Question 1

Which specific need of the spinal cord injury patient must be addressed after the injury?

Accepted Answer

A) Temperature control 
B) Tactile sensation 
C) Loss of vision 
D) Loss of hearing 
A) Temperature control 
B) Tactile sensation 
C) Loss of vision 
D) Loss of hearing A

Question 2

The spinal cord is composed of white matter on the outside and gray matter on the inside.

Accepted Answer

A) True 
 B)False  True

Question 3

Which type of retractor is used in spinal surgery?

Accepted Answer

A) Bayonet 
B) Penfield #4 
C) Kerrison 
D) Beckman 
A) Bayonet 
B) Penfield #4 
C) Kerrison 
D) Beckman D

Question 4

Which type of diagnostic tool is most effective at diagnosing spinal injuries?

Accepted Answer

A) Radiograph 
B) PET scan 
C) Ultrasound 
D) MRI 
A) Radiograph 
B) PET scan 
C) Ultrasound 
D) MRI

Question 5

Which type of cautery is commonly used during spine surgery?

Accepted Answer

A) Handheld cautery 
B) Tripolar cautery 
C) Bipolar cautery 
D) Monopolar cautery 
A) Handheld cautery 
B) Tripolar cautery 
C) Bipolar cautery 
D) Monopolar cautery

Question 6

What type of procedure removes a herniated disc in order to relieve pressure on the spinal nerve root?

Accepted Answer

A) Microdiscectomy 
B) Kyphoplasty 
C) Laminectomy 
D) Thoracic epidural 
A) Microdiscectomy 
B) Kyphoplasty 
C) Laminectomy 
D) Thoracic epidural

Question 7

Which vertebrae are considered to carry the heaviest load of the vertebral column?

Accepted Answer

A) Cervical vertebrae 
B) Thoracic vertebrae 
C) Sacral vertebrae 
D) Lumbar vertebrae 
A) Cervical vertebrae 
B) Thoracic vertebrae 
C) Sacral vertebrae 
D) Lumbar vertebrae

Question 8

Which procedure is performed to re-establish height of the vertebrae with cement?

Accepted Answer

A) Kyphosis 
B) Kyphoplasty 
C) Ankylosis 
D) Discectomy 
A) Kyphosis 
B) Kyphoplasty 
C) Ankylosis 
D) Discectomy

Question 9

For a patient undergoing a lumbar laminectomy,anesthesia induction would be performed in which position?

Accepted Answer

A) Supine 
B) Lateral 
C) Prone on a Wilson frame 
D) Prone on a Jackson table 
A) Supine 
B) Lateral 
C) Prone on a Wilson frame 
D) Prone on a Jackson table

Question 10

What structure provides support for the body,varies in size,and is separated by discs?

Accepted Answer

A) Vertebrae 
B) Central foramen 
C) Spinous process 
D) Lumbar plexus 
A) Vertebrae 
B) Central foramen 
C) Spinous process 
D) Lumbar plexus

Question 11

Which of the following body systems can be affected by scoliosis?

Accepted Answer

A) Reproductive system 
B) Respiratory system 
C) Genitourinary system 
D) Neurological system 
A) Reproductive system 
B) Respiratory system 
C) Genitourinary system 
D) Neurological system

Question 12

Which is a benefit of placing a patient prone on a Jackson table during a spinal surgical procedure?

Accepted Answer

A) Easier to intubate the patient on this table 
B) Optimal vertebral position 
C) Increased chest excursion 
D) Increased vena cava pressure 
A) Easier to intubate the patient on this table 
B) Optimal vertebral position 
C) Increased chest excursion 
D) Increased vena cava pressure

Question 13

What procedure is necessary and urgent when pressure on the spinal cord causes symptoms?

Accepted Answer

A) Vertebral alignment 
B) Lumpectomy 
C) Decompression 
D) Discectomy 
A) Vertebral alignment 
B) Lumpectomy 
C) Decompression 
D) Discectomy

Question 14

What type of lumbar spine procedure dissects the planes behind the peritoneal cavity?

