Deck 38: Spinal Surgery

Question 1

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

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

Answer 1

C
The central canal of the vertebral column can become narrowed and cause compression on the cord.Urgent decompression is necessary to remove segments of bone causing symptoms because prolonged pressure can cause permanent damage and loss of motor function and sensation.

Question 2

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

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

Answer 2

B
Many body systems are affected by scoliosis.Chest excursion and respiratory effort are altered by the deformity that results in the rib cage.Digestion can be impaired.The patient may also have an altered and unsteady gait.

Question 3

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

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

Answer 3

A
The patient is given general anesthesia in the supine position on the transport cart,intubated and catheterized,then is turned into the prone position onto the specialized frame or operating table.

Question 4

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

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

Question 5

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

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

Question 6

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

Question 7

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

Question 8

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

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

Question 9

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

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

Question 10

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

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

Question 11

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

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

Question 12

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

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

Question 13

Which type of cautery is commonly used during spine surgery?

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

Question 14

Which type of retractor is used in spinal surgery?

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

Question 15

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

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

Question 16

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

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

Question 17

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

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