Desember 2012 Flashcards
(112 cards)
1
Q
Which structures that have function to regenerated nerve fibers:
A. Microtubules
B. Neurofilaments
C. Microfilaments
D. Lysosomes
E. Hirano bodies
A
B. Neurofilaments
2
Q
All of the following statements are correct about Nissl substance, EXCEPT:
A. Consist of polysmoes rossettes
B. Consist of smooth endoplasmic reticulum
C. Plays a role in protein synthesis
D. Is abundant throughoout cytoplasm
E. Not found in axon hillock
A
B. Consist of smooth endoplasmic reticulum
3
Q
The diesncephalaon give rise to all of the following structures, EXCEPT:
A. Mammilary bodies
B. Pineal body
C. Subthalamic nucleus
D. Adenohypophysis
E. Neurohypophysis
A
D. Adenohypophysis
4
Q
The neuralretina is derived from the:
A. Alar plate
B. Choroid
C. Neural crest
D. Neural Tube
E. Telencephalic
A
D. Neural Tube
5
Q
Structure lister below is rise from alar plate, EXCEPT:
A. Dorsal collumn nuclei
B. Ambiguus nuclei
C. Solitary nuclei
D. Inferior olivary nuclei
E. Cochlear nuclei
A
B. Ambiguus nuclei
6
Q
All of the followong statement is true about neural crest, give rise to cell below, EXCEPT:
A. Schwann cells
B. Leptomeningens
C. Odontoblasts
D. Parafollicular cells
E. Macrophage
A
E. Macrophage
7
Q
All of the followong statement is true about neural tube, EXCEPT:
A. Cranial part becomes brain
B. Caudal part becomes spinal cord
C. Anterior neuropore closes in day 21
D. Posterior neuropore closes in day 27
E. Cavity will give rise to central canal
A
C. Anterior neuropore closes in day 21
8
Q
Which is NOT TRUE about cerebral abcess
A. Staphylococcus is the most common
B. May arise from hematogenous spread
C. Drainage is necessary
D. 50% of Osler-Weber-Rende syndrome related to hematogenous spread
E. Culture usually sterile
A
A. Staphylococcus is the most common
9
Q
Late cerebritis happening in what period
A. Days 3-7
B. Days 3-10
C. Days 4-8
D. Days 4-9
E. Days 8-14
A
D. Days 4-9
10
Q
Chemotherapy agents used for CNS tumors with mechanism of action by DNA alkylation
A. Procabazine
B. Lomustine
C. Cisplatin
D. Vincristine
E. Fluorouracil
A
A. Procabazine
11
Q
An 85-year old is heaving evaluated for gat difficulties on examination it is found that joint proprioception is abcent in his toes. People with impaired position..will usually fall if they stand with their foot together and do which of the following :
A. Flex the neck
B. Extend their arm
C. Move backward
D. Closed their eyes
E. Walk at stair
A
D. Closed their eyes
12
Q
Hemorrhages post stroke, will reach and approach CSF density after…..days
A. 14
B. 21
C. 17
D. 24
E. 16
A
D. 24
13
Q
BAER show abnormality if CBF reach :
A. 14
B. 10
C. 12
D. 8
E. 13
A
C.12
14
Q
EEG become failure, if the CBF reach :
A. 20
B. 18
C. 16
D. 14
E. 13
A
C. 16
15
Q
To maintain its normal function, CBF in gray matter should be….ml/100gr tissue/min
A. 60 - 70
B. 65 - 75
C. 75 - 80
D. 75 - 90
E. 55 - 75
A
C. 75 - 80
16
Q
Risk fractures of osteoporotic spine fractures, Except :
A. Weight < 56 kg
B. Cigarette smooking
C. Heacy alcohol consumption
D. Physical inactivity
E. Two months prednison use
A
E
17
Q
According to MC.Afee classfication, which one is not included :
A. Compression fracture
B. Burst Fracture
C. Chance fracture
D. Tear drop fracture
E. Disclocation fracture
A
D. Tear drop fracture
