Group A - CSF disturbances Flashcards
Neuroanatomic correlates, intracranial pressure and its management
It is a doctrine that when there is an increase in volume of any one of the intracranial components it will also cause an increase in pressure.
A.Kernohan doctrine
B.Monro-Kellie doctrine
C.Classic doctrine
Q from Bongtiwon,Ruth
Monro-kellie doctrine
It communicates to the subarachnoid space via the apertures?
A. Third ventricle
B, Fourth ventricle
C. Lateral ventricle
D. Cerebral aqueduct
Q from Ayao-ao, Alma)
B, Fourth Ventricle
The blood vessels of the choroid plexus are lined with similar-appearing cuboidal cells called ________?
A.Choroid plexus
B. Subarachnoid space
C. Kernohan’s phenomenon
D, Choroid epithelial cells
Q from Ayao-ao, Alma)
D, Choroid epithelial cells
Produced mainly by specialized vascular structure that lies inside the ventricles ?
Q from Ruth Bongtiwon)
Choroid Plexus
What will be the value of glucose in CSF
a.20-60mg/dL
b.50-60mg/dL
c,40-60mg/dL
d.30-60mg/dL
(SRAVANI AREPALLI)
C, 40-60mg/dL
Cushing triad includes
a. Hypertension
b. Bradycardia
c. Irregular respiration
d, All the above
(SRAVANI AREPALLI)
D, All the above
The lateral ventricle are connected to the third ventricle via
A. Cerebral Aqueduct of Sylvia’s
B, Intraventricular foramina (of monro)
C. Lateral apertures ( foramina of luschka)
D. Medial apertures ( foramina of Magendie)
(Baskar,Rithika)
Answer: B Intraventricular foramina(of monro)
The lateral and medial apertures drain the fourth ventricle into the
A. Arachnoid granulation
B. Cerebellum
C, Subarachniod space
D. Fifth ventricle
(BASKAR, RITHIKA
Answer : C subarachniod space
In obstructive hydrocephalus types, it is the most less common due to the entrapment of a part of the ventricle by granulomatous ependymitis?
A. Communicating type
B, Non-communicative type
C.Lissencephaly
D. None of the above
Q from AYAO-AO, ALMA)
B, Non-communicative type
A patient is being treated for increased intracranial pressure. Which activities below should the patient avoid performing? Except
A.coughing
B.sneezing
C,talking
D.valsalva maneuver
E.vomiting
(Q from Ashokkumar Prithika)
ANSWER: C, talking
Which connects the 3rd and 4th ventricles?
(Q from Ashokkumar Prithika)
Aqueduct of Sylvius (Cerebral Aqueduct)
Which of the following is not included under physiologic transient elevations ?
a. Coughing
b. Sneezing
c. Tracheal suctioning
d, Headache
( CLIMAX, JINISTEFFY)
D, Headache
Characterized by agyria or pachygyria which means absence development of the brain gyri causing the brain’s surface to appear unusually smooth
A. Crouzon syndrome
B, Lissencephaly
C. Osteopetrosis
D. Soto’s syndrome
Q from AYAO-AO, ALMA)
B, Lissencephaly
Which of the following is considered as the potent enzyme inhibitor of carbonic anhydrase and it impedes the activity at the choroid plexus reducing CSF secretion
a. Topiramate
b. Dexamethasone
c, Acetazolamide
d. Levetiracetam
(CLIMAX, JINISTEFFY )
C, Acetazolamide
Clinical manifestation of ICP exept
A.headache
B.Vomiting
C.decrease sensorium/coma
D.hypotension
Q from Bongtiwon,Ruth
D.hypotension
CNS diseases associated with altered pressure except:
A. Hydrocephalus
B.Normal Pressure
C. Intracranial Hypotension
D, Hypersecretion of CSF
Q from Apongol, Ma Angela
D, HYPERSECRETION OF CSF
Largest, paired, c-shaped chambers
A. Cerebral aqueduct
B, Lateral ventricles
C. Choroid plexus
D. Interventricular foramen
Q from Apongol, Ma Angela
B, Lateral ventricles
In the normal adult, the intracranial pressure varies from?
A, 100-180 mm H2O or 8-14 Hg
B. 120-180 mm H2O or 10-14 Hg
C. 100-150 mm H2O or 8-12 Hg
D. 120-180 mm H2O or 8-10 Hg
Q from Andres, Liezl
A, 100-180 mm H2O or 8-14 Hg
Physiologic transient elevations except:
A. Coughing
B. Valsalva maneuver
C. Sneezing
D. Tracheal suctioning
E,NOTA
Q from Andres, Liezl
E,NOTA
The most common symptom of intracranial Hypotension from a CSF leak is
A. Decrease sensorium
B. Vomiting
C, Postural Headache
D. Sneezing
Q from BALASANI, FRANKLYN BERNORD
C, POSTURAL HEADACHE
The most specific test in evaluating a patient with a suspected CSF leak is
A. Glucose levels
B. Halo sign
C. Reservoir sign
D, Beta-2-transferrin
Q from BALASANI, FRANKLYN BERNORD
D, BETA -2- TRANSFERRIN