Pre-Test (Neurosurgery, ENT, Peds)

Question 1

GCS motor points

Answer 1

1- nothing
2- abnormal extension (decerebrate posturing)
3- abnormal flexion (decorticate posturing)
4- withdrawal
5- purposeful movements
6- obeys commands

Question 2

GCS Verbal points

Answer 2

1- nothing
2- incomprehensible sounds
3- incomprehensible words
4- disorientated, inappropriate content
5- oriented and appropriate

Question 3

GCS eye points

Answer 3

1- nothing
2- to painful stimulus
3- to verbal stimulus
4- spontaneous

Question 4

What is Temozolomide

Answer 4

alklyating agent used to treat GBM

Question 5

Most likely diagnosis for a ring enhancing lesion found on immunocompetent pt

Answer 5

Metastatic disease

Question 6

Tx when draining CSF from the nose

Answer 6

Dural repair

Question 7

Workup of suspected SAH after LP shows significant blood

Answer 7

4-vessel cerebral angiogram to asses for cerebral aneurysm

Question 8

Cushing’s triad

Answer 8

Respiratory irregularities, bradycardia, hypertension

Question 9

Craniophranygiomas come from

Answer 9

Remnants of Rathke’s pouch

Question 10

Pt’s deemed to have substantial brain contusion should get what

Answer 10

Anticonvulsive meds to prevent seizure in early post-traumatic period

Question 11

Primary tx for meningiomas

Answer 11

Surgical excision with adjuvant radiation therapy

Question 12

LOC a few days after head trauma? tx

Answer 12

Subdural hematoma

Tx: drainage of hematoma through burr hole

Question 13

Standard therapy for nasopharyngeal carcinoma

Answer 13

Chemoradiation

Question 14

Tx for pleomorphic adenoma of parroted gland

Answer 14

Superficial parotidectomy with preservation of the facial nerve

Question 15

Standard of therapy for thyroglossal duct cysts

Answer 15

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

Question 16

Lymphadenopathy in the neck of an adult

Answer 16

Indicative of metastatic SCC

Question 17

Tx for imperforate anus

Answer 17

Perineal operation only

Look for esophageal atresia as well

Question 18

Neonate vs infant biopsy for Hirschprung

Answer 18

Neonate - suction biopsy

Infant - full thickness biopsy 2cm above dentate line

Question 19

VACTERL anomalies

Answer 19

Vertebral, Anal atresia, Cardiac defect (VSD), TracheoEsophageal fistula, Renal abnormalities, Limb dysplasia

Question 20

Operation of choice for obstruction 2/2 annular pancreas

Answer 20

Bypass procedure

Question 21

Maternal hx of what present in esophageal atresia

Answer 21

Polyhdramnios

Question 22

What does the midgut rotate around when returning to abdominal cavity

Answer 22

270 degrees around SMA

Question 23

Single most important risk factor in NEC

Answer 23

Prematurity

Question 24

Test for suspected coarctation of the aorta

Answer 24

Echo