SURGICAL TECHNOLOGY TUTOR

ANSWERS FOR THE QUIZ FOUR :

QUESTION NUMBER 1 . ANSWER IS : BEFORE THE FULL PREP

QUESTION NUMBER 2 . ANSWER IS: #3 KNIFE HANDLE WITH #10 BLADE  

QUESTION NUMBER 3 . ANSWER IS:  CRANIOTOME

QUESTION NUMBER 4 . ANSWER IS:  FREER 

QUESTION NUMBER 5 . ANSWER IS: RONGEUR

QUESTION NUMBER 6 . ANSWER IS: PERIOSTEAL ELEVATOR 

QUESTION NUMBER 7. ANSWER IS: MOIST COTTONOID STRIPS

QUESTION NUMBER 8 . ANSWER IS: # THREE FRAIZIERS 

QUESTION NUMBER 9 . ANSWER IS: NORMAL SALINE SOLUTIONS

QUESTION NUMBER 10 . ANSWER IS: SURGICAL LOUPES

QUESTION NUMBER 11 . ANSWER IS: BIPOLAR UNITS

QUESTION NUMBER 12 . ANSWER IS: MAYFIELD OR SUGITA

QUESTION NUMBER 13 . ANSWER IS: NITROGEN OR ELECTRICITY

QUESTION NUMBER 14 . ANSWER IS: DOUBLE MAYO STANDS

QUESTION NUMBER 15 . ANSWER IS: GELFOAM

QUESTION NUMBER 16 . ANSWER IS: MANNITOL A DIURETIC

QUESTION NUMBER 17 . ANSWER IS: HYPOTHERMIA

QUESTION NUMBER 18 . ANSWER IS: # 4 PENFIELD 

QUESTION NUMBER 19 . ANSWER IS: SILK

QUESTION NUMBER 20 . ANSWER IS: 3-0 NYLON

Examples of  position used during neurosurgery:

1. SUPINE: Supranteriol craniotomy, Anterior cervical fusion-decompression procedures etc.
2. LATERAL RECUMBENT: Lumbar, Thoracic laminectomy etc.
3.MODIFICATIONS OF PRONE: Posterior fossa cranioectomy, Laminectomy etc.
4. SITTING: Ventriculogram, Temporal cranioectomy, Posterio-inferior cranioectomy etc.
5. EXTREME SITTING: Infranterial cranial surgery, Posterior spinal surgery etc.

QUIZ FIVE:

Match cranial neurosurgical procedures with the correct descriptions.

1. Procedures to treat hydrocephalus by shunting excessive cerebrospinal fluid from the ventricles to the abdominal cavities where the fluid is absorbed.                                                                                                                                      a. Bur holes
2. Reconstruction of a skull defect resulted from malformation, trauma etc; requires covering the defect with prosthetic material e.g. silicone rubber, bone,cartilage and methyl methacrylate.                                                                                                                                                                                                        b. Craniectomy
3. Removal of pituitary gland or tumor of the pituitary gland by  an incision is made in the upper gum margin through the inferior nasal cavity and sphenoid sinus to the floor of the sella turcica.                                                                                                                                                                                                       c. Cranioplasty
4. Incision into the cranium to treat intracranial disorders.                                                                                                                                                                                                            d. Craniotomy
5. Drill of holes into the skull to tap a ventricle to relieve pressure, or to remove fluid accumulated under the dura mater, or to aspirate brain abscess, or to find and drain subdural hematoma, or to pump air into the lateral ventricles for ventriculography.                                                                                                                                                                                                                            e. Shunting
6. Incision into the skull and removal of bone flap to treat craniosynostosis or to decompress the brain from depressed bone or internal hemorrhage or to remove tumors; subdural and epidural hematomas; infections of the bone.                                                                                                                                                                                  f. Transsphenoidal hypophysectomy

Have fun with this Quiz Five.

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.

SURGICAL TECHNOLOGY TUTOR

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.

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.

