Question 1

All of the following are examples of congenital anomalies EXCEPT:

Accepted Answer

A)  arteriovenous malformation 
B)  craniosynostosis 
C)  herniated nucleus pulposus 
D)  intracranial aneurysm

Question 2

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

Accepted Answer

A)  atlas 
B)  axis 
C)  cauda equine 
D)  odontoid

Question 3

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)  tentorium

Question 4

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

Accepted Answer

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

Question 5

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

Accepted Answer

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

Question 6

Match each term below with its description.
-Surgical method of using three-dimensional plotting for guidance to biopsy or excise pathology with least amount of collateral damage

Accepted Answer

A) Paraplegia 
B) Brain stem 
C) Exothermic 
D) Radiculopathy 
E) Collateral flow
F)CUSA
G)Bipolar
H)Tunneler
I)Brain abscess
J)Stereotaxis

Question 7

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 pulposus

Question 8

Which instrument could be used for burr-hole cranial perforation if no powered equipment is available?

Accepted Answer

A)  Cloward bit 
B)  Gigli saw 
C)  Hudson brace 
D)  Penfield dissector

Question 9

Which retractor has a proximal hook placed in the wound and a distal hook for attachment of a weight or sandbag using a sterile Kerlix roll for suspension?

Accepted Answer

A)  Cloward 
B)  Greenburg 
C)  Love 
D)  Taylor

Question 10

What is the name of the dural fold that separates the right and left hemispheres of the cerebrum?

Accepted Answer

A)  corpus callosum 
B)  choroid plexus 
C)  falx cerebri 
D)  falx cerebelli

Question 11

Craniosynostosis is a congenital defect involving:

Accepted Answer

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

Question 12

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)  Raney

Question 13

Penfield #1 through #5 are:

Accepted Answer

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

Question 14

Where do most intracranial aneurysms occur?

Accepted Answer

A)  arterial bifurcations 
B)  tunica media 
C)  venous sinus 
D)  venous valves

Question 15

Which of the following is a primary benign tumor that arises from the protective coverings of the brain?

Accepted Answer

A)  astrocytoma 
B)  ependymoma 
C)  glioma 
D)  meningioma

Question 16

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)  sphenoid

Question 17

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

Accepted Answer

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

Question 18

Special attention must be taken during application and removal of the Mayfield cranial fixation device due to the removal of the OR table head piece.

Accepted Answer

A) True 
 B)False

Question 19

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)  pons

Question 20

What is the name of the set of instruments used for anterior cervical diskectomy and fusion that includes retractors, spreaders, bone dowel cutters, impactors, and others?

Accepted Answer

A)  Cloward 
B)  Greenburg 
C)  Mayfield 
D)  Yasargil

Exam 24: Neurosurgery