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QUESTIONS ON NEUROSURGERY FOR STUDENTS OF THE 5-th YEAR MEDICAL FACULTY

QUESTIONS ON NEUROSURGERY FOR STUDENTS OF THE 5-th YEAR MEDICAL FACULTY

QUESTIONS ON NEUROSURGERY FOR STUDENTS OF THE 5-th YEAR MEDICAL FACULTY

 

1. The organization of neurosurgical help rendering.

2. The structure of neurosurgical service.

3. The basic arsenal of auxiliary inspection methods in neurosurgery.

4. Craniography. Inflammatory and hypertensive signs of the organic brain diseases.

5. Pneumoencephalography. The indication, contra-indication, technique of performance.

6. Ventriculography. The indication, contra-indication, technique of performance.

7. Cerebral angiography. The indication, contra-indication, technique of performance.

8. Echoencephalography and its significance in diagnostics of the organic central nervous system and brain diseases.

9. Liquor and liquorodynamic studies in diagnostics of the organic brain diseases.

10.Myelography. The indication and contra-indication, technique of performance

11.Roentgenography of the spine and its role in diagnostics of diseases and traumas of the spine and spinal cord.

12.Classification of the isolated craniocerebral trauma.

13.The closed craniocerebral trauma. Characteristic, classification.

14.The open craniocerebral trauma. Classification, characteristic.

15.The brain concussion. Clinical manifestations, forensic medicine.

16.The brain contusion. Classification, clinical manifestations, complications.

17.The brain compression. The causes. Clinical manifestations. Algorithm of actions in the general practitioner.

18.Epidural haematoma. Clinical manifestation forms, methods of inspection, the indication

to surgical intervention.

19.Subdural haematoma. Clinical manifestations, stages of development, methods of

inspection, the indication to surgical intervention.

20.Modern methods of diagnostics and surgery of the gunshot skull and brain wounds.

21.The lifetime brain death. Diagnostic criteria, legal, medical and deontologic aspects.

22.Syndrome of the long-term squeezing of the head and brain. The courses. Clinical course. First aid and main principles of treatment.

23.The Glasgow coma scale.

24.The combined craniocerebral trauma. Classification. The plan of inspection. Principles of treatment.

25.Vertebral-spinal trauma. Algorithm of recommendations for the rendering qualified

medical aid.

26.Evaluation of the patients with VST functional condition by Frankel.

27.Classification and characteristic of disorders in the closed trauma of a spinal cord.

28.The first medical aid in VST, peculiarities of transportation. Methods against the spinal

shock.

29.Algorithm of the aid to the casualties with VST in the phase of isolation, rescuing and restoration.

30.Modern classification of the cerebrovascular pathology. Standards of inspection of patients with the vascular pathology of the brain.

31.Clinical course of the main forms of disturbance of brain blood circulation. Methods of inspection.

32.Early and late complications in vertebral-spinal trauma.

33.The principles of rendering the first and qualified medical aid in affections of the

peripheral nerves.

34.The peculiarities of the clinical picture in hemorrhagic insult.

35.The peculiarities of the first and qualified medical aid in ischemic insult.

36.The diffuse axonal damage of the brain. The causes, clinical course, prognosis.

37.The peculiarities of treatment of the open craniocerebral trauma.

38.The early and late complications in open CCT.

39.The birth injuries in children. The main clinical signs, diagnostics, principles of

treatment.

40.The lumbar puncture. Indications, contra-indications, technique of carrying out.

Complications.

41.The pain syndrome in a pathology of the intervertebral disks. Diagnostics. Auxiliary

inspection methods. Rendering urgent aid. The indication to surgical intervention.

42.The vascular syndrome in neurosurgery. Diagnostic significance. Algorithm of

inspection of the patient with a vascular syndrome.

43.The computer tomography. Its diagnostic value in neurosurgery.

44.Peculiarities of carrying out of primary surgical treatment of the wounds of the skull and brain.

45.The methods of plastic of defects of the skull bones. The indication and contra-

indication.

46.Abscesses of the brain. The basic clinical signs. Methods of treatment.

47.Subdural hydromas. Clinical course, diagnostics, treatment.

48.Intracerebral haematomas. Clinical course, diagnostics.

49.Fractures of the skull bones in the closed craniocerebral trauma.

50.The indication to operation in fractures of the skull bones.

51.Auxiliary inspection methods and sequence of their application in diagnostics of

craniocerebral traumas.

52.Ways of plastics of defects of the skull and dura mater membrane in the closed

craniocerebral trauma.