18
Q
Based on Denils rules : Three column model, which on is not part of middle column : A. Posterior third of disc B. Posterior quart of vertebral bodies C. Posterior Longitudinal ligament D. Interspinous ligament E. Pedicle
A
D. Interspinous ligament
19
Q
What is the initial theraphy to managed hyperkalemia in patient with ekg abnormality after head injury : A. Furosemid B. Insulin C. Glukosa D. Bikarbonat E. Kalsium glukonat
A
E. Kalsium glukonat
20
Q
Central Nervous system melanocyte are concentrated in : A. Choroid Plexus B. Red Nuclei C. Region of the amygdala D. Septum Pellucidum E. Ventral medullare
A
E. Ventral medullare
21
Q
Connect temporal lobe to frontal lobe A. Arcuate fasciculus B. C. D. Uncinate Fasciculus E. Longitudinal Fasciculus
A
A. Arcuate fasciculus
22
Q
Uncrossed fiber of optic tract terminate on which layer of lateral geniculate A. 1,3,5 B. 1,4,6 C. 1,4,5 D. 2,3,5 E. 2,5,6
A
D. 2,3,5
23
Q
Region of the brain devoid of the blood brain barrier, EXCEPT
A. Indusium griseum
B. Median eminence
C. Organum vasculosum of lamina terminalis
D. Pineal Gland
E. Subforniceal organ
A
A. Indusium griseum
24
Q
Ptosis except
A. Also known as blepharoptosis
B. Is drooping of the upper eyelid
C. Resulting from damage of levator palpebra superior
D. Found in horner syndrome
E. Found in devic syndrome
A
E. Found in devic syndrome
25
Which one is NOT related with cervical spondylosis A. Myeloradiculopathy B. Osteofit C. OPLL D. Canalis stenosis E. Syringomyelia
E. Syringomyelia
26
Which one is motor neuron disease A. Multiple sclerosis B. Tuberous sclerosis C. Amyotrophic lateral sclerosis D. Lyme disease E. Multiple myeloma
C. Amyotrophic lateral sclerosis
27
Subacute combined degeneration, Except :
A. Related with dietary deficiency of B12
B. Pernicious anemia is one of the risk factor
C. Zollinger-ellison syndrome have related with this kind of disease
D. Onset gradual
E. Assyemtrical involved
E. Assyemtrical involved
28
Demyelinating disease, Except : A. Devic syndrome B. Multiple Sclerosis C. Tuberous Sclerosis D. Transverse myelitis E. Neuromyelitis optica
C. Tuberous Sclerosis
29
All listed below can cause myelopathy, Except : A. Syringomyelia B. Trauma C. Spinal Stenosis D. Von Hippel Lindau disease E. Devic syndrome
D. Von Hippel Lindau disease
30
Chemotherapy agent uses for CNS tumors with mechanism of action by inhibitions of topoisomerase II A. Methotrexate B. Bleomycin C. Cyclophospamide D. Teniposide E. Cystocine
D. Teniposide
31
Chemotherapy agent uses for CNS tumors with mechanism of action by inhibitions of topoisomerase I A. Avastatine B. Carboplatin C. Vinblastine D. VM26 E. Topotecan
E. Topotecan
32
Chemotherapy agents used for CNS tumors with mechanism of action by inhibition of microtubule functions A. Carmustine B. Carboplatin C. Vinblastine D. VM26 E. Topotecan
C. Vinblastine
33
Chemotherapy agents used for CNS tumors with mechanism of action by crosslinks A. Nismustine B. Temozolomide C. Cytoxan D. Tamoxifen E. Paclitaxel
A. Nismustine
34
Chemotherapy agents used for CNS tumors with mechanism of action by DNA alkylation A. Procabazine B. Lomustine C. Cisplatin D. Vincristine E. Fluorouracil
A. Procabazine
35
