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Which of the following correctly matches the type of monitoring with the procedure it is most likely to be used for?

A) Somatosensory evoked potential monitoring—removal of tumors involving the optic pathway
B) Brainstem auditory evoked potential monitoring—removal of acoustic neuromas, posterior fossa craniotomies, and tumors near the cochlear nerve
C) Motor evoked potential monitoring—carotid surgery
D) Electromyography—in operations where cerebral blood flow may be interrupted
E) Camino catheter monitoring—patients requiring CSF drainage

1 Answer

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Final answer:

A neurologist may conduct sensory tests such as using a cotton-tipped applicator for light touch perception to check for issues in sensory pathways. Brainstem auditory evoked potential monitoring is correctly associated with surgeries involving the auditory pathway. Camino catheter monitoring is used for patients requiring CSF drainage.

Step-by-step explanation:

When a patient presents with impaired sensory functions, a neurologist might decide to perform a variety of sensory tests. These tests help in evaluating different aspects of the somatic senses such as touch, temperature, vibration, pain, and proprioception, which can reveal underlying issues within the nervous system. An example of a common sensory test is the use of a cotton-tipped applicator to assess light touch perception at various locations on the skin. This method tests the integrity of sensory pathways from the peripheral receptors to the brain, potentially indicating the presence of trauma or other issues in the spinal cord or other connected structures.

Specifically, for the question about which type of monitoring best matches the procedure it is likely to be used for, Brainstem auditory evoked potential monitoring is correctly matched with the removal of acoustic neuromas, posterior fossa craniotomies, and tumors near the cochlear nerve. This monitoring is used because it can detect any changes in the auditory pathway, which is crucial during surgeries that involve structures near auditory nerves. Motor evoked potential monitoring is not typically used for carotid surgery, but rather for surgeries where spinal cord or motor cortex integrity is at risk. Lastly, Camino catheter monitoring is accurately associated with patients requiring CSF drainage because it helps measure intracranial pressure and can aid in the management of CSF flow.

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