53.Peculiarities of rendering the first aid to the patients with the open craniocerebral

trauma.

54.Sequence of application of auxiliary methods of diagnostics in cases in open

craniocerebral traumas.

55.The posttraumatic epilepsy and methods of removing the patient from the epileptic status.

56.Tumours of the brain. Hypertensive syndrome. Mechanisms of its formation.

57.Auxiliary methods of diagnostics of the brain tumours in neurosurgery.

58.Inflammatory symptoms in tumours of the brain.

59.Methods of treatment of patients with the tumours of brain.

60.Tumours of the spinal cord. Classification. Clinical course.

61.Clinical course of extramedular tumours of the spinal cord.

62.Clinical course of intramedular tumours of the spinal cord.

63.Auxiliary methods of diagnostics of tumours of the spinal cord.

64.Role of liquorodynamic tests and liquor studies in diagnostics of tumours of the spinal cord.

65.Clinical course of osteochondrosis of the cervical part of the spine. Treatment.

66.Clinical course of osteochondrosis of the lumbosacral part of the spine.

67.Indication to surgery of in cases of the intervertebral disks pathology.

68.Traumatic injuries of the spine and spinal cord. Classification.

69.First aid and transportation of patients with traumatic injuries of the spine and spinal cord.

70.The early and the late complications in traumas of the spine and spinal cord and their prophilaxis.

71.Traumatic injuries of the peripheral nerves. Classification.

72.Peculiarities of the primary treatment of wounds of the extremities with injuries of

peripheral nerves.

73.The pain syndromes. Neuralgia of the trigeminal nerve. Treatment.

74.Kinds of a pathology in the main vessels of the neck, the brain. Classification. Clinical course.

75.Ischemic insult. The neurosurgical approach in treatment of ischemic insult.

76.Hemorrhagic insult, clinical course, treatment.

77.AVM. Clinical course, treatment.

78.Hypoplasia of head and spinal cord. Classification. Clinical course, neurosurgical

treatment.

79.Hydrocephaly. Classification, clinical course, neurosurgical treatment.

80.Abscesses of the brain. Classification, clinical course, treatment.

81.Principles of the intensive therapy of patients with severe craniocerebral trauma.

82.Peculiarities of intensive therapy of patients with tumours of the brain.

83.Traumatic illness of the brain. The periods, principles of treatment.

 

The list of practical skills which the student should waster:

As a result of carrying out practical classes students should know:

1. Early and late complications in a vertebral - spinal trauma. Principles of rendering the first and qualified aid in affections of the peripheral nerves.

2. Peculiarities of clinical course hemorrhagic and ischemic insult.

3. Peculiarities of clinical course of brain compression. The indication to surgical

intervention.

4. A neurologic symptomatology of diffuse axonal injuries (DAI) of the brain.

5. Peculiarities of treatment of the open craniocerebral trauma.

6. Gunshot wounds, peculiarities of diagnostics and the first surgical treatment of gunshot wounds.

7. Early and late complications in open CCT.

8. The basic clinical symptoms of birth traumas in children. Diagnostics, principles of

treatment.

9. The scope of the urgent medical aid at the place of accident at a syndrome of long compression of the head.

 

As a result of carrying out practical classes the students should be able:

1. To carry out the clinical examination of the neurosurgical patient, to evaluate his general condition and to determine the plan of inspection.

2. To evaluate the data of auxiliary methods examination.

3. To render medical aid to the patient with acute CCT.

4. To render medical aid to the patient with a vertebral - spinal trauma.

5. To render medical aid in urgent conditions to patients with tumours of the brain.

6. To render medical aid in urgent conditions to patients with cerebrovascular pathology.

7. To remove the patient from the epileptic status.

8. To know how to carry out lumbar puncture, liquorodynamic tests to estimate the received data.

9. To carry out primary surgical treatment wounds of soft tissues of the head.

10. To administer adequate dehydration therapy.

 

To acquire knowledge:

1. In carrying out the examination of the patient with neurosurgical pathology.

2. In carrying out primary surgical treatment of the wound of soft tissues of the head.

3. In defining indications and contra-indications to lumbar punctures, and carrying it out

under the guidance of the lecturer

4. In interpreting the data of laboratory and instrumental studies.

5. In interpreting X-ray images, CT, MRI, EEG, rheoencephalography, EchoEG.

6. In removing the patient from the epileptic status, delirium tremens.

7. In carrying out treatment of the syndrome of the increased intracranial pressure.

 

 

Head of the neurosurgery

department, Professor                                                                 V.A.Pyatikop