SURGICAL TECHNOLOGY QUIZ

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ TWENTY:

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

QUESTION NUMBER 2 . ANSWER IS:    b) fourth ventricle

QUESTION NUMBER 3 . ANSWER IS:  c)  sitting

QUESTION NUMBER 4 . ANSWER IS:    a)  extra high instrument table and standing stool

QUESTION NUMBER 5 . ANSWER IS:     d)  mastoid tip to mastoid tip

QUESTION NUMBER 6 . ANSWER IS:  c)  weitlaners

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

QUESTION NUMBER 8 . ANSWER IS :  e) b and c only

QUESTION NUMBER 9 . ANSWER IS:  b) identify cranial nerve

QUESTION NUMBER 10 . ANSWER IS:   d) b and c only

The preferred  spinal implants metal is titanium it does not degrade the magnetic resonance image,  details of the spinal cord can be seen clearly.  Long term success of fixation depends on the bony fusion. There are large number of procedures scheduled to remove spinal implants. A collection of  all the different  pedicle screw removal drivers are good asset for the operating room and save hassle.  

QUIZ TWENTY-ONE :

Match  neurosurgical procedures with the correct description.

1. Subtemporal craniectomy for trigeminal rhizotomy is done for which of the following reason : 

a)  control excruciating neural pain in the face 

b) control neural pain in the hand

c) control excruciating neural pain in the shoulder

d) all of the above

e) none of the above

2.  What is tic douloureux   :

a) trigeminal neuralgia

b) fifth cranial nerve pain
c) ophthalmic, maxillary, and mandibular branches are involved
d) pain is intractable
e) all of the above

3. Which of the following is the common position for this above procedure :

a) supine
b) prone
c)  sitting

d) a and c only

4. What type of equipment is required for this procedure :  

a)  neurosurgery microscope
b)  extra double ring stand 
c) extra soft tissue set up
d)  two teams 
e) a, b, and d only

5. What  type of incisions is made :

a) posterior shoulder 
b) vertical temporal from zygomatic process 
c) through the temporal muscles
d)  mastoid tip to mastoid tip
e) b and c only

6. Which of the instrument is used to retract skin flap  : 

a)  army navy
b)  richardson
c)  weitlaners
d)  all of the above


7. Which of the following instrument is used to control middle meningeal artery :

a) cottonoid
b) vessel clips

c) bipolar bayonet forceps

d) all of the above

                                                                                            

8.  Which of the following instrument is used to cut the dura propria  :

a) micro scissors
b) no 11 blade on no 7 knife handle

c) metzenbaum scissors

d) bovie

e) a and b only

9. What are the nerves identified and divided  :  

a) mandibular
b) maxillary
c) ophthalmic
d) a and b only

10.  What is the reason to not divide the ophthalmic root : 

a) ganglion envelops the root

b) difficult to access

c) it is a motor root

d) b and c only

       

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

SURGICAL TECHNOLOGY QUIZ

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ NINETEEN:

QUESTION NUMBER 1 . ANSWER IS :     c) Burr holes and evacuation of hematoma

QUESTION NUMBER 2 . ANSWER IS:     d) stereotaxy wand 

QUESTION NUMBER 3 . ANSWER IS:  b) Transsphenoidal surgery

QUESTION NUMBER 4 . ANSWER IS:    e) a, b, and d only

QUESTION NUMBER 5 . ANSWER IS:  a) c shaped incision is made in the bilateral septal mucosa

QUESTION NUMBER 6 . ANSWER IS:  a)  monopolar special electrotome

QUESTION NUMBER 7 . ANSWER IS:   a) powered surgical diamond bur drill,  irrigation tubing for blades

QUESTION NUMBER 8 . ANSWER IS : d) sphenoidal sinus mucosa is coagulated using bipolar coagulation forceps and suction

QUESTION NUMBER 9 . ANSWER IS:  b) special curette and basket with suction is used to remove the lesion

QUESTION NUMBER 10 . ANSWER IS:    c) angled 30 or 45° endoscope

The preferred  spinal implants metal is titanium it does not degrade the magnetic resonance image,  details of the spinal cord can be seen clearly.  Long term success of fixation depends on the bony fusion. There are large number of procedures scheduled to remove spinal implants. A collection of  all the different  pedicle screw removal drivers are good asset for the operating room and save hassle.  

QUIZ TWENTY :

Match  neurosurgical procedures with the correct description.

