Neuro multiple choice part 1

-
Starting simple

For questions from 1 to 40 , answers are form A to D following the questions ,it may be one or more than one .

  1. The normal intracranial pressure (ICP) are from     Kpa   (     )
A . 0.7-2.0;  B.1.0-2.0;  C.0.5-2.0;   D. 0.5-1.5.
  1. The causes of increased ICP may including the followings:   (     )
  1. cerebral edema
  2. hydrocephalus
  3. CSF leakage
  4. intracranial abscesses
3.  Which is not the harmful effects of increased ICP         (     )
   A. decreasing of CBF
 B  decreasing CPP 
C. Causing brain herniation  
D. increasing blood sugar
4. “Cushing reflex” includes:                            (     )
   A. systolic pressure increased 
B. pulse pressure decreased
   C. heart rate increased
D. body temperature decreased 
5. “there main signs” of  ICP  is                        (     )
A. stomachache 
B.headache
C.nausea and vomit
D.Papilledema 
6. How to treatment increased ICP                        (     )
   A .mannitol intravenous drip
B. nicorol intravenous injection
C.antibiotic intravenous injection
D. Drain cerebrospinal fluid 
7. A hematoma located in the temporal lobe most likely causes  (     )
A.subfalcine herniation 
B.transtentorial herniation 
C.subfalcine herniation  
D. hydrocephalus
8. A large acute hematoma located in the temporal lobe most likely 
Presents                                            (     ) 
   A. unilateral dilated  pupil
 B. bilateral dilated pupil
  C. Papilledema
  D. CSF leakage
9. Clinical manifestations of skull base fracture include      (     )
   A. CSF leakage 
   B. cranial nerve injury
   C. systolic pressure increased
   D. epilepsy
10. Ecchymosis of eyelid always show                    (     )
   A. middle cranial fossa
B. anterior cranial fossa fracture
C. posterior cranial fossa fracture
D. frontal lobe brain contusion and laceration      
11. Ecchymosis behind auricle always show                (     )
   A. middle cranial fossa
B. anterior cranial fossa fracture
C. posterior cranial fossa fracture
D. temporal lobe brain contusion and laceration  
12. CSF leakage from external auditory canal show         (     )
   A. middle cranial fossa
B. anterior cranial fossa fracture
C. posterior cranial fossa fracture
   D. facial palsy may presents
13. CSF leakage repairing operation is indicated if spontaneous close can not be achieved beyond                            （     ）
   A.1 week
   B.2 weed
  C.3 week
  D.4 week
14. Surgical indications of the depressed fracture of calvaria includes(  )
  A. depressed fracture of frontal bone harm countenance
  B. headache 
  C. The depth of depressed fracture is beyond 1 centimeter
  D. CSF leakage from Scalp wound
For questions 15 to 17:
  A.6 hours
  B.24hours
  C.7days
  D. 14days
In cerebral contusion and laceration case, 
15.cerebral edema occurs afte (    B.24hours ) 
16.peak within  (  C.7days ) 
17.subsides gradually after (D. 14days   )
18. Surgical indications of the depressed fracture of cerebral contusion and laceration includes                                (     )
  A. CT or MRI show midline of brain shift more than 1 cm or there are signs showing ventricle or cistern be pressed obviously
  B. acute herniation has occurred
  C. Disturbance of consciousness become more and more serious
  D. Clinical manifestations deteriorate during non-surgical treatment
19. Indications of surgical treatment of intracranial hematoma.  (     )
  A. hematomas exceed 40ml
  B. acute herniation has occurred
  C. Hematoma is not large while the midline of brain shift
     more than 1 cm
  D. Clinical manifestations deteriorate during non-surgical treatment
20. The popular benign tumors originating from sellar region are (     )
  A. gonioma 
  B. pituitary adenoma 
  C. craniopharyngioma.
  D. meningioma
21. The popular benign tumors originating CPA are           (     )   
  A. neurilemoma,
  B. chordoma
  C. dermoid and epidermoids cyst
  D. meningioma       
22. Which of the followings account for about 80% causes of SAH.(   )
A. AVM
B. intracranial aneurysm
C. meningioma
D. hypertension
Questions from 23 to 25 are on case analysis.
A  patient  had a history of traumatic impact on head two months 
ago,when he gone to outpatient department of you by hemself ,there 
only headache,but he said the headache is severe in recent 7 days .
23.what kind of medical examination is first selection for the patient now.                                            (    )
A. head x-ray
B. head MRI
C. head CT
D. ECG
 24.And the examination is as follow picture ,please
 make the Diagnosis      (    )                                                                       A. Acute epidural hematoma
B . Acutesubdural hematoma
C. Chronic subdural hematoma
D.cerebral edema  
25.What kind of treatment should be done?                (       )
A. mannitol intravenous drip
B. antibiotics intravenous drip
C. trepanation  and drainage
D. nothing should be done ,only have a rest


Questions from 26 to 28 are on case analysis
A woman ,35 years old with two babys.She complaint being menstrual disorder 5 years and now is menostasia, impaired vision and headache  two years.
26.What kind of diagnosis may be                       (    )
 A .tumor located in CPA 
 B. never system infection 
C. hydrocephalus
D.tumor located in Sellar region
27.What kind of medical examination shoul be selected first    (    )       
A. head x-ray
B. head MRI
C. head CT
D. ECG
28. And the examination is as follow picture ,please make the diagnosis 
                                                    (     )
 A.  Pituitary adenoma              
B . Craniopharyngioma
C. gonioma 
D. optic giloma

29.Beside the change of vision ，what kind of chemical examination result may alse changed                                    (     )
A. red blood cell      
B . white blood cell
C. blood PRL
D.blood ACTH
30.What kind of surgical approach to resect the mass         (     )
A. subfrontal approach   
B . nasal –sphenoid approach 
C. subtemporal  keyhole approach 
D. trepanation  and drainage

Comments

Post a Comment