Tumors

Question 1

What is the most common tumor of the brain?

Answer 1

Metastasis

Question 2

What is the most common PRIMARY tumor of the brain?

Answer 2

Gliomas

Question 3

A new onset of what, especially at an older age, would raise concern for a tumor of the brain?

Answer 3

Epilepsy (Focal or generalized Sz)

Question 4

Can brain tumors present with focal neurological deficits?

Answer 4

Yes

Question 5

Papilledema in the setting of AMS and a Headache would raise concern for what?

Answer 5

Increased ICP

Question 6

What is the most concerning complication of increased ICP?

Answer 6

Herniation

Question 7

_______ is defined as a increased volume of CSF in the cranial cavity?

Answer 7

Hydrocephalus

Question 8

Homonymous Hemianopia would be concerning for a tumor in what lobe of the brain?

Answer 8

Occipital

Question 9

New onset seizures would be concerning for a tumor in which lobe(s) of the brain?

Answer 9

Frontal

Temporal

Question 10

What are examples of focal neurological deficits that may indicate brain tumors?

Answer 10

Movement problems
Speech changes
Sensory deficits
Vision changes
Memory impairment

Question 11

What is the imaging ‘workhorse’ in tumor workup?

Answer 11

MRI

Question 12

What are common tumors of the posterior fossa in CHILDREN?

Answer 12

Astrocytoma
Medulloblastoma
Ependymoma

Question 13

What are common tumors of the posterior fossa in ADULTS?

Answer 13

8th Nerve Schwannoma

Meningioma

Question 14

What brain tumor is the most malignant astrocytoma and the most common glioma?

Answer 14

Glioblastoma

Question 15

A ‘butterfly lesion’ is consistent with what type of brain tumor?

Answer 15

Glioblastoma

Question 16

T/F: Meningiomas are typically benign

Answer 16

True

However, they can become problematic and recur if not resected

Question 17

What histologic finding is consistent with meningioma?

Answer 17

Psammoma Bodies

These are often seen in Ovarian and Thyroid tumors as well

Question 18

A schwanomma is a tumor of what cranial nerve?

Are these Malignant or Benign?

Answer 18

CN VIII

Benign

Question 19

Cancers of what organs are likely to metastasize to the brain?

Answer 19

Lung
Breast
Skin (Melenoma)