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Neurotrauma (MCQ)

Neurotrauma(MCQ)

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DEOGRATIAS NDAYISABA
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99 views3 pages

Neurotrauma (MCQ)

Neurotrauma(MCQ)

Uploaded by

DEOGRATIAS NDAYISABA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Neurotrauma

1. In evaluating a newly arrived patient in the ER with severe closed head


injury, the first procedure that should be done is:
a. A complete history and physical exam
b. Assure patency of the patient’s airway
c. Obtain a CT scan of the head
d. Drill burr holes in the skull on the side of the dilated pupil

2. All of the following are considered standard treatment for patients with
increased intracranial pressure, except:
a. Elevation of the head
b. Prevention of hypoxemia
c. Prevention of hypovolemia
d. Intravenous administration of high dose steroids

3. Which of the following statements is true?


a. Common findings in the Syndrome of Inapproriate Anti-diuretic
Hormone (SIADH) include polyuria, low serum osmolality and high
urine osmolality
b. Diabetes Insipidis is characterized by polyuria, high serum osmolality
and low urine osmolality
c. Treatment of SIADH includes fluid restriction and administration of
Vasopressin
d. Treatment of diabetes insipidis includes fluid restriction and diuretics

4. In attempting to differentiate patients with surgically correctible causes of


increased intracranial pressure on the basis of physical exam, which of the
following physical findings is NOT helpful:
a. Worsening Glasgow Coma Scale score
b. Inequality of pupillary size
c. Proptosis
d. Hemiparesis
5. The pathophysiology of an ipsilateral dilated, nonreactive pupil associated
with intracranial hemorrhage is related to herniation of the uncus through
the tentorial notch with subsequent pressure on the oculomotor nerve.
a. True
b. False

6. Each of the following statements concerning epidural hematoma is true,


except:
a. The hematoma is most frequently located between the galea and the
outer table of the skull
b. A typical history is that of initial loss of consciousness followed by a
lucid interval
c. It is often caused by laceration of the middle meningeal artery
d. When properly treated, it carries a better prognosis than acute
subdural hematoma

7. According to the study done at UC San Francisco in 1986, which of the


following statements concerning surgically correctable intracranial
hemorrhage best summarizes the results of the investigation?
a. Greater than half the hemorrhages can be found on the basis of
physical exam alone, without need for CT scan
b. In patients with lateralizing signs on physical exam, the older the
patient, the more likely to find an intracranial hematoma
c. All patients with good outcomes or only moderate disability
underwent burr hole exploration within 3 hours of injury
d. All of the above statements are true

8. Which of the following statements concerning burr hole exploration is


true?
a. Initial exploration should be performed on the side opposite the
dilated pupil
b. Initial exploration should be performed on the side opposite the
hemiparesis
c. In the absence of a skull fracture, initial burr hole should be placed in
the occipital region
d. Burr hole exploration should only occur following adequate CT scan

9. Presence of a linear skull fracture increases the risk of intracranial


hematoma by a factor of 400.
a. True
b. False

10. Important findings in diagnosing a basilar skull fracture include all of the
following, except:
a. Skull x-ray appearance
b. Cerebrospinal fluid leaking from nose and/or ear
c. Racoon’s eyes
d. Battle’s sign

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