Head Injury II (Qs) Flashcards

1
Q

Which of the following mechanism of TBI is depicted in the CT?

1- Skull fracture
2- Contusion (bruise)
3- hematomas (blood clots)
4- lacerations (tear)
5- Diffuse axonal injury (nerve damage)

A

1- Skull fracture
2- Contusion (bruise)
3- hematomas (blood clots)
4- lacerations (tear)
5- Diffuse axonal injury (nerve damage)

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2
Q

Which of the following types of hemorrhage is NOT common in closed head injury?

basal ganglia hemorrhage
extradural hemorrhage
intraventricular hemorrhage
subarachnoid hemorrhage
superficial parenchymal hemorrhage
subdural haemorrahge

A

Which of the following types of hemorrhage is NOT common in closed head injury?

basal ganglia hemorrhage
extradural hemorrhage
intraventricular hemorrhage
subarachnoid hemorrhage
superficial parenchymal hemorrhage
subdural haemorrahge

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3
Q

What is the name for this basal skull fracture sign? [1]

A

Hemotympanum

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4
Q

What is the name for this sign of basal skull fracture? [1]

A

Periorbital ecchymosis

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5
Q

What is the name for this sign of basal skull fracture? [1]

A

Post auricular ecchymosis

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6
Q

What type of brain herniations are A & B? [2]

A

A: Downward cerebellar (Tonsillar)

B: Upward cerebellar (transtentorial)

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7
Q

State what type of herniation A-D are [4]

A

A: Cingulate (Subfalcine)

B: Central (transtentorial)
C: Uncal
D: Downward cerebellar (Tonsillar)

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8
Q

What type of herniation is depicted by the arrow? [1]

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

A

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

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9
Q

What type of herniation is depicted?

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

A

What type of herniation is depicted?

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

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10
Q

What type of herniation is depicted?

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

A

What type of herniation is depicted?

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

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11
Q

What type of herniation is depicted?

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

A

What type of herniation is depicted?

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

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12
Q

What type of herniation is depicted?

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

A

What type of herniation is depicted?

Uncal
Central (transtentorial)
Cingulate (Subfalcine)
Transcalvarial
Upward cerebellar (transtentorial)
Downward cerebellar (Tonsillar)

Uncal herniation. Arrows point to the medial temporal lobe that has herniated through the tentorial incisura to compress the midbrain

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13
Q

What type of positioning is on the top and bottom? [2]

A

Decorticate posturing (figure top)
decerebrate posturing (figure bottom)

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14
Q

Which of the following is most likely to occur to a young adult with a skull fracture?

A: SDH = subdural haematoma
B: EDH = epidural haematoma
C: IPH = intraparenchymal haemorrhage
D: SAH = subarachnoid haemorrhage

A

Which of the following is most likely to occur to a young adult with a skull fracture?

A: SDH = subdural haematoma
B: EDH = epidural haematoma
C: IPH = intraparenchymal haemorrhage
D: SAH = subarachnoid haemorrhage

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15
Q

What type of hameotoma is depicted?

Epidural haematoma (EDH)
Subdural haematoma (SDH)
Subarachnoid haematoma (SAH)
Intracerebral haematoma (ICH)

A

Intracerebral haematoma (ICH)

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16
Q

What type of hameotoma is depicted?

Epidural haematoma (EDH)
Subdural haematoma (SDH)
Subarachnoid haematoma (SAH)
Intracerebral haematoma (ICH)

A

Epidural haematoma (EDH)

17
Q

What type of hameotoma is depicted?

Epidural haematoma (EDH)
Subdural haematoma (SDH)
Subarachnoid haematoma (SAH)
Intracerebral haematoma (ICH)

A

What type of hameotoma is depicted?

Epidural haematoma (EDH)
Subdural haematoma (SDH)
Subarachnoid haematoma (SAH)
Intracerebral haematoma (ICH)

18
Q

What type of hameotoma is depicted?

Epidural haematoma (EDH)
Subdural haematoma (SDH)
Subarachnoid haematoma (SAH)
Intracerebral haematoma (ICH)

A

What type of hameotoma is depicted?

Epidural haematoma (EDH)
Subdural haematoma (SDH)
Subarachnoid haematoma (SAH)
Intracerebral haematoma (ICH)

There is high-attenuation blood in the Sylvian fissures (blue arrows) and the interhemispheric fissure (red arrow) seen on this non-contrast enhanced CT of the brain. Do not confuse normal, physiologic calcifications (white and black arrows) for bloo