Statement listed bellow are true about foot drop, EXPECT A. Weak anterior tibialis muscle B. Inervated by superficial peroneal nerve C. EMG showed L4-L5 abnormality D. Can cause by HNP E. Sometimes foot inversion happen
B. peroneal superficial
36
All of the following statement concerning hydrocephalus management, except :
A. Duratic therapy can be used
B. Azetazolamide 75 mg/kg/day
C. Electrolytes imbalances should be watched
D. ETV may be used in patients with obstructive HCP
E. VP shunt indicated expecially in acute condition
E. VP shunt indicated expecially in acute condition
37
Hydrocephalus is suggested when, except :
A. The size of both temporal horns more than or equal 2 mm
B. Ballooning of frontal horns
C. Ratio FH/ID more than 50 %
D. Anterior fontanelle is bulging
E. Evans ratio more than 0,3
D. Anterior fontanelle is bulging
38
All of the following statements concerning the duramater are correct, except : A. It forms the periosteum of the vertebral canal B. It forms the wall of the venous sinuses C. It forms the roof of posterior fossa D. It is innvervated by two cranial nerves E. It is continuous with the sclera of the eyeball
A. It forms the periosteum of the vertebral canal
39
All of the following statements concerning the arachnoid granulations are correct, except : A. They are found along the superior sagital sinus B. They project into the dural venous sinuses C. They paly a role in absorption of CSF D. They produce CSF E. They consist of arachnoid villi
D.
40
Convulsion following an overdose of local anasthesia is best treadted by which of the following : A. Adroperidol B. Vistaril C. Diazepam D. Fentanyl E. Ketamine
C. diazepam...
41
In the investigation of chronic back pain, a 72 year old man is found on radiologic examination to have spondylolisthesis the diagnosis is based upon disruption between two adjacent vertebra at which site : A. Bodies and disc B. Spinous process C. Transverse process D. Articular process E. Pedicle
A. body and disc..
42
Isilah gambar di bawah ini
8: Kernohan notch
2: Crus cerebri
1: Parahippocampal gyrus
6: Occulomotor nerve
43
The ability to recognize an unseen familiar .object placed in the hand, Depends on the integrity
of Which pathway
A. Dorsal column tract
B. Dorsal spinocerebellar tract
C. Spinospinal tract
D. Anterior sphniothalamic tract
E. Lateral Sphinothalamic tract
A. Dorsal column tract
44
Symptoms of botulism, EXPECT
A. Ileus
B. Hypertonia
C. Mydriasis
D. Clostridium botulinum
E. Toxing in feces
C. clostridiuk..
45
Which one is NOT correct about split cord malformation :
A. Been referred as diastomatomyelia
B. One-Third have overlying skin abnormalities
C. Been referred also as diplomyelia
D. Abnormalities like nevi can be found
E. Hipertrichosis sometimes appear
D. Abnormalities like nevi can be found
46
Which one is NOT correct about craniofascial development ?
A. Anterior fontanel is the largest fontanella
B. Posterior fontanel closed at 6 month after born
C. 90 % of adult head size ini achieved by age 1 year
D. Cranosynostosis is one of the abnormality
E. CT scan 3D can help to diagnose
B. Posterior fontanel closed at 6 month after born
47
Classification of enchepalocele based on :
A. Fisher rules
B. Hunt and Hess rules
C. P.S. Ramani Rules
D. Suwanwela suwanwela rules
E. Chiari Arnold rules
D. Suwanwela suwanwela rules
48
Which brain cysts have clearest content ?