SURGICAL TECHNOLOGY TUTOR

QUESTION NUMBER 1 ANSWER IS: N; HEARNIATED DISC

QUESTION NUMBER 2 ANSWER IS: E; INTRACTABLE PAIN

QUESTION NUMBER 3 ANSWER IS: M; MENINGOCELE

QUESTION NUMBER 4 ANSWER IS: A; BRAIN TUMOR

QUESTION NUMBER 5 ANSWER IS: B; HEMATOMA

QUESTION NUMBER 6 ANSWER IS: O; SPINAL CORD TUMOR

QUESTION NUMBER 7 ANSWER IS: C; BRAIN ABCESS

QUESTION NUMBER 8 ANSWER IS: K; TIC DOULOUREUX

QUESTION NUMBER 9 ANSWER IS: J; PITUITARY TUMOR

QUESTION NUMBER 10 ANSWER IS: F; CRANIOSYNOSTOSIS

QUESTION NUMBER 11 ANSWER IS: I; INTRACRANIAL ANEURYSM

QUESTION NUMBER 12 ANSWER IS:D; CARPAL TUNNEL SYNDROME

QUESTION NUMBER 13 ANSWER IS: G; HYDROCEPHALUS

QUESTION NUMBER 14 ANSWER IS: L; MENIERE'S DISEASE

QUESTION NUMBER 15 ANSWER IS: H; A-V MALFORMATIONS

QUIZ THREE

Match neurological diagnostic procedures with the correct descriptions.

1. a  ------------  X-rays are done with the contrast medium into the intracranial vessels; to visualize aneurysms, tumors, or other vascular lesions.

                                                                                                         

                                                                                                   
 1. Echoencephalography

1.  b -------------- Contrast medium is injected into the sub-arachnoid space of the spinal canal to visualize a herniated disc, tumor, or other abnormality.

                                                                                                   
 2. Cerebral angiography

1. c  --------------- Air is injected through a lumbar puncture into the sub-arachnoid space and x-rays are taken to reveal the outline of the ventricular system and sub-arachonoid cisterns.

                                                                                                        
 3. Digitalized angiography

1. d --------------- A needle puncture is made into the sub-arachonoid space between third  and fourth or the fourth and fifth lumbar vertebrae performed for various reasons.

                                                                                            
4. Computerized axial tomography

1. e --------------- X-rays are taken after the cerebrospinal fluid is substituted with air to diagnose tumors.

                                                                                                      
 5. Electroencephalography

1. f ---------------- Electric impulses emitted by the brain cells are recorded by specialized equipment for detection of abnormalities in the central nervous system. The recording is made on special paper, results from the electrodes attached on the head of the patient.

                                                                                                                      
6. Myelography

1. g --------------- Ultrasonic waves are used to detect brain tumors, hematomas, swelling or abscesses.

                                                                                                                    
7. Lumbar puncture

1. h --------------- Cerebral angiography with the computer is used to digitize the x-rays to an image on the computer screen, creates clear image of the  vessel of the brain.

                                                                                                      
 8. Pneumoencephalography

1. i ----------------Produces multiple x-rays of the brain, spinal cord, or other areas of the body in cross section.

                                                                                                                 
9. Ventriculography

Enjoy taking this quiz and send your answers through the comment box.

My answers will be posted on the next blog.

    

SURGICAL TECHNOLOGY TUTOR

   

QUIZ ANSWERS TO THE NEUROSURGERY QUESTIONS POSTED ON APRIL 6,2017.

