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1. What are these and what are they used for?

   ?    Aneurysm clips   ?    Raney clips   ?    Applied to scalp incision to control bleeding during surgery.   ?    Applied to defects in arterial vessel walls.

2. The instrument on the top of the picture is used at the beginning of the operation.

   ?    Rhoton elevator   ?    Cushing elevator   ?    Used to debulk bony tumors > 3 cm in size.   ?    Blunt dissection of periosteum from cranial bone.

3. One or a combination of these instruments are used for...

   ?    Inter-hemispheric retraction   ?    Traction on dense lobular tumors   ?    Scalp tissue retraction   ?    Cerebellar tonsil retraction

4. When do you use this powered tool? What is it called?

   ?    Used at craniotomy bone closure to initiate titanium plate and screw application   ?    Midas Rex powered drill   ?    Used at the beginning of case to initiate a burr hole.   ?    3M Craniotome powered drill

5. These instruments are used to manipulate and dissect soft tissues including the brain.

   ?    McGooey punches   ?    Rhoton elevators   ?    Cupped curettes   ?    Penfield elevators

6. Name this tool. When is it used?

   ?    Synthes drill with cutting blade   ?    Midas Rex drill with side cutting blade   ?    Used at the end of case to approximate bone flap back onto skull.   ?    Used after burr holes are completed to create a bone flap.

7. What is this instrument and what does it do?

   ?    Cushing brain protector   ?    Hypophysectomy instrument   ?    Used to dissect and excise encapsulated brain tumors.   ?    Used to protect brain tissue from trauma during surgery.

8. What is the purpose of these white Cottonoid Sponges?

   ?    Used for tissue protection.   ?    Used to mark specimen margins for the pathologist.   ?    Used for hemostasis.   ?    Used for the wound dressing after scalp incision has been approximated.

9. Which of these qualities are characteristic of this suction? What is it called?

    

   ?    The intensity of the suction is decreased when the air port is covered by the users thumb.   ?    Suction end can lead to tissue damage if used incorrectly.   ?    Spetzler hand held suction   ?    Kilner hand held suction

10. What is the hook at the bottom of the picture used for? What is it called?

    ?    Used to access ventricles and drain CSF.   ?    Used to elevate dura layer and initiate dural opening.   ?    Blunt hook   ?    Sharp hook

11. The third instrument from the top is a scissors used during craniotomies. What is it called and when might it be used?

    ?    McKissock scissors   ?    Metzenbaum scissors   ?    Often used to cut sutures.   ?    Can be used to cut blood vessels, once cauterized or ligated.

12. What is the fourth instrument from the top used for, and what's it called?

    ?    Bain needle.   ?    Grooved director   ?    Used for dural opening.   ?    Used for ventricular drain placement.

13. Name the three instruments on the bottom, and their use.

    ?    Hand - held brain retractors.   ?    Hand held Leyla retractors.   ?    A moist cottonoid should be placed under the retractor blade before retracting.   ?    These retractors are malleable to allow for extreme instrument angling and manipulation.

14. What is the fine instrument beside the ruler at the top of the picture?

    ?    A True-Cut biopsy needle   ?    A Dandy ventricular drain.   ?    It is used to administer medication percutaneously to the ventricular system.   ?    It is marked in centimeter increments, along its shaft.

15. Called Kerrison, Leksel and Ruskin Rongeurs, respectively.

    ?    Used for bone removal.   ?    Used to make manual burr holes.   ?    Used for bone dissection during pituitary tumor excision.   ?     Well known for their use in spinal decompression procedures

16. What is the bayonet instrument on the top?

    ?    Gerald cupped forceps   ?    Hypophysectomy forceps   ?    Used as a tumor grasping forceps.   ?    Usually used during microscopic tumor removal craniotomies.

17. What is the instrument on the bottom?

    ?    Weck clip inserter   ?    Pituitary Rongeur   ?    Used to remove soft tissue/tumor during craniotomy.   ?    Used to approximate the dura after pituitary tumor is removed.

18. Name the clips and the appliers.

    ?    Bulldog clips and Bulldog appliers.   ?    Aneurysm clips and aneurysm clip appliers.   ?    Used to clip cervical carotid circulation aneurysms.   ?    Clip is applied to aneurysm neck, preserving normal cerebral perfusion.

19. What are the flat objects lying next to their box, and what are they used for?

    ?    Medtronic stainless steel facial reconstruction plates and screws.   ?    Synthes titanium cranial pates and screws.   ?    Round plates may be used to correct bone defects.   ?    Used to replace bone flap at the end of the craniotomy.