A. Epidermoid cysts
B. Cholesteatoma malignan
C. Neuroenteric cyst
D. Hydatid cysts
E. Arachnoid cysts
E. Arachnoid cysts
49
All of the following statements concerning spinal cord are correct EXCEPT :
A. It represent 2 % of brain weight
B. Spinedural cul-de-sac ends in VS2
C. it terminates at VL1-2 in the adult
D. cervical segment contain 7 pairs of spinal nerves
E. piameter is the innermost meningeal layer of spinal cord
D. cervical segment contain 7 pairs of spinal nerves
50
Which one is NOT risk factors to neural tube deffects
A. early administration of folic acid
B. Carbamazepine
C. Depakene
D. Prolong exposure
E. Maternal loosing weight
A. early administration of folic acid
51
Absence of septum pellucidum in ……brain can be found abnormalities below, Except :
A. Holoprocencephaly
B. Schizencephaly
C. Macroholocephaly
D. Basal encephalocele
E. Chiari malformation
C. Macroholocephaly
52
Abnormality listed below have very strong related with congenital defect, Except :
A. Klippel Feil Syndrome
B. Tethered cord syndrome
C. Apert syndrome
D. Horner syndrome
E. Crauzon syndrome
D. Horner syndrome
53
Neurologic manifestations of AIDS in neurosurgical field are listed below, except
A. Echinocosis
B. Lymphoma
C. Kaposis Sarcoma
D. Varicella Zooster encephalitis
E. Troponema Pallidum
A. Echinocosis
54
All listed above is true about spinal epidural abcess, Except :
A. Should be considered in a patient with back pain, fever and spine tenderness
B. Alcoholism is a major risk factor
C. Normal WBC and body temperatur can occur
D. Average age 15 years old
E. Thoracic level is the most common site
D. Average age 15 years old
55
Which one IS NOT characteristic of extraspinal tumor causing sciatica
A. Pain almost always have very late onset
B. May be intermittent
C. Unaffected by position changing
D. Significant night pain
E. Straight leg raising was positive in most
A. Pain almost always have very late onset
handbook 1190
56
Which of the following are mentioned as dorsal column structures ?
1. Fasciculus Gracilis
2. Fasciculus Goll
3. Fasciculus cuneatus
4. Fasciculus Burdach
E. 1,2,3 dan 4
57
Perivascular pseudorosette calcification mitosis high cell density are classified for
A. Type A cerebellar astrocytoma
B. Type B cerebellar astrocytoma
C. Meningioma
D. Oligodendroglioma
E. Xantrocytoma
B. Type B cerebellar astrocytoma
58
Which of the following statements is correct about monosynaptic reflex, except
A. Knee jerk represent cord segments L2-L4
B. Knee jerk represent hamstring muscle
C. Ankle jerk represents gastrocnemius muscle function
D. Triceps jerk represents cord segments C7 - C8
E. Biceps jerk represents cord segments C5 - C6
B. Knee jerk represent hamstring muscle
59
Isilah gambar dibawah ini
C Superior cistern
B Foramina of monroe
A Lateral ventricle
E Contents foramina Luchka and Magendie
E Receives CSF from foramen of Magendie
D Closed to media cerebellar peduncle
60
Which of the following statesment is NOT correct about diencephalic state of central
herniation :
A. Happening late
B. due to diffuse billateral hemisphere dysfunction
C. Frequently reversible
D. Perimescencpehalic cystern are compressed
E. Later cheyne stokes respiration occur
A. Happening late
61
Which of the following statements is NOT correct about Medullary state of central
herniation :
A. Slow rate respiration
B. Irreguler type of respiration
C. Dilated pupils caused by hypoxia
D. Motor decorticated
E. Some might say as terminal stage
D. Motor decorticated
62
In Neurosurgical field, hypoxic coma cancause vulnerable cell become permanently
damage. Which area is NOT vulnerable cells ?
