Epidural hematomas are frequently followed by Skull fractures



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Conjunctivitis

  • Traumatic third-nerve palsy

  • Carotid artery dissection

  • Pupillary sphincter injury

  • *Congenital

  • Six months later, the woman again presents to the emergency room complaining of brief, sharp pain radiating into the left side of her face. The vision in her right eye has largely recovered, and there is no evidence of sensory loss on the right side of her face. She describes the pain as ice pick-like and grimaces with each attack. She is most likely to have symp­tomatic relief from her facial pain if she is managed with

    1. Aspirin

    2. Acetaminophen

    3. Ibuprofen

    4. Carbamazepine

    5. Codeine

  • On further questioning, the patient reveals that she has had recurrent episodes of bed wetting (enuresis) over the preceding month. This should decrease with the administration of

    1. *Imipramine

    2. Phenytoin

    3. Carbamazepine

    4. Baclofen

    5. Methacholine

  • Over the course of the next few months, she develops painful spas­ticity in her left leg that interferes with flexion of her leg. The spasticity pro­gresses to the point of interfering with her sleep. She should now be treated with

    1. Imipramine

    2. Phenytoin

    3. Carbamazepine

    4. *Baclofen

    5. Methacholine

  • A newborn infant has a cystic swelling at the base of the spine that is covered with hyperpigmented skin and some coarse hair. Which of the fol­lowing is the most likely explanation?

    1. *Mongolian spot

    2. Spina bifida occulta

    3. Nevus flammeus

    4. Meningocele

    5. Encephalocele

  • A 34-year old patient has reported cessation of her menstrual periods and then her eyesight began to worsen. Primary atrophy of optic nerves has been detected as well as bitemporal hemianopsia.


    For 3 years patient has been treated by ophthalmologists in outpatient and inpatient settings but her eyesight was progressively decreasing. At visual acuity of 0.02, 0.03 and prominent primary atrophy of the optic nerves select the supplemental investigation which will make it possible to set the diagnosis.
      1. Ventriculography;

      2. CSF analysis;

      3. *Cranial X-ray;

