Question 1

When incising the cranium between burr holes, what attachment to the powered craniotome is necessary to prevent injury of underlying tissues?

Accepted Answer

A)   #3 Penfield dissector
B)   dural guard with footplate
C)   smoke evacuator
D)   wire-pass drill bitE) B) and C)
F) A) and C)

Question 2

What is the name of the dural fold that separates the cerebrum from the cerebellum and may be used to delineate surgical approach in reference to it?

Accepted Answer

A)   corpus callosum
B)   falx cerebri
C)   falx cerebella
D)   tentoriumE) A) and B)
F) A) and C)

Question 3

What is another name for the first cervical vertebra (C-1) ?

Accepted Answer

A)   atlas
B)   axis
C)   cauda equine
D)   odontoidE) None of the above
F) B) and D)

Question 4

Fiducials placed on bony landmarks are used in which type of neurosurgical procedure?

Accepted Answer

A)   transsphenoidal hypophysectomy
B)   insertion of ventriculo-peritoneal shunt
C)   stereotactic guided-imagery biopsy
D)   selective facet rhizotomyE) A) and B)
F) A) and C)

Question 5

Which of the following is a radiographic diagnostic procedure performed for suspected aneurysm near the circle of Willis?

Accepted Answer

A)   cerebral angiogram
B)   electroencephalogram
C)   lumbar myelography
D)   pneumoencephalographyE) A) and B)
F) A) and C)

Question 6

Which approach is MOST desirable for treatment of herniated cervical disc with subsequent intervertebral fusion?

Accepted Answer

A)   anterior midline
B)   anterior medial
C)   posterior midline
D)   posterior medialE) A) and C)
F) None of the above

Question 7

All of the following are examples of congenital anomalies EXCEPT:

Accepted Answer

A)   arteriovenous malformation
B)   craniosynostosis
C)   herniated nucleus pulposus
D)   intracranial aneurysmE) B) and C)
F) A) and B)

Question 8

Which surgical procedure treats compression of the median nerve by a transverse ligament?

Accepted Answer

A)   anterior cervical diskectomy
B)   carpal tunnel release
C)   lumbar laminectomy
D)   rhizotomyE) None of the above
F) B) and C)

Question 9

Which facial sinus is used for surgical approach to a pituitary adenoma rather than traditional craniotomy?

Accepted Answer

A)   ethmoid
B)   frontal
C)   maxillary
D)   sphenoidE) A) and D)
F) All of the above

Question 10

Which part of the vertebra projects most posteriorly and is often palpable through the skin in the convex areas of the spine?

Accepted Answer

A)   body
B)   lamina
C)   spinous process
D)   transverse processE) All of the above
F) A) and D)

Question 11

Which of the following is used for scalp hemostasis and resembles a Crile or Kelly hemostat except the curve is to the side?

Accepted Answer

A)   Cushing
B)   Dandy
C)   Leksell
D)   RaneyE) A) and C)
F) All of the above

Question 12

Monro, Sylvius, Magendie, and Luschka are:

Accepted Answer

A)   aqueducts and foramina
B)   cranial nerves
C)   cranial base fossae
D)   neural plexusesE) A) and B)
F) A) and C)

Question 13

Which position is usually used for microdecompression endoscopic diskectomy?

Accepted Answer

A)   lateral
B)   lithotomy
C)   prone
D)   supineE) B) and C)
F) A) and D)

Question 14

How many vertebrae are there in the normal adult spine?

Accepted Answer

A)   12
B)   23
C)   30
D)   33E) All of the above
F) B) and C)

Question 15

Herniated nucleus pulposus is a congenital disorder that must be treated surgically in the neonate to prevent quadriplegia.

Accepted Answer

A) True 
 B)False

Question 16

Which anatomical structure is the tough band that encases the intervertebral disc material?

Accepted Answer

A)   annulus fibrosis
B)   circle of Willis
C)   intervertebral foramina
D)   nucleus pulposusE) A) and D)
F) A) and B)

Question 17

Which instrument is used to extract pieces of the nucleus pulposus in a diskectomy?

Accepted Answer

A)   Kerrison rongeur
B)   nerve root retractor
C)   Penfield dissector
D)   pituitary rongeurE) None of the above
F) All of the above

Question 18

Which of the following is the lowest part of the brain stem and contiguous with the spinal cord?

Accepted Answer

A)   hypothalamus
B)   medulla oblongata
C)   midbrain
D)   ponsE) All of the above
F) A) and B)

Question 19

How many pairs of cranial nerves are there?

Accepted Answer

A)   6
B)   8
C)   10
D)   12E) A) and B)
F) A) and C)

Question 20

What is the distal-most area of the spinal cord or spinal nerves called?

Accepted Answer

A)   corpus callosum
B)   filum terminale
C)   nucleus pulposus
D)   sella turcicaE) A) and D)
F) B) and C)

Exam 24: Neurosurgery

Which instrument is used to extract pieces of the nucleus pulposus in a diskectomy?

Correct AnswerverifiedShow Answer

Which surgical procedure treats compression of the median nerve by a transverse ligament?

Correct AnswerverifiedShow Answer

How many vertebrae are there in the normal adult spine?

Correct AnswerverifiedShow Answer

Which facial sinus is used for surgical approach to a pituitary adenoma rather than traditional craniotomy?

Correct AnswerverifiedShow Answer

What is the name of the dural fold that separates the cerebrum from the cerebellum and may be used to delineate surgical approach in reference to it?

Correct AnswerverifiedShow Answer

Which anatomical structure is the tough band that encases the intervertebral disc material?

Correct AnswerverifiedShow Answer

Which of the following is the lowest part of the brain stem and contiguous with the spinal cord?

Correct AnswerverifiedShow Answer

When incising the cranium between burr holes, what attachment to the powered craniotome is necessary to prevent injury of underlying tissues?

Correct AnswerverifiedShow Answer

Which approach is MOST desirable for treatment of herniated cervical disc with subsequent intervertebral fusion?

Correct AnswerverifiedShow Answer

Which position is usually used for microdecompression endoscopic diskectomy?

Correct AnswerverifiedShow Answer

Which of the following is used for scalp hemostasis and resembles a Crile or Kelly hemostat except the curve is to the side?

Correct AnswerverifiedShow Answer

How many pairs of cranial nerves are there?

Correct AnswerverifiedShow Answer

Fiducials placed on bony landmarks are used in which type of neurosurgical procedure?

Correct AnswerverifiedShow Answer

Which part of the vertebra projects most posteriorly and is often palpable through the skin in the convex areas of the spine?

Correct AnswerverifiedShow Answer

Which of the following is a radiographic diagnostic procedure performed for suspected aneurysm near the circle of Willis?

Correct AnswerverifiedShow Answer

What is the distal-most area of the spinal cord or spinal nerves called?

Correct AnswerverifiedShow Answer

Monro, Sylvius, Magendie, and Luschka are:

Correct AnswerverifiedShow Answer

Herniated nucleus pulposus is a congenital disorder that must be treated surgically in the neonate to prevent quadriplegia.

Correct AnswerverifiedShow Answer

What is another name for the first cervical vertebra (C-1) ?

Correct AnswerverifiedShow Answer

All of the following are examples of congenital anomalies EXCEPT:

Correct AnswerverifiedShow Answer

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