QUESTION NUMBER 1 ANSWER IS: DECOMPRESSION

QUESTION NUMBER 2 ANSWER IS: CRANIO

QUESTION NUMBER 3 ANSWER IS: C V P LINES

QUESTION NUMBER 4 ANSWER IS: SELLA TURCICA

QUESTION NUMBER 5 ANSWER IS: NUCLEUS PULPOSUS

QUESTION NUMBER 6 ANSWER IS: GALEA

QUESTION NUMBER 7 ANSWER IS: SCLAP CLIP

QUESTION NUMBER 8 ANSWER IS: VENTRICLE

QUESTION NUMBER 9 ANSWER IS: PROTEOLYTIC ENZYME

QUESTION NUMBER 10 ANSWER IS: ARTERIAL LINES

QUESTION NUMBER 11 ANSWER IS: CRANIAL NERVES

QUESTION NUMBER 12 ANSWER IS: ANEURYSM CLIP

QUESTION NUMBER 13 ANSWER IS: PERIPHERAL NERVES

QUESTION NUMBER 14 ANSWER IS: SCIATICA PAIN

QUESTION NUMBER 15 ANSWER IS: LAMINA

QUESTION NUMBER 16 ANSWER IS: CEREBROSPINAL FLUID

QUESTION NUMBER 17 ANSWER IS: SPINAL NERVES

QUESTION NUMBER 18 ANSWER IS: AUTONOMIC NERVES

QUESTION NUMBER 19 ANSWER IS: PERICRANIUM

QUESTION NUMBER 20 ANSWER IS: SPINAL TRACTS

QUESTION NUMBER 21 ANSWER IS: MENINGES

Major indications for Neurosurgery are as follows:

Removal of Pathological lesions such as tumors, abscesses, aneurysms.

Removal of congenital anomalies such as hydrocephalus, craniosynostosis.

Relieve from peripheral nerve injury caused by disease or trauma.

QUIZ TWO

Match neurologic conditions and anomalies with the correct descriptions.

___ 1.     A rupture of the fibrocartilage surrounding an intervertebral disc, caused the release of nucleus pulposus inflicting pressure on the spinal nerve roots and pain.

A. Brain tumor

___ 2.    Pain that cannot be controlled, such as caused by neoplastic invasions.

 B. Hematoma 

 

___3.     Congenital hernia with the meninges protruding through an opening of the skull or spinal column.

 C. Brain abscess

___4.     A growth of tissue forming an abnormal mass in any lobe or structure in the intracranial       region.

  D. Carpal tunnel

___5.     A tumor or swelling which contains blood.

  E.Intractable pain

___6.     A growth of tissue forming an abnormal mass along the spinal cord; 50% are extramedullary 25% are intramedullary and 25% are extradural.

F. Craniosynostosis

___7.       A localized collection of pus in the intracranial region usually caused by infections of the    middle ear, sinuses, face, skull, or from skull fractures.

G. Hydrocephalus

___8.       A neurologic condition of the trigeminal facial nerve, when burning and stab like pain       radiates along the branches of the nerve.

  H. A-V malformation

___9.        Benign or malignant tumor compresses the optic chiasm and impairs vision and may cause symptoms of acromegaly.

I. Intracranial aneurysm


___10.      Premature ossification of the sutures of the skull.  

J. Pituitary tumor

___11.       Abnormal dilation of a blood vessel in the skull, may cause by congenital defect of the     wall of the vessel.

K.Tic douloureux

___12.       A painful condition of the wrist and hand caused by pressure on the median nerve in the   carpal tunnel.

L. Meniere’s disease


___13.       Increase of cerebro-spinal fluid in the ventricles of the brain.

M. Meningocele

___14.        Symptoms of tinnitus, dizziness, progressive deafness and pressure in the ears caused by a disorder of the membranous labyrinth of the inner ear.  

  N. Herniated disc

___15.        Condition when arteries and veins are connected by thin walled channels, without the     normal capillaries may cause intracerebral hemorrhage.

 O. Spinal cord tumor

Enjoy taking this quiz and send your answers through the comment box.

My answers will be posted on the next blog.     

Surgical Technology Quiz

TEST YOUR KNOWLEDGE.

HERE ARE SOME QUESTIONS FROM NEUROSURGERY. HAVE FUN ANSWERING THEM, POST YOUR ANSWERS IN THE COMMENT BOX. NEXT WEEK THE REAL ANSWERS WILL BE POSTED.

