Pre-Operative Risk Assessment / Elements of History

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31 Terms

1

Modalities for CEA surgery?

Ipsilateral EEG and Contralateral SSEP

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2

Which cranial nerve should be monitored during resection of vestibular schwannoma

CN VII: Facial Nerve

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3

Modalities for chiari malformation?

MEPS, SSEPS, BAEPs

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4

The use of intraoperative monitoring during scoliosis surgery may replace what test?

Stagnara Test

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5

What is a stagnara test?

Wake up test

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6

Which cranial nerves should be monitoring for trigeminal neuralgia?

V and VII

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7

What modalities for vestibular schwannoma?

BAEPs and CN VII

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8

To monitor integrity of facial nerve during parotidectomy what should you do?

Stimulate proximally and record distally

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9

Which acoustic neuroma surgical approach results in sacrificed ipsilateral hearing?

translabyrinthine

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10

Monitoring PTN is most appropriate involving which artery?

Anterior Cerebral

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11

What is severed during tethered cord surgery?

Filum terminale

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12

Translabyrinthine approach is for

Cereabello-pontine angle tumor

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13

What is the most common presenting symptom of an intramedullary tumor?

Pain

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14

Medical history relevant to IONM for a thoracic aortic aneurysm repair includes:

Associated symptoms, associated Crawford levels and previous neurological deficits

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15

Prior to IONM for PLIF, tech should obtain history that includes

Sensory or motor related issues and recent radiology findings.

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16

Babinski sign in an adult

Indicates an upper motor neuron lesion that affects pyramidal tract

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17

What MEP wave is most affected by rocuronium?

I waves

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18

What is the neurological deficit related to compression of spinal cord?

Myelopathy

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19

Spinal cord compression

Myelopathy

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20

Pinching of nerve roots

Radiculopathy

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21

Damage to the peripheral nerves, which can be caused by a number of factors, including diabetes, infections, or trauma

Neuropathy

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22

Innervates four of the six extraocular muscles: medial rectus, superior rectus, inferior rectus, and inferior oblique

Cranial nerve III: Oculomotor

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23

Innervates the superior oblique muscle

Cranial nerve IV: Trochlear

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24

Innervates the lateral rectus muscle

Cranial nerve VI: Abducens

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25

What is indicated by the presence of a unilateral Babinski Signs?

Pyrimidal tract dysfunction

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26

What is indicated by the inability to stand without swaying with eyes closed?

Positive Romberg

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27

What spinal disorder causes a forward displacement of the vertebra?

Spondylolisthesis

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28

Snellin chart

Visual acuity

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29

Elements of neurologic exam

Motors, sensory, cranial nerves

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30

Sensory evaluation of Opthalmic, maxillary and mandibular branches is used during a neurological exam of which CN?

Trigeminal - CN V

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31

Foot drop is associated with kind of nerve injury?

L5 radiculopathy and traumatic damage to the common peroneal nerve

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