Certainly! Here are some fundamental questions that neurosurgeons should be familiar with:
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What are the main components of the central nervous system (CNS)?
- Answer: The brain and spinal cord.
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What are the layers of the meninges?
- Answer: Dura mater, arachnoid mater, and pia mater.
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What is the primary function of the blood-brain barrier?
- Answer: To protect the brain from harmful substances and maintain a stable environment.
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What is the most common type of brain tumor in adults?
- Answer: Metastatic tumors (though glioblastoma multiforme is prominent as well).
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What imaging modalities are primarily used in neurosurgery?
- Answer: MRI (Magnetic Resonance Imaging) and CT (Computed Tomography).
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What is the significance of the Glasgow Coma Scale (GCS)?
- Answer: It is a clinical scale used to assess consciousness and severity of brain injury.
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What is the primary surgical approach for an anterior interbody fusion?
- Answer: Anterior cervical discectomy and fusion (ACDF).
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What are common complications associated with craniotomy?
- Answer: Hemorrhage, infection, and venous thromboembolism.
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What is the role of a ventriculostomy?
- Answer: To drain cerebrospinal fluid (CSF) and relieve intracranial pressure.
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What is the difference between a transient ischemic attack (TIA) and a stroke?
- Answer: A TIA is a temporary period of symptoms similar to those of a stroke, but it doesn't cause permanent damage; a stroke results in lasting damage to brain tissue.
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What are the potential sequelae of a spinal cord injury?
- Answer: Paralysis, loss of sensation, bowel/bladder dysfunction, and complications like autonomic dysreflexia.
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What is the function of the cranial nerves?
- Answer: They control various functions including sensory and motor functions in the head and neck, as well as visceral functions.
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What is a common method for assessing the spinal cord and nerve root function?
- Answer: Electromyography (EMG) and nerve conduction studies.
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What is the purpose of deep brain stimulation (DBS) in neurosurgery?
- Answer: To treat movement disorders like Parkinson's disease by delivering electrical impulses to specific brain regions.
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What is the common treatment for idiopathic intracranial hypertension (IIH)?
- Answer: Weight loss, medication (such as acetazolamide), and in some cases, surgery like cerebrospinal fluid shunting.
These questions cover fundamental concepts in neurosurgery and reflect essential knowledge that practitioners in the field should possess.