1. Suboccipital craniectomy for posterior fossa exploration is done for which of the following reason : 

a)  exposure of the foramen magnum  

b) exposure of the arch of atlas

c) removal of lesion

d) all of the above

e) none of the above

2.  What ventricle is accessible   :

a) third ventricle

b) fourth ventricle 
c) first ventricle
d) second ventricle
e) all of the above

3. Which of the following is the common position for this above procedure :

a) supine
b) modified supine
c)  sitting

d) all of the above

4. What type of equipment is required for this procedure :  

a)  extra high instrument table and standing stool
b)  extra double ring stand 
c) extra soft tissue set up
d)  two teams 
e) a, b, and d only

5. What  type of incisions is made :

a) posterior shoulder 
b) above the external occipital protuberance
c)  clavicle to clavicle
d)  mastoid tip to mastoid tip
e) b and d only

6. Which of the instrument is used to retract skin flap  : 

a)  army navy
b)  richardson
c)  weitlander
d)  all of the above


7. Which of the following is instrument is used to control venous bleeding  :

a)  bone wax
b) gelfoam

c) electrocautery

d) all of the above

                                                                                            

8.  Which of the following area is protected when placing brain retractors :

a) area controls fine movements of the body
b) area control respiration

c) area control vital function

d) area control optic nerve

e) b and c only

9. What is the use of nerve stimulator  :  

a) prevent injury of cranial nerve
b) identify cranial nerve
c) stimulate nerves
d) a and b only

10.  What is the reason to use precaution while removing the prongs of the headrest at the end of the surgery : 

a) avoid disturbing the patient

b) prevent tearing the scalp

c) prevent damaging the eyes

d) b and c only

       

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

SURGICAL TECHNOLOGY QUIZ

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ EIGHTEEN:

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

QUESTION NUMBER 2 . ANSWER IS:     e) all of the above

QUESTION NUMBER 3 . ANSWER IS:  d) all of the above

QUESTION NUMBER 4 . ANSWER IS:    d) all of the above

QUESTION NUMBER 5 . ANSWER IS:  d)  all of the above

QUESTION NUMBER 6 . ANSWER IS:  a)  bone wax

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

QUESTION NUMBER 8 . ANSWER IS : e) all of the above

QUESTION NUMBER 9 . ANSWER IS:  c) spinal cord ends above the first lumbar vertebrae

QUESTION NUMBER 10 . ANSWER IS:    a) 16 to 18 in

The preferred  spinal implants metal is titanium it does not degrade the magnetic resonance image,  details of the spinal cord can be seen clearly.  Long term success of fixation depends on the bony fusion. There are large number of procedures scheduled to remove spinal implants. A collection of  all the different  pedicle screw removal drivers are good asset for the operating room and save hassle.  

QUIZ NINETEEN :

Match  neurosurgical procedures with the correct description.

1. Hematomas (extradural/subdural) by definition are outside of the brain and are not a primary brain injury.  Delay in removing the compression of the brain by the clot causes brain injury and death. What surgical procedure is required : 

a)  Insert spinal catheter  

b) Partial flap craniotomy

c) Burr holes and evacuation of hematoma

d) all of the above

e) none of the above

2.  What is the name of the instrument :

a) bovie hand held
b) bipolar forceps 
c) nerve stimulator
d) stereotaxy wand 
e) all of the above

3. Which of the following is the common way to remove pituitary tumors :

a) Transcranial  surgery
b) Transsphenoidal surgery
c)  Craniotomy adenomectomy

d) all of the above

4. What are the instruments needed to perform Endoscopic Transsphenoidal pituitary tumor removal surgery :  

a)  monopolar electrotome and bipolar coagulation forceps with suction
b) powered surgical diamond bur drill,  irrigation tubing for blades  
c) Craniotome with perforator blade
d) curette with suction
e) a, b, and d only

5. What  type of incisions is made :

a) c shaped incision is made in the bilateral septal mucosa
b) t shaped incision is made in the bilateral septal turbinate
c)  y shaped incision is made in the bilateral septal mucosa
d)  all of the above
e) none of the above

6. Which of the instrument is used in the septal mucosa  : 

a)  monopolar special electrotome
b)  handheld bovie
c)  bipolar cautery with suction 
d)  all of the above


7. Which of the following is instrument used to remove the vomer  :

a) powered surgical diamond bur drill,  irrigation tubing for blades

b) metz scissors, towel clips, rongeur, curettes

c) pituitary rongeur

d) all of the above

                                                                                            

8.  Which of the following is done after the seller floor is identified :

a) tumor is removed using pituitary rongeur

b)  adrenalin is flushed the cavity

c) scoville curette number 5 is used to curettage the cavity

d) sphenoidal sinus mucosa is coagulated using bipolar coagulation forceps and suction

e) none of the above

9. What is the next step after the dura is incised :  

a) spinal fluid is aspirated
b) special curette and basket with suction is used to remove the lesion
c) kerrison number 5 is used to remove the tumor
d) all of the above

