Trigger - tumor

Question 1

decision making and voluntary muscle movement

Answer 1

frontal lobe

also see:
personality characteristics
decision making
voluntary muscle movement
producing speech
short term memory

Question 2

produce speech, short term mem, personality

Answer 2

frontal lobe

personality characteristics
decision making
voluntary muscle movement
producing speech
short term memory

Question 3

short and long term memory, hearing

Answer 3

temporal lobe

short and long term memory
understanding of speech
hearing
emotions

Question 4

understanding of speech, emotions

Answer 4

temoral lobe job

short and long term memory
understanding of speech
hearing
emotions

Question 5

visual sense and interpretation

Answer 5

occipital lobe

Question 6

interpretation of objects in space

Answer 6

parietal lobe

also see sense of touch, taste and smell

Question 7

sense of touch, taste and smell

Answer 7

parietal lobe

also see interpretation fo objects in space

Question 8

conciousness, reflexes, autonomic fxn

Answer 8

brainstem

Question 9

what is a big difference between regular headaches and tumor headaches

Answer 9

progressively worse over time
pain wakes you from sleep

also: worsens w body change/ valsalva or cough

Question 10

• Difficulty w concentration/memory
• Expressive aphasia (brocas = word finding hestiation/ word substitutions)

Answer 10

frontal lobe tumor

Personality cahnges
Intellectual decline
Difficulty w concentration/memory
Expressive aphasia (brocas = word finding hestiation/ word substitutions)
Anosmia (Smell)
Weakness

Question 11

anosmia
weakness
intellectual decline

Answer 11

frontal lobe

Personality cahnges
Intellectual decline
Difficulty w concentration/memory
Expressive aphasia (brocas = word finding hestiation/ word substitutions)
Anosmia (Smell)
Weakness

Question 12

written language interpretation problems and sensory seizures

Answer 12

parietal

Sensory seizures (auditory/visual/tactile hallucinations)
Contralateral disturbances of sensation
Written language interpretation (alexia, agraphia)
Visuospatial deficit

Question 13

visuospatial deficit and cant tell R from L

Answer 13

parietal lobe tumor

Sensory seizures (auditory/visual/tactile hallucinations)
Contralateral disturbances of sensation
Written language interpretation (alexia, agraphia)
Visuospatial deficit

Question 14

prospagnosia or loss of color perception

Answer 14

occipital lobe tumor

also see hemanopsia and visual simultagnosia

Question 15

motor phenomena like lip licking, deja vu depersonalization, lack of language comprehension

Answer 15

temporal lobe tumor

also see:
Seizures with olfactor or gustatory hallucinations
Motor phenomena like lip licking
Depersonalization, emotional changes, or behavioral disturbances
Deja vu
Auditory illusions or hallucinations
Long-term memory impairment
Lack of language comprehension (Wernicke’s)

Question 16

wernickes aphasia

Answer 16

seen in temporal tumors (random words being said)

Seizures with olfactor or gustatory hallucinations
Motor phenomena like lip licking
Depersonalization, emotional changes, or behavioral disturbances
Deja vu
Auditory illusions or hallucinations
Long-term memory impairment
Lack of language comprehension (Wernicke’s)

Question 17

ataxic gait, nystagmus and altered reflexes

Answer 17

brainstem lesion

Question 18

tonic clonic seizures of one extremity suggest tumor where

Answer 18

frontal (controls voluntary movement)

Question 19

seizure precipitated with abrupt behavioral and memory changes. where is the tumor

Answer 19

temporal (memory and emotions)

Question 20

ataxia of the trunk
incoordination and hypotonia of limb

Answer 20

cerebellar lesions

Question 21

HA, NV, papilledema

Answer 21

triad for increased ICP

Question 22

occlusion of anterior cerebral artery causing frontal lobe infarction

Answer 22

subfalcial herniation

Question 23

compresses C3, midbrain and posterior cerebral artery

causes pupillary dilation, stupor, coma, deceberate posturing and respiratory arrest

Answer 23

Transtentorial/uncal herniation

Question 24

compresses medulla causing apnea, circulatory collapse and death

Answer 24

cerebellar-foramen magnum/tonsillar herniation

Question 25

dexamethasone, 2ndary seizure tx, maintain airway

Answer 25

1st line treatment for brain tumors

Question 26

glial cell that forms brain blood barrier

Answer 26

astrocyte

Question 27

creates myelin and covers axons

Answer 27

oligodendrocytes

Question 28

line spinal cord/ventricles and create CSF

Answer 28

ependymal cells

also make up blood CSF barrier

Question 29

clear debris and dead neurons via phagocytosis

Answer 29

microglia

Question 30

Surround and protect PNS neuron cell bodies, regulate external environment, and provide nutrients

Answer 30

satellite cells

Question 31

this glioma occurs mostly in young children

Answer 31

ependymomas

Question 32

Most aggressive glioma

Answer 32

glioblastoma

Question 33

Resect if possible; if not possible then biopsy to confirm
Determine risk factors: age > 40 or subtotal resection
Monitor for relapse

Answer 33

protocol for grade I/II gliomas

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Question 33

MC malignant brain tumor in kids

Answer 33

medulloblastoma (found in cerebellum)

Question 34

when must you r/o immunocomp or toxoplasmosis

Answer 34

primary CNS lymphoma

do this via CSF analysis

Question 35

glucocorticoids, chemo and radiation as tx.

Answer 35

• CNS lymphoma
• metastatic CNS tumors (+ pallative surgery)
• spinal cord tumor (add surgical resection, but no chemo)

Question 36

conservative managment w repeat MRI in 3-6 mo

Answer 36

small meningioma tx

Question 37

wide resection

Answer 37

tx for grade 2 or 3 wide resection

Question 38

what type of spinal cord tumor is a ependymomas

Answer 38

intramedullary

Question 39

what type of spinal cord tumor is schwannoma, neurofibroma, or meningiomas

Answer 39

intradural-extramedullary

Question 40

what type of spinal cord tumor is metastatic lesions

Answer 40

extradural

Question 41

MRI spine w contrast

Answer 41

locating spinal cord tumors