malignancy

Question 1

where do primary brain tumours originate from

Answer 1

glial cells

Question 2

name some risk factors for primary brain tumours

Answer 2

inherited syndromes: neurofibromatosis, CHL, tuberous sclerosis
ionising radiation
immunosuppression

Question 3

name some global symptoms of a primary brain tumour

Answer 3

headache, N+V, reduced GCS, pupils

Question 4

name some focal symptoms of a primary brain tumour

Answer 4

paresis, dysphasia, numbness, seizure, visual symptoms, discoordination

Question 5

name some characteristics of a headache associated with a primary brain tumour

Answer 5

worse in the morning (wakes them up)
worse on coughing and leaning forward
associated with or be made worse by vomiting

Question 6

diagnosis a primary brain tumour

Answer 6

MRI +/- CT scan

Question 7

how do we grade brain tumours

Answer 7

1-4 based on lesion biopsy

Question 8

what can be used to relieve headache caused by tumour

Answer 8

dexamethasone

Question 9

palliative management of primary brain tumours

Answer 9

radiotherapy + chemotherapy

Question 10

what are the 4 most common origin sites of metastatic brain cancer

Answer 10

lung
breast
skin (melanoma)
kidney