Match the terms on the right with the correct statements.

1.      Autonomic nerves     The removal of pressure       .............                                                          

2.      Nucleus pulposus       Prefix pertaining to the skull    ................                                                   

3.      Lamina                          Lines to monitor pressure within the venous system  ...................         

4.      Galea                            A concavity in the superior surface of the sphenoid

                                       bone which houses the pituitary gland    ..........................                               

5.      CVP lines                      The center cushioning of gelatinous mass within an

                                       Intervertebral disc                                           ....................                                                                  

6.      Cranio                            The epicranial aponeurosis which connects the bellies

                                        of the occipitofrontal muscles                ..........................                                 

7.      Meninges                     Device placed on scalp edge for hemostasis     ........................                    

8.      Scalp clip                      One of the cavities of the brain                          .......................                      

9.      Sciatica pain                 An organic catalyst which breaks proteins into simpler

                                       compounds                                                         .......................                         

10.   Ventricle                       Lines to monitor blood pressure within the arterial

                                        system                                                                 .....................                         

11.   Sella turcica                   12 pairs of nerves which carry messages to and from

                                         the brain                                                   ........................                                                                                                                                                                  

12.   Spinal tracts                  Device placed on an aneurysm to prevent hemorrhage

                                         yet collateral blood can flow                        .......................                           

13.   Pericranium                  Nerves which connects the brain or spinal cord with

                                         the peripheral receptors or effectors             .........................                       

14.   Spinal nerves                Severe pain in the leg along the course of a nerve felt

                                         at the back of the thigh shooting down the inside of

                                         the leg                                                            .........................                            

15.   Aneurysm clip               The flattened part of either side of the arch of a

                                          vertebra                                                              .....................                      

16.   Arterial lines                  Watery fluid protecting the brain and spinal cord    .....................         

17.   Cerebrospinal fluid        31 pairs of nerves which carry messages to and from

                                         the spinal cord                                                     .......................                     

18.   Cranial nerves               Parasympathetic and sympathetic nerves which

                                         control involuntary bodily function                 ........................                     

19.   Proteolytic enzyme       Fibrous membrane surrounding the cranium,

                                          periosteum of the skull                                  .............................                       

20.   Decompression              Ascending and descending pathways for motor or

                                          sensory nerve impulses to and from the brain located

                                          in the white matter of the spinal cord             ..........................                                

21.    Peripheral nerves         The three layers of membrane protecting the brain

                                          and the spinal cord; consists of the dura mater,

                                           arachnoid, and the pia mater                     ............................                      

Surgical Technology Tutor

COMPASSION

ACCEPTANCE

RESPECT

EMPATHY

A DAY IN THE OPERATING ROOM WITH SAM 1994

I would like to teach the courses of the Surgical Technology to any students who are pursuing the program. You can access tutorial through online. All you need access of a p.c.

Contact me by using this blog or using social media e.g. Facebook. 

1998

                                                                           

2003

                                                                                                                                                                                                                                            Medical community need Nationally Certified Surgical Technologists and First Assistants. The way the Health Care is moving the Same Day Surgery Centers are being used for a large volume of surgeries. The need for Surgical Technologist is growing very fast. 

The dynamic and complex nature of technology is rapidly changing with the innovations through research and development to optimize the benefit for a patient.

We as Technologists has the duty to keep up with the changes taking place in the operating room, with the new procedures, and instruments.

Our learning never stops after graduating from the program. It just the warm ups. The actual fun begins when we start practicing in the operating room. Everyday there is something new. This dynamic environment provides the challenges to thrive and continue to provide the best care possible to the patient/client.

Study skill is a very good tool in learning.

Contact me regarding study skills today. I would love to share with you my experiences.

                                                           2007                                                   

2010

You need help in writing that Case Study or to learn about that case about the Total Hip Replacement or to learn about that Aneurysm clipping in the Neurosurgery, contact me, I will tutor you for any need regarding the Surgical Technology.