A. Basal Ganglia
B. Broca area of cerebral cortex
C. White matter below broadmans 3,1,2
D. Ammons born
E. Purkinje cells of cerebellum
C. White matter below broadmans 3,1,2
63
Which is NOT correct about cerebrospinal fluid in human brain
A. Function as a shock absorber
B. Clear colorless fluid with spesific gravity of 1,082
C. 80 % produced by choroid plexus
D. Rate of production about 0,3 ml/min
E. Turn over 3 times in 24 hour
B. Clear colorless fluid with spesific gravity of 1,082
64
Which is correct about hydrocephalus
A. Estimated prevalence about 1 - 1,5 %
B. Called ex vacuo if no enlargement of ventricles
C. called external hydrocephalus if seen very severe dilated ventricle
D. all hydrocephalus should be shunting as soon as possible
E. due to vertebral artery infracts during first trimester of life
A. Estimated prevalence about 1 - 1,5 %
65
Which is NOT TRUE about low back pain
A. Causes by radiculopathy
B. Prognosis mostly good
C. Vegetative impairment occur early
D. Frequently disc involved
D. Cobb angle used to calculate focal kyphosis
D. Frequently disc involved
66
UMN lesion usually will show clinical signd of
A. Hypertonis
B. Spastic paresis
C. Severe seizure
D. A dan B
E. A.B dan C
D. A dan B
67
Isilah gambr dibawah ini
C. chiasma: Visual function
E. hipofise: Endocrine function
D. This structure lies within cavernous sinus
B. caudate: Part of corpus striatum
A. part of limbic system
68
Factor that increase risk of operative wound infection, except :
A. Malnutrition
B. Prolonged antibiotics administration
C. Epinephrine
D. Severe Asthma
E. Type of Incision
E. Type of Incision
69
Which structure origin from telencpehalon
C
70
All statement about Febrile seizure is true, EXCEPTED
A. Most coomom type of seizures
B. No defined cause
C. Most in infant
D. Related to immaturity of the cerebral development
E. Complex febrile seizures : more than 15 minutes
D. Related to immaturity of the cerebral development
71
Which is NOT TRUE about post traumatic seizure
A. 2 categories early and late
B. Anticonvulsant is not good to prevent the early state
C. Prophilactic anticonvulsant can be given for late onset
D. Early onset : less than 7 days after trauma
E. Amnesia sometimes occurs
C. Prophilactic anticonvulsant can be given for late onset
72
Which tract is related to nucleus deiter
F
73
Factors that lower seizure are listed below, Except :
A. Hyperventilation
B. Infection
C. Electrolyte imbalance
D. Cerebral ischemia
E. Hypothermia
E. Hypothermia
74
Which ih NOT true about meningioma
A. Slow growing extraaxial tumor benign
B. Arise from cortex and duramates
C. Often Produce hyperostosis
D. Most commonly located around falx and convexity
E. Most are asymptomatic
B. arise fron cortex and DURAMATER
75
What is resting membran potential of neuron
A. -45 mV
B. -50 mV
C. -65mV
D. -80mV
E. -100mV
C. -65mV
76
Which is NOT true ABOUT Foster Kennedy Syndrome
A. Anosmia
B. Optic atrophy
C. Papiledema
D. Severe headache
E. Strong related with anterior skull base tumor
D. Severe headache
77
Which statements have strongest correlation with vestibular schwannoma
A. Histologically malignant tumor
B. Usually arise from inferior vestibular nerve
C. As part of von hipple lindau disease
D. Sudden hearing loss frequent happening related to this tumor
E. Large tumor can cause fascial numbness
E. Large tumor can cause fascial numbness
78
Motor Speech function is regulated in what area of the brain ?
A. Wernicke's area
B. Motor Area
C. Broca's area
D. Sylvian area
E. Deiter Area
C. Broca's area
79
All of this structures below located around ventricle system, except :
A. Corpus callosum
B. Caudate nucleus
C. Thalamus
D. Basal Rosental vein
E. Hypothalamus
D. Basal Rosental vein
80
Neurological examination is very important to support diagnose in neurological field
Which one is not relevant to do in a patient with radiculopaty :
A. Laseque sign
B. Kerniq sign
C. Babinsky sign
D. Brudzinki sign
E. Bragard sign
C. Babinski
81
What is part of the brain that separated frontal and parietal lobe
A. Sylvian fissure
B. Frontoparietal Goll fissure
C. Wernicke fissure
D. Rolandic fissure
E. Parietooccipital fissure
D. Rolandic fissure
82
Anatomic structure below are located in the convexity of hemisphere, Except :
A. 3,1,2 somatosensoric area
B. Wernicke area
C. 4,6 area
D. 17,18 area
E. cingulate gyrus
E. cingulate gyrus
83
Wernicke area is located in what area
A. 39 and 40
B. 38 and 39
C. 38 and 40
D. 40 and 41
E. 37 and 38
A. 39 and 40
84
Which structure that not pass through the superior orbital fissure from the list below
A. Nasociliary nerve
B. Frontal nerve
C. Greater palatine nerve
D. Occulomotor nerve
E. Symphatic filaments from ICA plexus
C. Greater palatine nerve
85
Which structure that not pass through the inferior orbital fissure, from the list below
A. Maxillary nerve
B. Zygomatic nerve
C. Infraorbital nerve
D. Greater Palatine Vein
E. Pterygoid venous plexus
D. Greater Palatine Vein
86
Which point at skull that located most far from coronaria suture ?