Accepted Answer

A) Anterior retroperitoneal lumbar approach 
B) Posterior lumbar approach 
C) Anterior transperitoneal lumbar approach 
D) Posterior cervical approach 
A) Anterior retroperitoneal lumbar approach 
B) Posterior lumbar approach 
C) Anterior transperitoneal lumbar approach 
D) Posterior cervical approach

Question 15

What classification of spinal cord injury is evident when some sensory and motor impulses are still present?

Accepted Answer

A) Complete 
B) Incomplete 
C) Sensory 
D) Percutaneous 
A) Complete 
B) Incomplete 
C) Sensory 
D) Percutaneous

Question 16

A hemangioblastoma is a vascular tumor more commonly found in the cervical or thoracic area.

Accepted Answer

A) True 
 B)False

Question 17

What level of the spinal column is damaged and causes a person to become a quadriplegic?

Accepted Answer

A) Any injury above T1 
B) Between T1 and T8 
C) T8-T10 
D) S2-S5 
A) Any injury above T1 
B) Between T1 and T8 
C) T8-T10 
D) S2-S5

Exam 38: Spinal Surgery

Which specific need of the spinal cord injury patient must be addressed after the injury?

The spinal cord is composed of white matter on the outside and gray matter on the inside.

Which type of retractor is used in spinal surgery?

Which type of diagnostic tool is most effective at diagnosing spinal injuries?

Which type of cautery is commonly used during spine surgery?

What type of procedure removes a herniated disc in order to relieve pressure on the spinal nerve root?

Which vertebrae are considered to carry the heaviest load of the vertebral column?

Which procedure is performed to re-establish height of the vertebrae with cement?

For a patient undergoing a lumbar laminectomy,anesthesia induction would be performed in which position?

What structure provides support for the body,varies in size,and is separated by discs?

Which of the following body systems can be affected by scoliosis?

Which is a benefit of placing a patient prone on a Jackson table during a spinal surgical procedure?

What procedure is necessary and urgent when pressure on the spinal cord causes symptoms?

What type of lumbar spine procedure dissects the planes behind the peritoneal cavity?

What classification of spinal cord injury is evident when some sensory and motor impulses are still present?

A hemangioblastoma is a vascular tumor more commonly found in the cervical or thoracic area.

What level of the spinal column is damaged and causes a person to become a quadriplegic?

Perioperative Education

Foundations of Perioperative Patient Care Standards

Legal, regulatory, and Ethical Issues

The Perioperative Patient Care Team and Professional Credentialing

The Surgical First Assistant

Administration of Perioperative Patient Care Services

The Patient: the Reason for Your Existence

Perioperative Pediatrics

Perioperative Geriatrics

Physical Facilities

Ambulatory Surgery Centers and Alternative Surgical Locations

Care of the Perioperative Environment

Potential Sources of Injury to the Caregiver and the Patient

Surgical Microbiology and Antimicrobial Therapy

Principles of Aseptic and Sterile Techniques

Appropriate Attire, Surgical Hand Hygiene, and Gowning and Gloving

Decontamination and Disinfection

Sterilization

Surgical Instrumentation

Specialized Surgical Equipment

Preoperative Preparation of the Patient

Diagnostics, specimens, and Oncologic Considerations

Surgical Pharmacology

Anesthesia: Techniques and Agents

Coordinated Roles of the Scrub Person and the Circulating Nurse

Positioning,prepping,and Draping the Patient

Physiologic Maintenance and Monitoring of the Perioperative Patient

Surgical Incisions implants and Wound Closure

Wound Healing and Hemostasis

Postoperative Patient Care

Potential Perioperative Complications

Endoscopy and Robotic-Assisted Surgery

General Surgery

Gynecologic and Obstetric Surgery

Urologic Surgery

Orthopedic Surgery

Neurosurgery of the Brain and Peripheral Nerves

Ophthalmic Surgery

Plastic and Reconstructive Surgery

Otorhinolaryngologic and Head and Neck Surgery

Thoracic Surgery

Cardiac Surgery

Vascular Surgery

Organ Procurement and Transplantation

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