[space occupying lesions]

Answer 1

6th

longest intracranial course

Answer 2

Raised ICP

Answer 3

raised ICP
personality change 
Focal neurology (abducens most common)
seizures

Answer 4

tumour (1 or 2ry)
aneurysm
cyst
subdural haematoma
abscess

Answer 5

CT

Answer 6

Coning (cerebellar tonsils herniate through foramen magnum)

Answer 7

surgical resection

Answer 8

chemo-radiotherapy

Answer 9

ventriculo-peritoneal shunt

shunt all the way from ventricle to peritoneal cavity!

Answer 10

carmustine wafers

Answer 11

severe cerebral oedema

Answer 12

normal = dexamethasone

acute raised ICP = mannitol

Question 13

[SOL][localising features]: damage to which lobe would result in wernickes dysphasia?

Answer 13

temporal

Question 14

[SOL][localising features]: damage to which lobe would result in brocas dysphasia

Answer 14

frontal

Question 15

[SOL][localising features]: what are the characteristics of brocas dysphasia

Answer 15

preserved comprehension, impaired expression

Question 16

[SOL][localising features]: what are the characteristics of Wernickes dysphasia

Answer 16

impaired comprehension, preserved ability to speak fluently but content is empty

Question 17

[SOL][localising features]: damage to which lobe would result in amnesia

Answer 17

temporal

Question 18

[SOL][localising features]: damage to which lobe would result in hemiparesis

Answer 18

frontal

Question 19

[SOL][localising features]: damage to which lobe would result in personality changes/lack of initiative or drive

Answer 19

frontal lobe

Question 20

[SOL][localising features]: damage to which lobe would result in executive dysfunction

Answer 20

frontal lobe

Question 21

[SOL][localising features]: damage to which lobe would result in reduced verbal fluency - e.g. name words beginning with A

Answer 21

frontal

Question 22

[SOL][localising features]: over familiarity, copying other people postures, disinhibition and utilization behaviour (puts glasses on, then another pair etc) is indicative of … syndrome

Answer 22

orbitofrontal

Question 23

[SOL][localising features]: damage to which lobe would result in hemisensory loss

Answer 23

parietal

Question 24

[SOL][localising features]: damage to which lobe would result in reduced 2 point discrimination

Answer 24

parietal

Question 25

[SOL][localising features]: damage to which lobe would result in inability to recognise objects by touch

Answer 25

parietal

Question 26

[SOL][localising features]: damage to which lobes could result in dysphasia

Answer 26

temporal (wernicke)
parietal
frontal (broca)

Question 27

[SOL][localising features]: damage to which lobe would result in contralateral homonymous hemianopia

Answer 27

temporal

Question 28

[SOL][localising features]: damage to which lobe would result in contralateral homonymous upper quadrantopia

Answer 28

temporal (with only meyers loop affected)

Question 29

[SOL][localising features]: damage to which lobe would result in contralateral visual field defects/polyopia

Answer 29

occipital

Question 30

[SOL][localising features]: what mneumonic can be used to remember symptoms of cerebellar damage

Answer 30

DASHING

Dysdiadochokinesis/Dysmetria (pastpointing)
Ataxia
Slurred speech
Hypotonia
Intention tremor
nystagmus
gait abnormality

Question 31

[SOL][localising features]: damage to which brain area would occur in an acoustic neuroma/vestibular schwannoma

Answer 31

cerebellopontine angle

Question 32

[SOL][localising features]: damage to which lobe would result in ipsilateral deafness

Answer 32

cerebellopontine angle

Question 33

[SOL][localising features]: damage to which lobe would result in nystagmus

Answer 33

cerebellopontine angle

Question 34

[SOL][localising features]: damage to which lobe would result in 5th, 6th or 7th CN palsys

Answer 34

cerebellopontine angle

Question 35

[SOL][localising features]: damage to which lobe would result in dissociated pupil response/failure of up/down gaze

Answer 35

midbrain