Pestana 11. Neurosurgery

Question 1

Vascular problem without headache

Answer 1

occlusive

Question 2

vascular problem with severe headache

Answer 2

hemorrhagic

Question 3

Constant progressive severe headaches, sometimes worse in morning

Answer 3

brain tumors

Question 4

What happens as ICP increases

Answer 4

Blurred vision, projectile vomiting

Question 5

TIAs

Answer 5

transitory loss of neurologic function

Come on without headache and resolve spontaneously

Question 6

Predictors of stroke

Answer 6

TIAs

Question 7

Sudden onset
Without headache
neuro deficits present for longer time leaving permanent sequelae

Answer 7

Ischemic stroke

Question 8

Within what time frame should t-PA be administered for ischemic stroke?

Answer 8

90 minutes
(but can still be done up to 3 hours after onset)

Question 9

Seen in uncontrolled hypertensive

severe headache of sudden onset

Answer 9

Hemorrhagic stroke

Question 10

Location of blood after rupture of intracranial aneurysms

Answer 10

Subarachnoid space

Question 11

Patients that will be recognized due to subarachnoid bleeding from intracranial aneurysms

Answer 11

Those with meningeal irritation and nuchal rigitidy

Question 12

Test that should always be first in looking for stroke

Answer 12

Non-contrast CT

Question 13

What test should follow CT when looking for intracranial aneurysm?

Answer 13

Arteriogram

Question 14

Surgical therapy for subarachnoid bleeding from intracranial aneurysm?

Answer 14

Clipping

Question 15

Radiological treatment for subarachnoid bleeding from intracranial aneurysms?

Answer 15

Coiling

Question 16

4 favorite destinations of blood-borne malignant cells

Answer 16

Bone
Brain
Liver
Lung

Question 17

1/2 of metastatic brain tumors come from ___?

Answer 17

Lung

Question 18

Two next most common locations that cause metastatic brain tumors?

Answer 18

Breast

Melanoma