Group A - CSF disturbances

Question 1

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

Answer 1

Monro-kellie doctrine

Question 2

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)

Answer 2

B, Fourth Ventricle

Question 3

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)

Answer 3

D, Choroid epithelial cells

Question 4

Produced mainly by specialized vascular structure that lies inside the ventricles ?

Q from Ruth Bongtiwon)

Answer 4

Choroid Plexus

Question 5

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)

Answer 5

C, 40-60mg/dL

Question 6

Cushing triad includes
a. Hypertension
b. Bradycardia
c. Irregular respiration
d, All the above
(SRAVANI AREPALLI)

Answer 6

D, All the above

Question 7

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 7

Answer: B Intraventricular foramina(of monro)

Question 8

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 8

Answer : C subarachniod space

Question 9

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)

Answer 9

B, Non-communicative type

Question 10

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 10

ANSWER: C, talking

Question 11

Which connects the 3rd and 4th ventricles?
(Q from Ashokkumar Prithika)

Answer 11

Aqueduct of Sylvius (Cerebral Aqueduct)

Question 12

Which of the following is not included under physiologic transient elevations ?
a. Coughing
b. Sneezing
c. Tracheal suctioning
d, Headache
( CLIMAX, JINISTEFFY)

Answer 12

D, Headache

Question 13

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)

Answer 13

B, Lissencephaly

Question 14

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 )

Answer 14

C, Acetazolamide

Question 15

Clinical manifestation of ICP exept
A.headache
B.Vomiting
C.decrease sensorium/coma
D.hypotension
Q from Bongtiwon,Ruth

Answer 15

D.hypotension

Question 16

CNS diseases associated with altered pressure except:
A. Hydrocephalus
B.Normal Pressure
C. Intracranial Hypotension
D, Hypersecretion of CSF

Q from Apongol, Ma Angela

Answer 16

D, HYPERSECRETION OF CSF

Question 17

Largest, paired, c-shaped chambers
A. Cerebral aqueduct
B, Lateral ventricles
C. Choroid plexus
D. Interventricular foramen

Q from Apongol, Ma Angela

Answer 17

B, Lateral ventricles

Question 18

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

Answer 18

A, 100-180 mm H2O or 8-14 Hg

Question 19

Physiologic transient elevations except:
A. Coughing
B. Valsalva maneuver
C. Sneezing
D. Tracheal suctioning
E,NOTA

Q from Andres, Liezl

Answer 19

E,NOTA

Question 20

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

Answer 20

C, POSTURAL HEADACHE

Question 21

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

Answer 21

D, BETA -2- TRANSFERRIN