Neurosurgery Flashcards
Which clinical picture associates with the following symptoms? Sudden occipital headache, photophobia, fever, neck stiffness.
A) Acute subdural hemorrhage
B) Intracerebral hemorrhage
C) Posterior fossa tumor
D) Subarachnoid hemorrhage
E) Migraine
D) Subarachnoid hemorrhage
What should be done with a patient with subarachnoidal bleeding?
A) Observation
B) Sending to inpatient provider institute
C) Sending to neurosurgery department
D) Asking MRI
E) Asking angiography
C) Sending to neurosurgery department
The main pathologies causing trigeminal pain:
A) Intracranial tumors
B) Sclerotic plaque
C) Vascular compression of the nerve
D) Idiopathic
C) Vascular compression of the nerve
In case of traumatic spine fracture the main purposes of the operation are the following, except for:
A) Decompression of neural elements
B) Restoration of spine statics
C) Stabilization
D) Spine stimulation
D) Spine stimulation
We need to think of a stenotic spinal canal when the patient’s walking is facilitated by bending, when there is neurogenic claudication, so occurring low back pain which can radiate to the legs during walking.
A) true
B) false
A) true
It is necessary to prepare brain MRI when cerebellar symptoms are noticed during or after upper respiratory tract infection in childhood because of the suspicion of scala posterior tumor:
A) true
B) false
A) true
The specific symptoms in case of elderly normal pressure hydrocephalus are the following, except for:
A) gait disturbance
B) blurred vision
C) incontinence
D) memory loss
B) blurred vision
In case of inactive pituitary tumor, without compressive symptoms and progressive growing, the chosen treatment is the following:
A) early tumor resection by using transsphenoidal approach
B) periodic ophthalmological examination and MRI control within the confines of endocrinology care
C) radiotherapy
D) hormone substitution
B) periodic ophthalmological examination and MRI control within the confines of endocrinology care
A patient with isolated head injury is transferred to the hospital with the following parameters: GCS 7, BP 130/85 mmHg, HR 75/min, oxygen saturation 97%; no space-occupying lesion is detectable in the cranial CT scan. What is to be done?
A) only observation
B) intubation, placement of ventricular drain, measurement of intracranial pressure
C) decompressive craniectomy (DC)
D) induction of barbiturate coma
B) intubation, placement of ventricular drain, measurement of intracranial pressure
Spinal dysraphia (neural tube defect) can frequently present with hydrocephalus.
A) true
B) false
A) true
Chronic subdural hematoma can be diagnosed based on the following symptoms: banal head injury, lack of serious headache, memory impairment and altered level of consciousness fluctuating from hour to hour:
A) true
B) false
A) true
The patient has gradually weakening lower limbs, and eventually paraplegia. Mark the least likely underlying condition.
A) parasagittal meningioma
B) cauda equina syndrome
C) spinal tumor
D) polyneuropathy
E) spinal vascular malformation
D) polyneuropathy
Spinal dysraphias (neural tube defects) are always associated with neurological signs.
A) true
B) false
B) false
If the pain radiates to the medial part of the arm and the elevation or abduction of the arm leads to the disappearance of the radial pulse, we should think of the following pathology:
A) syringomyelia
B) coarctation of the aorta
C) cervical disc hernia
D) thoracic outlet syndrome
E) poliomyelitis
D) thoracic outlet syndrome
Acute epidural hematoma is half as dangerous as subdural hematoma considering mortality:
A) true
B) false
A) true
Arteriovenous malformations are congenital lesions, which have lifelong bleeding risk without treatment.
A) true
B) false
A) true