1 - 60 Flashcards
- Surgical procedures utilized in the treatment of spasmodic torticollis include
I. upper cervical ventral rhizotomies and spinal accessory neurectomy - stereotactic thalamotomy
- microvascular decompression of the spinal accessory nerve
IV. myotomy
A. I, 11,111
B. I, 111
C. 11, IV
D. IV
E. all of the above
E. all of the above
I. upper cervical ventral rhizotomies and spinal accessory neurectomy
11. stereotactic thalamotomy
111. microvascular decompression of the spinal accessory nerve
IV. myotomy
11. Which surgical approach for thoracic disk herniations is associated with the highest rate of neurologic injury? A. costotransversectomy B. lateral extracavitary C. midline laminectomy D. transpedicular E. transthoraci
C. midline laminectomy
12. Most patients with intrinsic brainstem gliomas initially present with A. cranial neuropathies B. headache C. hydrocephalus D. nausea and vomiting E. papilledem
A. cranial neuropathies
- Each of the following is characteristic of complex regional pain syndrome I1
(causalgia) except
A. atrophic changes in the limb
B. hypesthesia
C. increased sweating
D. lack of major motor deficit
E. good relief with sympathetic block
B. hypesthesia
14. bacterial meningitis A. dermoid cyst B. epidermoid cyst C. both D. neither
A. dermoid cyst
- aseptic meningitis
B. epidermoid cyst
- associated congenital malformations
A. dermoid cyst
- most often midline
A. dermoid cyst
- responsive to radiation therapy
D. neither
- Ventricular enlargement from choroid plexus papillomas can be secondary to
I. entrapment of cerebrospinal fluid (CSF) - decreased absorption of CSF from hemorrhage-induced arachnoiditis
- tumor growth
IV. excessive production of CSF
A. I, 11, 111
B. I, 111
C. 11, IV
D. IV
E. all of the above
E. all of the above
20. Which approach is favored for a patient with an 8 mm acoustic neuroma in which hearing preservation is a goal? A. middle fossa B. suboccipital C. translabyrinthine
A. middle fossa
21. Uncinate seizures typically produce A. auditory hallucinations B. gustatory hallucinations C. olfactory hallucinations D. vertiginous sensations E. visual seizures
C. olfactory hallucinations
22. separates the PI and P2A segments of the posterior cerebral artery A. calcarine sulcus B. lateral mesencephalic sulcus C. posterior communicating artery D. tectal plate
C. posterior communicating artery
23. separates the P2A and P2P segments of the posterior cerebral artery A. calcarine sulcus B. lateral mesencephalic sulcus C. posterior communicating artery D. tectal plate
B. lateral mesencephalic sulcus
24. separates the P2P and P3 segments of the posterior cerebral artery A. calcarine sulcus B. lateral mesencephalic sulcus C. posterior communicating artery D. tectal plate
D. tectal plate
25. separates the P3 and P4 segments of the posterior cerebral artery A. calcarine sulcus B. lateral mesencephalic sulcus C. posterior communicating artery D. tectal plate
A. calcarine sulcus
26. The radial nerve or one of its branches innervates each of the following except the A. abductor pollicis longus B. adductor pollicis C. brachioradialis D. extensor pollicis brevis E. supinator
B. adductor pollicis
- Each of the following is true of intraventricular hemorrhage (IVH) in the
newborn except
A. Periventricular hemorrhagic infarction is one sequela.
B. Posthemorrhagic hydrocephalus can result in persistent bradycardia and
apneic spells.
C The capillary bed of the germinal matrix is composed of large irregular
vessels.
D. The germinal matrix is the most common site of IVH in the full-term
neonate.
E. The risk of IVH is greater in the preterm than in the term infant.
D. The germinal matrix is the most common site of IVH in the full-term
neonate.
- The ossification centers of the odontoid consist of
A. one primary and two secondary centers
B. one secondary and three primary centers
C. three secondary and one primary center
D. two primary Centers
E. two primary and one secondary center
E. two primary and one secondary center
29. The most common single-suture synostosis is A. coronal B. lambdoid C. metopic D. sagittal E. sphenozygomatic
D. sagittal
- The most sensitive method for detecting carpal tunnel syndrome is
A. needle examination of the abductor pollicis brevis
B. needle examination of the first and second lumbricals
C motor amplitude of the median nerve
D. motor distal latency of the median nerve
E. palmar sensory conduction time of the median nerve
E. palmar sensory conduction time of the median nerve
31. Coup contusions most commonly occur at the A. cerebral convexities B. frontal and temporal poles C. orbital surface of the frontal lobes D. posterior fossa E. ventral surface of the temporal lobe
A. cerebral convexities
- pupil-involving third nerve palsy
A. anterior communicating artery aneurysm
B. intracavernous carotid aneurysm
C. middle cerebral artery aneurysm
D. ophthalmic artery aneurysm
E. posterior communicating artery aneurysm
E. posterior communicating artery aneurysm
- seizures
A. anterior communicating artery aneurysm
B. intracavernous carotid aneurysm
C. middle cerebral artery aneurysm
D. ophthalmic artery aneurysm
E. posterior communicating artery aneurysm
C. middle cerebral artery aneurysm