Surgical Technology Tutor

Tuesday, February 5, 2019


SURGICAL TECHNOLOGY QUIZ


ANSWERS FOR THE QUIZ TWENTY ONE:


QUESTION NUMBER 1 . ANSWER IS :     a)  control excruciating neural pain in the face

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


QUESTION NUMBER 3 . ANSWER IS:  d) a and c only


QUESTION NUMBER 4 . ANSWER IS:    a)  neurosurgery microscope


QUESTION NUMBER 5 . ANSWER IS:     e) b and c only

QUESTION NUMBER 6 . ANSWER IS:  c)  weitlaners


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

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


QUESTION NUMBER 9 . ANSWER IS:  d) a and b only

QUESTION NUMBER 10 . ANSWER IS:   c) it is a motor root


The "miaspas mini" TTA instrument system is used to perform thoracic and lumbar spine endoscopic microsurgical surgery. This system provides minimal tissue trauma. The depth guard allows full control of  the working depth. It is very cost effective for throacolumbar procedure.



QUIZ TWENTY-TWO :

Match  neurosurgical procedures with the correct description


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

a)  control neural pain in the face 
b) control neural pain in the hand
c) done for acoustic neuroma
d) all of the above
e) none of the above



2.  What is acoustic neuroma    :

a) malignant tumor grows on the fourth nerve
b) benign tumor grows on the eighth nerve
c) cause hearing loss and balance problem
d) pain is intractable
e) b and c only



3. Which of the following is the approach for the removal of this tumor :

a) posterior fossa
b) anterior fossa
c)  temporal fossa
d) a and c only


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

a)  neurosurgery microscope
b)  high speed drill 
c) nerve stimulator
d)  two teams 
e) a, b, and c only


5. What  type of incisions is made for posterior fossa approach :

a) unilateral straight paramedian 
b) lateral vertical  
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 cerebellum  : 

a)  brain retractor

b)  cushion with moist cottonoids
c)  weitlaners
d)  a and b only


7. Which of the following instrument is used to control the veins draining the tumor into the superior petrosal sinus :


a) nerve hook
b) vessel clips
c) bipolar bayonet forceps
d) all of the above


                                                                                            
8.  Which of the following instrument is used to identify facial nerve  :


a) nerve stimulator
b) four penfield
c) rhoton dissector
d) bishop harmon
e) d and b only


9. What is used to unroof the auditory canal  :  

a) osteotome
b) cobb
c) high speed drill
d) a and b only



10.  What is used to remove the tumor : 

a) pituitary rongeur
b) kerrison #1
c) demartel forcep
d) b and c only
       


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

Monday, December 17, 2018

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.

Thursday, November 1, 2018

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.

Sunday, September 30, 2018

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.