Deck 24: Neurosurgery

Question 1

Cranial nerve number ________, the _______nerve, may be affected with an acoustic neuroma and is responsible for hearing and balance.

Answer 1

8 (eight), acoustic or vestibulocochlear

Question 2

Cranial nerve number _______, the _______nerve, is located at the base of the ethmoid bone.

Answer 2

1 (one), olfactory

Question 3

Cranial nerve number _______, the ________nerve, is responsible for digestion and pain receptors from visceral organs.

Answer 3

10 (ten), vagus

Question 4

Cranial nerve number ________, the ________nerve, is responsible for smiles and frowns.

Question 5

Cranial nerve number ________, the ________nerve, is responsible for chewing and cheek sensation.

Question 6

Match the term with the correct use or definition.

-Kerrison

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 7

Match the term with the correct use or definition.

-Dandy

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 8

Match the term with the correct use or definition.

-Greenberg

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 9

Match the term with the correct use or definition.

-Scoville malleable brain spoon

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 10

Match the term with the correct use or definition.

-Hudson brace

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 11

Match the term with the correct use or definition.

-Penfield

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 12

Match the term with the correct use or definition.

-Craniotome and perforator

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 13

Match the term with the correct use or definition.

-Adson-Beckman

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 14

Match the term with the correct use or definition.

-Adson

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 15

Match the term with the correct use or definition.

-Mayfield

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 16

Match the term with the correct use or definition.

-Wilson

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 17

Match the term with the correct use or definition.

-Horseshoe

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 18

Match the term with the correct use or definition.

-Raney

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 19

Match the term with the correct use or definition.

-Gliadel wafer

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 20

Match the term with the correct use or definition.

-Cottonoid

A) Self-retaining cranial retractor.
B) Manual burr holes; uses Jacobs chuck and D'Errico bit.
C) Self-retaining laminectomy retractor.
D) Soaked in epinephrine; protects neural tissue.
E) Headrest used with pins to stabilize cranium.
F) Cranial retractor to depress or elevate brain tissue.
G) Suction tip.
H) Scalp hemostatic clips.
I) Used to separate dural tissue.
J) Used to create burr holes with a power drill and dura guard.
K) Hemostat clamp used for scalp flap; need rubber bands.
L) Treatment of malignant tumor.
M) Headrest-ACF-cervical spine.
N) Frame for positioning laminectomy procedures.
O) Rongeur to remove bone chips.

Question 21

Describe how to care for the bone flap during a craniotomy.

Question 22

The patient is having an ACF procedure. What is the alternate name for this procedure? Describe the retractors used and what is typically used to remove the disk material.

Question 23

What is a rhizotomy and why is it completed?

Question 24

Describe which nerve is released for a carpal tunnel release.

Question 25

Describe how to care for a clogged Frazier, Baron, or Adson suction.

Question 26

During a carpal tunnel release or ulnar nerve transposition, it is usually described as a sitting case. Describe the considerations for the ST when doing a sitting case.