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1. Based on the bolded terms in the following documentation, what procedure
is performed?
A curvilinear incision was made beginning just anterior to the left ear, curving
posteriorly, then upward and anteriorly, to and at the hair line just off the midline.
The resulting musculocutaneous flap was then reflected anteriorly. Multiple burr
holes were then placed and connected using the high-speed drill to create a
large free bone flap. This was removed from the immediate operative field.
...
The bone flap was then replaced and held in place using multiple KLS fixation
devices.
- Correct Answer: Craniotomy
a) Which option describes the following documentation?
- Correct Answer: Postoperative Diagnosis: Post-hemorrhagic
hydrocephalus.
Prior bleeding on the brain resulting in excessive fluid accumulation in the
brain
b) What procedure is an excision of the vertebral posterior arch or spinal
process?
- Correct Answer: Laminectomy
c) What is transsphenoidal hypophysectomy?
, - Correct Answer: Removal of pituitary tumors
d) Rigidity, tremor, and bradykinesia are the features of which disease?
- Correct Answer: Parkinson's disease
e) What does the root word encephal/o mean?
- Correct Answer: Brain
f) Cerebrospinal fluid (CSF) shunt is a standard treatment for which of the
following?
- Correct Answer: Hydrocephalus
g) What is amyotrophic lateral sclerosis (ALS) also known as?
- Correct Answer: Lou Gehrig's disease
h) Which of the following is responsible for involuntary movements?
- Correct Answer: Autonomic nervous system
i) Which one of the following innervates the thumb?
- Correct Answer: Median nerve
j) Which one of the following cranial nerves does not supply the eyes?
- Correct Answer: V: Trigeminal nerve
k) What controls the neurological functions necessary for survival (breathing,
digestion, heart rate, blood pressure)?
- Correct Answer: Brain stem
l) Which one of the following is not a function of the frontal lobe of the
cerebrum?
- Correct Answer: Visual memory
m) What does the root word gloss/o mean?
- Correct Answer: Tongue
n) What is the term for the inflammation of the labyrinth?
- Correct Answer: Labyrinthitis
o) What are bony overgrowth(s) in the ear canal called?
- Correct Answer: Exostosis
p) Which provider is a specialist for ear only?
- Correct Answer: Otologist
q) What is the term for freeing of tympanic membrane adhesions?
, - Correct Answer: Tympanolysis
r) What is the term for inflammation of the cornea?
- Correct Answer: Keratitis
s) What is done to treat the large retinal tears?
- Correct Answer: Scleral buckling
t) What anatomical structure detects the movement and position of the
body?
- Correct Answer: Proprioceptors
u) What is the term for distorted sense of taste?
- Correct Answer: Dysgeusia
v) Which structure is called the hammer bone?
- Correct Answer: Malleus
w) What is the term for a distorted sense of smell?
- Correct Answer: Dysosmia
x) What is the term for ingesting toxins that damage the inner ear?
- Correct Answer: Ototoxic hearing loss
y) What causes vertigo?
- Correct Answer: Increased hydraulic pressure
z) What is the term for abnormal bone growth inside the ear?
- Correct Answer: Otosclerosis
aa)Which structure(s) connect the middle ear to the pharynx
- Correct Answer: Eustachian tubes
PREOPERATIVE DIAGNOSIS: Cataract of the left eye
POSTOPERATIVE DIAGNOSIS: Cataract of the left eye
Cataract extraction, foldable posterior chamber intraocular lens of the left eye
PROCEDURE: The patient was brought to the operating room and placed supine
on the operating table. An intravenous line was started in the patient's left arm.
After appropriate sedation, a left O'Brien and left retrobulbar block were
administered, which consisted of a 50/60 mixture of 0.75% Bupivacaine and 2%
lidocaine. The Honan balloon was then placed over the operative eye. While the
surgeon scrubbed for 5 minutes the patient was prepped and draped in the usual
, sterile fashion including instillation of 5% Betadine solution to the left cornea,
which was irrigated with balanced salt solution and the use an eyelid drape. A
limbal incision was performed with the super sharp blade. Provisc was injected
into the anterior chamber. etc..
Phacoemulsification
A 60-year-old female presents to the clinic complaining of haziness and glare
especially at nighttime. She has no other complaints and denies any previous
intraocular surgery or eye diseases. Past medical and surgical histories are non-
contributory. Visual activity is 20/100 OU best corrected to 20/50 OD and 20/60
OS. Intraocular pressure is 12mmHg OD by applanation. The slit lamp examination
is remarkable for nuclear sclerosis. The indirect fundus examination is
unremarkable. Potential acuity meter yields a best corrected vision of 20/20 OU.
What is the most likely diagnosis here?
- Correct Answer: Nuclear cataract
Preoperative Diagnosis: Bilateral profound sensorineural hearing loss.
Postoperative Diagnosis: Bilateral profound sensorineural hearing loss.
Indications: This is a 69-year-old woman who has had progressive hearing loss
over the last 10-15 years. Hearing aids are not useful for her. She is a candidate for
cochlear implant by FDA standards.
Procedure: The patient was prepped and draped in a sterile fashion after placing
facial nerve monitoring probes, which were tested and found to work well. At this
time, the previously outlined incision line was incised, and flaps were elevated. A
sub temporal pocket was designed in the usual fashion for placement of the
device. etc..
- Correct Answer: Placement of nucleus cochlear implant
An 80-year-old female patient presented to the clinic complaining of vertigo. This
is often extensive, leading to nausea and jerky eye movements called nystagmus.
All other systems are unremarkable. Otologic examination indicates a diagnosis
called benign paroxysmal positional vertigo (BPPV). Treatment involves medication
to temporarily suppress the vertigo, followed by progressive changes in head