Pre-Test (Neurosurgery, ENT, Peds) Flashcards
GCS motor points
1- nothing
2- abnormal extension (decerebrate posturing)
3- abnormal flexion (decorticate posturing)
4- withdrawal
5- purposeful movements
6- obeys commands
GCS Verbal points
1- nothing 2- incomprehensible sounds 3- incomprehensible words 4- disorientated, inappropriate content 5- oriented and appropriate
GCS eye points
1- nothing
2- to painful stimulus
3- to verbal stimulus
4- spontaneous
What is Temozolomide
alklyating agent used to treat GBM
Most likely diagnosis for a ring enhancing lesion found on immunocompetent pt
Metastatic disease
Tx when draining CSF from the nose
Dural repair
Workup of suspected SAH after LP shows significant blood
4-vessel cerebral angiogram to asses for cerebral aneurysm
Cushing’s triad
Respiratory irregularities, bradycardia, hypertension
Craniophranygiomas come from
Remnants of Rathke’s pouch
Pt’s deemed to have substantial brain contusion should get what
Anticonvulsive meds to prevent seizure in early post-traumatic period
Primary tx for meningiomas
Surgical excision with adjuvant radiation therapy
LOC a few days after head trauma? tx
Subdural hematoma
Tx: drainage of hematoma through burr hole
Standard therapy for nasopharyngeal carcinoma
Chemoradiation
Tx for pleomorphic adenoma of parroted gland
Superficial parotidectomy with preservation of the facial nerve
Standard of therapy for thyroglossal duct cysts
Surgical resection - local resection of cyst and central portion of hyoid bone along w/ it’s tract all the way to the base of the tongue
Lymphadenopathy in the neck of an adult
Indicative of metastatic SCC
Tx for imperforate anus
Perineal operation only
Look for esophageal atresia as well
Neonate vs infant biopsy for Hirschprung
Neonate - suction biopsy
Infant - full thickness biopsy 2cm above dentate line
VACTERL anomalies
Vertebral, Anal atresia, Cardiac defect (VSD), TracheoEsophageal fistula, Renal abnormalities, Limb dysplasia
Operation of choice for obstruction 2/2 annular pancreas
Bypass procedure
Maternal hx of what present in esophageal atresia
Polyhdramnios
What does the midgut rotate around when returning to abdominal cavity
270 degrees around SMA
Single most important risk factor in NEC
Prematurity
Test for suspected coarctation of the aorta
Echo