10.  What is used to make sure all of the tumor is removed from the cavity: 

a) straight 0 ° endoscope

b) 120 ° endoscope

c) angled 30 or 45° endoscope

d) none of the above

       

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

SURGICAL TECHNOLOGY QUIZ

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ SEVENTEEN:

QUESTION NUMBER 1 . ANSWER IS :    a) sensory 

QUESTION NUMBER 2 . ANSWER IS:    d) axon 

QUESTION NUMBER 3 . ANSWER IS:  b) two

QUESTION NUMBER 4 . ANSWER IS:    e) a and b only

QUESTION NUMBER 5 . ANSWER IS:   a) muscle is in constant state of full contraction

QUESTION NUMBER 6 . ANSWER IS:  a)  axon

QUESTION NUMBER 7 . ANSWER IS:   c)  nodes of ronvier

QUESTION NUMBER 8 . ANSWER IS : a) synaptic vessicle

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

QUESTION NUMBER 10 . ANSWER IS:    d)  all of the above

Patient presents skull fractures requires surgical treatment for depressed or compound fracture.
Intracranial hemorrhage are caused by ruptured aneurysm or trauma called cerebral vascular accident.

QUIZ EIGHTEEN :

Match  neurosurgical procedures with the correct description.

1. What medications are commonly used for neurosurgery :

a) 20% mannitol, bacitracin, rocephin
b) solucortex, decadron, bactrim
c) topical thrombin, lidocaine, epinephrine
d) all of the above
e) none of the above

2. What is the common guideline for emergency craniotmies:

a) place all positioning equipment on prep stand, norelco razor, KY, comb
b) check the electric OR table or stryker table
c) arrange all x rays, CT scans, MRI's, in the room
d) have foley catheter with urimeter, TED hose, PAS stockinett
e) all of the above

3. During aneurysm clipping what is the method followed :

 a) document company name, lot number on the implantable device list in         the OR chart
b) save slips to re order
c) anesthesiologist may insert lumbar drain after the patient is asleep
d) all of the above

4. What are the shunt supplies required in the OR :  

a)  codman, external drainage kit, Ommaya reservoir and huber needle
b) Denver shunts low profile unitized sizes 30,50,91 cm in low, standard,           and high flow
c) Codman H & H external drainage system, Becker external drainage and        pole clamp
d) all of the above
e) a and b only

5. What is CUSA :

a) Cavitron Ultrasonic Surgical Aspirator
b)  Straight and curved handpieces, straight and curved extenders
c)  CUSA disposables tubing and supplies
d)  all of the above
e) none of the above

6. During burr holes what is the method of controlling the bleeding  : 

a)  bone wax
b)  avitene
c)  surgicel
d)  all of the above

7. Which of the following is a basic instruments set up for craniotomy  :

a)  craniotome, perforator, wire passer drill bits, straight hemostats,                   penfield #4, aufranc elevators, fine bipolar forceps, bovie, penfield #1,           blunt hook 
b)  raney clips and applier, needle holders, 4 hemostats,straight mayo               scissorss, metz scissors, towel clips, suction tips, army navy,                         weitlanders, rongeur, curettes
c)  #3 knife handles, 10 blades, 15 blades, med heavy tooth forceps, adson       forceps, frazier suction tips, pituitary rongeur
d)  all of the above

                                                                                            

8.  Which of the following is a basic back table set up for craniotomy  :

a) petri dish soaked gelfoam, epstein curettes 0,3-0, aufranc elevator,    blunt hook, shovel, penfield #4, bipolar forceps, med tooth forceps, micro- scissors
b)  #10 blade, #11 blade, #15 blade, syringe with adrenalin, needle holders,         metz, straight mayo scissor, 4 hemostats, I kocker, 4 ring forceps, 6               small towel clips, bovie
c) scoville curette, weitlanders, cerebellum, army navy, curette, pliers,              markham meyerding, kerrisons, leksells, pituitary rongeurs, suction tips
d) large basin, small basin, basin with patties, pitcher, pitcher with irrigation
e) all of the above

9. Why lumbar puncture is performed at the level of third and fourth lumbar vertebrae:  
a) spinal fluid is not found below this point
b) easy to puncture
c) spinal cord ends above the first lumbar vertebrae
d) all of the above

10.  Spinal cord is contained in the canal its length is :
a) 16 to 18 inches
b) 20 to 21 inches
c) 10 to 12 inches
d) none of the above

       

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