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The outermost layer of the meninges is the_______.

Dura mater.

The cerebral hemispheres are connected by a deep bridge of nerve fibers called the_______.

corpus callosum.

Leroy Raney clips are used on________.

scalp edges.

The best way to control bleeding on the cut edges of bone is with_______.

bone wax.

Which of the following is usually a result from a tear in the branch of the middle meningeal artey and can cause rapid deterioration?
A) epidural hematoma
B) acute subdural hematoma
C) chronic subdural hematoma
D) subacute subdural hematoma

A) epidural hematoma

A congenital collection of abnormal vessels of the brain that increase in size with time best describes a_________.

arteriovenous malformation

Which condition results from an obstruction of the flow of CSF, overproduction of CSF, or improper absorption of CSF?

hydrocephalus.

Which of the following is not a positioning aid for intracranial procedures?
A) Mayfield pin fixation device
B) Mayfield horseshoe headrest
C) Gardner-Wells tongs
D) Kocher headrest

D) Kocher headrest

Scalp bleeding can be reduced by______.

digital pressure, local anesthetic w/epi, and scalp clips.

Which of the following statements correctly outlines the procedure to turn a bone flap?
A) incision, raise muscle flap, craniotome, perforator
B) incision, raise muscle flap, perforator, craniotome
C) incision, perforator, craniotome, raise muscle flap
D) incision, cranitome, perforator, raise muscle flap.

B) incision, raise muscle flap, perforator, craniotome

What is the best temperature for irrigation used on the brain?

body temperature.

Which of the following statements regarding aneurysm clips is incorrect?
A) Aneurysm clips should be made of an MRI-compatible material, such as vitallium.
B) Once the jaws of a permanent aneurysm clip have been opened, it should not be opened and used again.
C) Temporary aneurysm clips can be left in the patient for permanent occlusion of an aneurysm.
D) Aneurysm clips come in a variety of shapes, styles, and sizes.

C) Temporary aneurysm clips can be left in the patient for permanent occlusion of an aneurysm.

Which of the following statements regarding a laminectomy is incorrect?
A) A laminectomy involves the removal of the vertebral lamina, either bilaterally or hemilaterally.
B) Laminectomies can be achieved with the patient in the supine position.
C) Specialized positioning devices such as a Wilson frame can be utilized for these procedures.
D) The spinous process can be removed from the appropriate level with a large rongeur or Horsley bone cutter.

B) Laminectomies can be achieved with the patient in the supine position.

For a laminectomy with discectomy, the appropriate specimen is______.

disc.

Which is the correct position for an anterior cervical discectomy and fusion?

supine with head turned away from the affected side.

Which procedure involves the release of the median nerve from the transverse carpal ligament?

carpal tunnel release.

A bulky dressing is used postoperatively for a carpal tunnel release to________.

restrict movements of the wrist.

Which statement is correct regarding necessary equipment for a craniotomy?
A) Typically, only a monopolar cautery is necessary.
B) The use of a perforator facilitates the making of burr holes.
C) A craniotome facilitates the making of burr holes.
D) Typically, only one suction setup is necessary.

B) The use of a perforator facilitates the making of burr holes.

Which statement is incorrect regarding the placement of the bone flap?
A) The bone flap is placed after the muscle layer is closed with an absorbable suture.
B) The bone flap is placed after the dura has been securely closed.
C) The bone flap remains on the sterile field throughout the procedure, typically in a solution of antibiotic saline.
D) The bone flap can be fixated to the skull with the use of titanium miniplates and screws.

A) The bone flap is placed after the muscle layer is closed with an absorbable suture.

Which type of suture would most likely be used to close the dura on an adult patient?

4-0 Neurolon

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