A. Asterion
B. Vertex
C. Bregma
D. Stephanion
E. Pterion
A. Asterion
87
Ligament listed below is contributed to spine stability
A. Posterior longitudinal ligament
B. Petroclival ligament
C. Anterior longitudinal ligament
D. Flavum ligament
E. Intertransverse ligament
B. Petroclival ligament
88
Tract and fasciulus listed below are ascending, except :
A. Grasillis fasciculus
B. Burdach fasciculus
C. Spinotectal tract
D. Lissauer fasciculus
E. Spinothalamic tract
C. spinotektal bukan
89
The anterior choroidal artery supplies portions of each of the following structure except :
A. Amygdala
B. Globus pallidus
C. Hippocampus
D. Hypothalamus
E. Internal capsule
D. Hypothalamus
90
Stretch receptor has strong
A. Anterior spinothalamic tract
B. Goll fasciculus
C. Cuneatus fasciculus
D. Dorsal spinocerebellar tract
E. Ventral spinocerebellar tract
D. Dorsal spinocerebellar tract
91
Artery of Adam Kiewicz also known as :
A. Artery choroidalis
B. Artery adam spinothoracalis
C. Artery radicuralis lumbal
D. Artery radicuralis magna
E. Artery spinalis anterior
D. Artery radicuralis magna
92
Second order neuron of spinothalamic tract going into what structures ?
A. Basal ganglia
B. Thalamus
C. Hypofisis
D. Red nucleus
E. Cerebral cortex
B. Thalamus
93
Artery of Bernascony and Cassinari also known as
A. Tentorial artery
B. Trigeminal artery
C. Ophtalmic artery
D. Spinal artery
E. Communicant anterior artery
A. Tentorial artery
94
Which one is not part pf the superficial vein of the brain
A. Superior sagital sinus vein
B. Labbe vein
C. Trolard vein
D. Posterior septal vein
E. Superior anastomotic vein
D
95
What do you know about Obersteiner-Redlich Zone
A. Transition from permeable to semi permeable of water soluble substances
B. Transition from cranial nerves into peripheral nerves
C. Transition from white matter to gray matter
D. Transition from oligodendrocytes cell to schwann cell
E. Transition from Astrocytes cell to ependym cells
D. Transition from oligodendrocytes cell to schwann cell
96
Blood brain barrier is very important but it absent in some are of structures. What is it?
A. Pineal
B. Hypothalamus
C. Fornix
D. Brocas area
E. Putamen
A. Pineal
97
How much hormon release by pituitary gland
A. 8
B. 7
C. 6
D. 5
E. 4
A. 8
98
Which pituitary hormon IS NOT synthesized in gland cells
A. ACTH
B. GH
C. LH
D. ADH
E. TSH
D. ADH
99
Syndrome listed below are related with brain stem damaged, EXCEPTED
A. Weber syndrome
B. Millard-Gubler syndrome
C. Parinauds syndrome
D. Collet-Sicard syndrome
E. Benedikt syndrome
D. Collet-Sicard syndrome
100
"Scratch the lateral of the foot"...., is examination of UMN lesion. What is the name
A. Babinski
B. Schaeffer
C. Chaddock
D. Stronsky
E. Bing
C. Chaddock
101
What is responsible for bladder function work properly
A. Nerve erigentes as a sympathetic nerve
B. Splanchnic nerve as a parasympathetic nerve
C. Three sphincter to prevebt outflow of the urine
D. Pudenddal nerve come from L3-L5 to promote urination
E. Stimulation of the pontine reflex
E. stimulation of pontine reflex
102
102. Internal carotid artery?
103. ACA?
104. MCA?
102. Internal carotid artery B
103. ACA? A
104. MCA? C
103
Manakah Torcular herophili?
