogram, myelogram,pallidotomy

e) a and b

5.Brain scan

a) is the recording of electrical activity of the brain

b) requires general anesthesia

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.

e) c and d

6. Fractures of the skull

a) require surgical treatment in all cases

b) require craniotomy if there is a scalp laceration

c) requires surgical treatment if they are either compound or depressed

d) require surgical treatment if the patient has been unconscious

e) require surgical hemostasis

7. Indications for a cranioplasty include

a) cosmetic effect

b) fear of injury

c) local discomfort

d) all of the above

8.Intracranial hemorrhage

a) may be due to a ruptured aneurysm or injury

b) occurs more often in men then in women

c) is not serious if it does not occur within 24 hours of an accident

d) required surgery only if the skull fragment can not be removed

e) is a cerebral vascular accident 

9. An intracranial hemorrhage may be

a) extradural or subdural

b) subdural or subhepatic

c) subhepatic or subphrenic

d) subphrenic or subclavian

e) epidural or subphrenic

10. Treatment of intracranial hemorrhage may be

a) immidiate craniotomy

b) burr holes for evacuation of clot with possible craniotomy

c) burr holes only if there is a skull fracture

d) depends upon how many black eyes the patient has

e) a and b

11. Brain tumors may be

a) astrocytoma

b) menigiomas

c) neurofibromas

d) gliomas

e) all of the above

Have fun with this Quiz SIX.

Answers will be posted on my next blog.

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