16.6.2013(neurosurgery) 39

Question 0

Role of glucocorticoids in elevated ICT

Answer 0

Use only in vasogenic Edema due to tumor or abscess

Question 1

Vasogenic Edema

Answer 1

Edema due to incompetent BBB

Question 2

Goals in raised ICP

Answer 2

CPP greater than or equal to 60 mm of Hg

ICP less than 20 mm of Hg

Question 3

Controlled hyperventilation,CO2 level

Answer 3

30-35mm Hg

Question 4

Second tier therapy for refractory elevated ICP

Answer 4

Pentobarbital coma
Aggressive hyperventilation(less than 30mmHg CO2)
Hypothermia
Hemicraniectomy

Question 5

Normal pressure hydrocephalus

Answer 5

Enlarged lateral ventricles

Normal CSF pressure

Question 6

Extradural hematoma is associated with __________ % of severe trauma

Answer 6

10%

Question 7

Cancers associated with opsoclonus myoclonus

Answer 7

NEUROBLASTOMA(children) $

Ca breast and lung(adults)

Question 8

Cause of opsoclonus myoclonus

Answer 8

Disinhibition of fastigial nucleus

Question 9

Antibody associated with opsoclonus myoclonus syndrome

Answer 9

Anti-Ri

Question 10

Most common intraabdominal organ injured in blunt trauma

Answer 10

Spleen

Question 11

Syndromes having medulloblastoma as a component

Answer 11

Gorlin
Turcot
Rubinstein taybi
Blue rubber-bleb nevus syndrome

Question 12

Pitutary adenomas constitute __________ % of primary intracranial neoplasm

Answer 12

10%

Question 13

Diff btw pitutary adenoma and hyperplasia

Answer 13

Reticulin staining

Absent in pitutary adenoma

Question 14

pitututary adenomas gender based incidence

Answer 14

Prolactinoma(women)
GH excess(men)

Question 15

Components of blatchford glasgow bleeding score

Answer 15

BUN
Hb
Systolic pressure
PR

Question 16

Commonest Extradural spinal tumor

Answer 16

Metastasis

Question 17

Rx of post-traumatic epilepsy

Answer 17

Long term anticonvulsants

Question 18

Pseudoarthrosis in NF1 is common in

Answer 18

Tibia

Question 19

Most important clinical finding in head injury

Answer 19

Level of consciousness

Question 20

Dome shaped skull with a high forehead in the infant with slight hydrocephalus(Olympian brow) is seen in

Answer 20

Congenital syphilis $

Question 21

Most common presentation of neuroblastomas

Answer 21

Abdominal mass

Question 22

Neuroblastoma causing lytic lesion in skull commonly involves

Answer 22

Coronal suture

Question 23

Commonest Intramedullary spinal tumor

Answer 23

Ependymoma

Question 24

Most common neurologic abnormality that occurs with head injury

Answer 24

Altered consciousness

Question 25

Pachymeningitis hemorrhagica interna

Answer 25

Subdural hematoma

Question 26

In a patient with head injury damage in brain is aggravated by

Answer 26

Hyperglycemia

Question 27

Hemiplegia cruciata is also known as

Answer 27

Bell cruciate paralysis

Question 28

Presentation of cruciate paralysis

Answer 28

I/L Upper limb hemiplegia | C/L lower limb hemiplegia

Question 29

Cause for cruciate hemiplegia

Answer 29

Upper limb fibres cross rostrally

Question 30

MRI features of Mesial temporal lobe sclerosis

Answer 30

Atrophy of hippocampus,fornix,mamillary body

Question 31

Radiological findings in MEsial temporal lobe sclerosis

Answer 31

Atrophy of hippocampus,fornix,mamillary body | Loss of grey white matter interface in anterior temporal lobe