Trauma I Flashcards

1
Q

The vast majority of TBI is caused by _____

A

falls

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2
Q

These two criteria are used to classify TBI

A

Mechanism: blunt, penetrating, blast

Time Course: Primary or Secondary

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3
Q

Brain thermopooling refers to

A

brain temperature dysregulation

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4
Q

Blunt injury occurs from direct impact and manifests in these three ways:

A

1) Contusions
2) Extraaxial Hematomas
3) Diffuse axonal injury

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5
Q

Coup injuries occur at the ____ of impact when the head is _______

A

site; stationary

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6
Q

Contrecoup injuries occur ____ to impact and occur when the head is _____

A

opposite; moving

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7
Q

Contusions ___ over time which is known as ____

A

expand; blossoming

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8
Q

Epidural hematomas are associated with the groove of the ____ _____ _____

A

Middle Meningeal Artery

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9
Q

Epidural Hematomas are associated with a ____ interval

A

lucid

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10
Q

Epidural hematomas can also occur via _____ ____ laceration

A

venous sinus

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11
Q

Epidural hematomas ____ cross suture lines while subdural hematomas ____ cross suture lines

A

don’t; do

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12
Q

Subdural hematomas often cause ____ ____ injury

A

severe brain

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13
Q

Diffuse axonal injury presents with a ______ patient without signs of _____

A

unconscious; intracranial mass lesion

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14
Q

DAI causes breakage of ________

A

microtubules

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15
Q

____ ____ are the pathological hallmark of DAI

A

Retraction Bulbs

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16
Q

The hallmark of penetrating TBI are _____

A

lacerations

17
Q

Blast TBI results in _____ ____ DAI

A

dose dependent

18
Q

The Monro-Kellie Hypothesis formula

A

ICP= Pressure of Parenchyma + CSF + Blood

19
Q

The ability to ____ volume change _____ with increased ICP

A

accomadate; decreases

20
Q

Cerebral Perfusion Pressure equals

A

Mean arterial pressure - ICP

21
Q

The brain’s ability to maintain constant blood flow is called

A

Cerebral Autoregulation

22
Q

Contusions are areas of focal _______ _______

A

hemorrhagic necrosis

23
Q

Contusions have a predilection for these two ____ ____(area)

A

gyral crests- Orbitofrontal and temporal