Septal vein?
Trolard vein?
Manakah Torcular herophili : F
Septal vein : B
Trolard vein : D
104
Projects to cerebellum via the inferior cerebellar peduncle?
B
105
Strong related with free nerve ending, second order neuron going into VPL nucleus
C
106
From frontal cortex. Pass through internal capsule before going into decussatio at medulla level?
E
107
Mediates conscious propriceptive sensation?
A
108
Male 56 years old was brought to Emergency Room after vehicles collision at Pasteur Area. After Stabilization of ABC, neurosurgery resident found that his eyes only open with pain stimulation, motor response was only withdrawn from pain stimulation and he only made bubbling sounds. His pupil was bigger on the left side with size 5 mm on the left and 2 mm on the right. Motor power seemed reduce on the right side. Xray examination showed linear fracture at parietal bone behind the coronaria suture. Seizure not present.
How much the GCS of the patients :
A. 12
B. 10
C. 9
D. 8
E. 6
C. 9
109
Male 56 years old was brought to Emergency Room after vehicles collision at Pasteur Area. After Stabilization of ABC, neurosurgery resident found that his eyes only open with pain stimulation, motor response was only withdrawn from pain stimulation and he only made bubbling sounds. His pupil was bigger on the left side with size 5 mm on the left and 2 mm on the right. Motor power seemed reduce on the right side. Xray examination showed linear fracture at parietal bone behind the coronaria suture. Seizure not present.
What other examination needed to support diagnostic in this patients :
A. MRI 3D
B. CT 3D with angiography
C. Spectroscopy MRI
D. CT Scan
E. Lumbal Puncture
D. CT Scan
110
Male 56 years old was brought to Emergency Room after vehicles collision at Pasteur Area. After Stabilization of ABC, neurosurgery resident found that his eyes only open with pain stimulation, motor response was only withdrawn from pain stimulation and he only made bubbling sounds. His pupil was bigger on the left side with size 5 mm on the left and 2 mm on the right. Motor power seemed reduce on the right side. Xray examination showed linear fracture at parietal bone behind the coronaria suture. Seizure not present.
What cranial nerve that is involved in the development of this asymetrical pupil
A. Ophtalmic nerve
B. Occulomotor nerve
C. Optic nerve
D. Trigeminal nerve
E. Abducens nerve
B. Occulomotor nerve
111
Male 56 years old was brought to Emergency Room after vehicles collision at Pasteur Area. After Stabilization of ABC, neurosurgery resident found that his eyes only open with pain stimulation, motor response was only withdrawn from pain stimulation and he only made bubbling sounds. His pupil was bigger on the left side with size 5 mm on the left and 2 mm on the right. Motor power seemed reduce on the right side. Xray examination showed linear fracture at parietal bone behind the coronaria suture. Seizure not present.
What kind of brain herniation that was probably happened in this case ?
A. Tonsillar herniation
B. Central herniation
C. Upward herniation
D. Uncal herniation
E. Falcine herniation
D. Uncal herniation
112
Male 56 years old was brought to Emergency Room after vehicles collision at Pasteur Area. After Stabilization of ABC, neurosurgery resident found that his eyes only open with pain stimulation, motor response was only withdrawn from pain stimulation and he only made bubbling sounds. His pupil was bigger on the left side with size 5 mm on the left and 2 mm on the right. Motor power seemed reduce on the right side. Xray examination showed linear fracture at parietal bone behind the coronaria suture. Seizure not present.
What is the motor cortex structures that was damaged in this brain herniation ?
A. Internal capsule
B. Pyramis of the medulla oblongata
C. Crus cerebri of mesencephalic
D. Cerebellar peduncle
E. Motor tract of Pons
C.
