Quiz 5 - neoplasms

Question 1

locations most common for childhood neoplasms

Answer 1

• posterior cranial fossa

- spinal cord

Question 2

locations most common in adult neoplasms

Answer 2

middle and anterior cranial fossa

Question 3

metastatic neoplasms in adults vs children

Answer 3

much more common in adults

Question 4

neoplasms most likely to metastasize to the CNS

Answer 4

breast and lung

Question 5

most common primary intracranial tumors

Answer 5

• gliomas followed by meningiomas

Question 6

what neoplasms are slow growing?

Answer 6

meningiomas and neurilemmomas

Question 7

what neoplasms are rapidly enlarging?

Answer 7

astrocytomas and gliomas

Question 8

general signs of a cortical mass

Answer 8

aphasia, hemiparesis, homonymous hemianopsia, sensory loss

Question 9

disinhibition points to what location for a mass?

Answer 9

frontal lobe

Question 10

incoordination points to what location for a mass?

Answer 10

cerebellum

Question 11

unilateral loss of pain and temperature sense on the face points to

Answer 11

lateral brain stem

Question 12

loss of upward gaze points to what location for a mass?

Answer 12

dorsal brain stem or pineal region

Question 13

paraplegia and sphincter dysfunction point to where for a mass?

Answer 13

spinal cord

Question 14

common non-focal symptoms of a mass

Answer 14

gait problems
seizure
personality changes

Question 15

signs of a transtentorial herniation

Answer 15

dilating pupil - ipsilateral
third nerve palsy - ipsilateral
hemiparesis - contralateral

Question 16

neglect and agnosia are associated with which lobe?

Answer 16

parietal

Question 17

edema from brain tumor responds to….

Answer 17

steroids

Question 18

three types of gliomas

Answer 18

astrocytoma
oligodendroglioma
ependymoma

Question 19

what type of glioma can usually be resected?

Answer 19

astrocytoma

Question 20

three common childhood brain tumors, which one has a better prognosis?

Answer 20

• cerebellar astrocytoma (better prognosis)
• pontine glioma
• medulloblastoma

Question 21

what is paraneoplastic syndrome and what are some of its manifestations

Answer 21

remote effect of cancer

• polyneuropathy
• myoneural junction disease
• confusional state

Question 22

full resection is often not feasible with….

Answer 22

gliomas

Question 23

MRI is superior to CT for….

Answer 23

metastasis

tumors in childhood locations - posterior fossa and spinal cord

Question 24

ependymoma locations

Answer 24

cranial in children

spinal in adults

Question 25

rare tumors of the nerve root

Answer 25

schwanoma neurofibroma meningioma glioma