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Which of the following layered structures has the closest and most intimate contact with the brain?


A) arachnoid
B) dura
C) galea
D) pia

E) A) and D)
F) A) and C)

Correct Answer

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What is the name of the measuring device used to assess intraventricular pressure?


A) capnometer
B) manometer
C) oximeter
D) tonometer

E) C) and D)
F) B) and C)

Correct Answer

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Which instrument is used to strip and separate the galea and pericranium from the skull before placement of burr holes?


A) #11 scalpel blade
B) #1 Penfield dissector
C) Gigli saw malleable guide
D) Langenbeck periosteal elevator

E) None of the above
F) All of the above

Correct Answer

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D

What is the name of the horseshoe or pin fixation device for neurosurgical cranial positioning?


A) Dandy
B) Layla
C) Mayfield
D) Penfield

E) B) and C)
F) C) and D)

Correct Answer

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Osteophytes are:


A) bony spurs
B) hardened discs
C) liament attachment points
D) malignant spinal tumors

E) None of the above
F) A) and B)

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Penfield #1 through #5 are:


A) aneurysm clips
B) dissectors
C) drill bits
D) scalp clips

E) All of the above
F) B) and D)

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What is the name of the outfolding convolutions of the brain?


A) fissures
B) foramina
C) gyri
D) sulci

E) B) and D)
F) A) and C)

Correct Answer

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What is the largest part of the human brain?


A) brain stem
B) cerebellum
C) cerebrum
D) diencephalon

E) A) and C)
F) C) and D)

Correct Answer

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What is the name of the structure that produces cerebrospinal fluid (CSF) ?


A) cauda equina
B) cavernous sinus
C) choroid plexus
D) corpus callosum

E) C) and D)
F) A) and C)

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The surgical technologist may have up to three separate setups in a transsphenoidal hypophysectomy procedure: nasal access, tumor excision, and fascial graft.

A) True
B) False

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The circle of Willis is a:


A) network of connected arteries at the base of the brain
B) structure of supporting connective tissue for the brain
C) complex neural network that connects the two hemispheres of the brain
D) series of channels and foramina within the cerebrospinal fluid network of the brain

E) A) and B)
F) A) and D)

Correct Answer

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In which procedure are the esophagus, carotid artery, and trachea retracted medially for access to the area of pathology?


A) anterior cervical diskectomy and fusion
B) fronto-temporal craniotomy for aneurysm
C) placement of ventriculo-atrial shunt
D) rhizotomy for intractable trigeminal neuralgia

E) B) and D)
F) B) and C)

Correct Answer

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Match each term below with its description.

Premises
Surgical method of using three-dimensional plotting for guidance to biopsy or excise pathology with least amount of collateral damage
Infection of central nervous system tissue via direct injury or remote circulatory transfer; may require surgical excision
Cannulated instrument designed to provide passage for distal catheter in V-P or V-A shunt procedures
Inability to move the lower part of the body due to spinal trauma, disease, or disorder
Irrigation and aspiration instrument that uses variable ultrasonic energy to remove tumor tissue without disrupting normal structures
Mechanism of supplying of oxygen to an area of an organ when the normal perfusion has been interrupted; example is circle of Willis
Most primitive part of the central nervous system; responsible for basic vital life functions
Mode of electrosurgical energy frequently used for thermal hemostasis in and around delicate neural structures
Disease of the spinal nerve roots that results in pain, numbness, tingling, or weakness of the extremities
Generation of heat during a chemical reaction; example is result of mixing powder and liquid to create polymethyl methacrylate
Responses
Brain stem
Bipolar
Radiculopathy
Collateral flow
Brain abscess
Tunneler
Paraplegia
CUSA
Exothermic
Stereotaxis

Correct Answer

Surgical method of using three-dimensional plotting for guidance to biopsy or excise pathology with least amount of collateral damage
Stereotaxis
Infection of central nervous system tissue via direct injury or remote circulatory transfer; may require surgical excision
Brain abscess
Cannulated instrument designed to provide passage for distal catheter in V-P or V-A shunt procedures
Tunneler
Inability to move the lower part of the body due to spinal trauma, disease, or disorder
Paraplegia
Irrigation and aspiration instrument that uses variable ultrasonic energy to remove tumor tissue without disrupting normal structures
CUSA
Mechanism of supplying of oxygen to an area of an organ when the normal perfusion has been interrupted; example is circle of Willis
Collateral flow
Most primitive part of the central nervous system; responsible for basic vital life functions
Brain stem
Mode of electrosurgical energy frequently used for thermal hemostasis in and around delicate neural structures
Bipolar
Disease of the spinal nerve roots that results in pain, numbness, tingling, or weakness of the extremities
Radiculopathy
Generation of heat during a chemical reaction; example is result of mixing powder and liquid to create polymethyl methacrylate
Exothermic

Into which anatomical structure or area is the distal catheter most often inserted in a V-P shunt procedure?


A) peritoneal cavity
B) pleural cavity
C) pulmonary vein
D) pyloric sphincter

E) A) and D)
F) A) and C)

Correct Answer

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A

Wilson, Andrews, and Hall frames are examples of positioning devices used for:


A) anterior cervical diskectomy and fusion
B) craniectomy for craniosynostosis
C) lumbar hemilaminotomy
D) ulnar nerve transposition

E) B) and D)
F) A) and B)

Correct Answer

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Craniosynostosis is a congenital defect involving:


A) blocked ventricular passages
B) failure of neural tube closure
C) pituitary hormone imbalances
D) premature cranial suture closure

E) All of the above
F) A) and D)

Correct Answer

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Which of the following neurosurgical retractors has attachments for malleable brain spatulas and retractors?


A) Adson-Beckman
B) Leyla-Yasargil
C) Scoville
D) Taylor

E) C) and D)
F) All of the above

Correct Answer

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Which portion of the normal spinal column has five (5) vertebrae?


A) cervical
B) thoracic
C) lumbar
D) coccygeal

E) A) and B)
F) None of the above

Correct Answer

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Carpal tunnel syndrome is treated by:


A) incising the transverse carpal ligament to decompress the nerve
B) placing Gelfoam between nerve and ligament for padding
C) removing or reshaping the surrounding carpal bones
D) transposing the median nerve out of the bony tunnel

E) B) and D)
F) All of the above

Correct Answer

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For which surgical procedure would petroleum gauze nasal packing be used as part of the dressing?


A) burr holes for evacuation of subdural hematoma
B) carpal tunnel release
C) lumbar microdiskectomy
D) transsphenoidal hypophysectomy

E) A) and D)
F) C) and D)

Correct Answer

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