      4. EEG (electroencephalography of the brain);

      5. EchoEG (echo-encephalography)







    Questions to figures

    1. What sign is represented on a picture? (Рис.Fig._1)

      1. Brudzinsksy`s sign

      2. *Kernig`s sign

      3. Oppengeym`s sign

      4. Rossolimo`s sign

      5. Pussep`s sign

    2. What clinical form of head injury is represented by this tomogram? (Рис.Fig._2)

      1. *Cerebral contusion

      2. Brain concussion

      3. Cerebral haemorrhage

      4. Ischemic stroke

      5. Subarachnoid hemorrhage

    3. That you can see at this CT? (Рис.Fig._3)

      1. Subdural haematoma

      2. Cerebral contusion

      3. Brain abscess

      4. Cerebral haemorrhage

      5. *Extradural haematoma

    4. The name of the method of investigation is: (Рис.Fig._4)

      1. MRI

      2. *CT-scan

      3. Positron-emission tomography

      4. 3D-CT

      5. Single photon emission computerized tomography

    5. What is mark of herniation of the cerebellar tonsils into the foramen magnum? (Рис.Fig._5)

      1. a

      2. b

      3. c

      4. d

      5. *e

    6. What kind of pathology is represented on a picture? (Рис.Fig._6)

      1. Extradural haematoma

      2. *Subdural haematoma

      3. Intracerebral haemorrhage

      4. Subarachnoid hemorrhage

      5. Severe head injury

    7. The name of the method of investigation is: (Рис.Fig._7)

      1. *Skull x-ray

      2. Myelography

      3. Skull x-ray in a lateral projection

      4. MRI

      5. CT

    8. That do you see intraoperative? (Рис.Fig._8)

      1. Linear skull fracture

      2. *Depressed skull fracture

      3. Scalp laceration

      4. Fracture of the base of the skull

      5. Bone stitches divergence

    9. What do you see at this CТ? (Рис.Fig._9)

      1. Brain swelling

      2. Shearing forces

      3. Hydrocephalus

      4. Brain concussion

      5. *It is normal CT

    10. The name of the method of investigation is: (Рис.Fig._10)

      1. *MRI

      2. CT

      3. Positron-emission tomography

      4. 3D-CТ

      5. Skull x-ray

    11. The name of the method of investigation is: (Рис.Fig._11)

      1. *Cerebral angiography

      2. CT-angiography

      3. CT

      4. MRI

      5. Skull x-ray

    12. That kind of pathology is represented on a picture? (Рис.Fig._12)

      1. *Saccular aneurysm

      2. Fusiform aneurysm

      3. Arterio-venous malformation

      4. Cavernoma

      5. Carotid-cavernosus fistula

    13. What type of violation of cerebral circulation of blood is represented on a picture? (Рис.Fig._13)

      1. Intracerebral haemorrhage

      2. * Ischemic stroke

      3. Subdural haematoma

      4. Cavernosus hemangioma

      5. Extradural haematoma

    14. That kind of pathology is represented on a picture? (Рис.Fig._14)

      1. Saccular aneurysm

      2. Fusiform aneurysm

      3. *Arterio-venous malformation

      4. Carotid-cavernosus fistula

      5. Cavernoma

    15. What number is aneurysm under? (Рис.Fig._15)

      1. 1

      2. 2

      3. 3*

      4. 4

      5. Aneurysm is not present

    16. That is represented on a picture? (Рис.Fig._16)

      1. Saccular aneurysm

      2. Fusiform aneurysm

      3. Arterio-venous malformation

      4. Carotid-cavernosus fistula

      5. *Normal microcirculation

    17. That is represented on a picture? (Рис.Fig._17)

      1. Saccular aneurysm

      2. Fusiform aneurysm

      3. *Arterio-venous malformation

      4. Carotid-cavernosus fistula

      5. Normal microcirculation

    18. What do you see at the cerebral angiogram? (Рис.Fig._18)

      1. *Saccular aneurysm

      2. Fusiform aneurysm

      3. Arterio-venous malformation

      4. Carotid-cavernosus fistula

      5. Normal microcirculation

    19. What do you see at the MRI? (Рис.Fig._19)

      1. *Pituitary tumor

      2. Osteoma

      3. Intracerebral haemorrhage

      4. Acoustic neurinoma

      5. Olfactory groove meningioma

    20. What do you see at the MRI? (Рис.Fig._20)

      1. *Disc prolaps

      2. Intradural tumour

      3. Extradural tumour

      4. Syrinx

      5. Meningioma

    21. That is this? (Рис.Fig._21)

      1. *Disc prolaps

      2. Intradural tumour

      3. Extradural tumour

      4. Syrinx

      5. Meningioma

    22. That do you see pathomorphologicaly? (Рис.Fig._22)

      1. *Cerebellum tumor

      2. Brain abscess

      3. Brain cyst

      4. Brain gigroma

      5. Giant aneurysm

    23. That is this? (Рис.Fig._23)

      1. Disc prolaps

      2. Syrinx

      3. Nevrinoma

      4. *Spinal tumor

      5. Spinal AVM

    24. What type of spinal injury is shown? (Рис.Fig._24)

      1. Flexion injury

      2. *Compressive injury

      3. Flexion-extension injury

      4. Hyperextension injury

      5. Flexion-rotation injury

    25. What is this? (Рис.Fig._25)

      1. Disc prolaps

      2. Syrinx

      3. Nevrinoma

      4. *Spinal tumor

      5. Spinal AVM

    26. What do you see at this MRI? (Рис.Fig._26)

      1. *Contussion of left frontal lobe

      2. Contussion of right frontal lobe

      3. Intracerebral haemorrhage

      4. Brain tumor

      5. Giant aneurysm

    27. What do you see at this MRI? (Рис.Fig._27)

      1. Ischemic stroke

      2. Brain contusion

      3. Temporal lobe tumor

      4. Brain abscess

      5. * Intracerebral haemorrhage

    28. What do you see at this CT? (Рис.Fig._28)

      1. Ischemic stroke

      2. Cavernoma

      3. Brain cyst

      4. * Intracerebral haemorrhage

      5. Brain abscess

    29. What do you see at this CT? (Рис.Fig._29)

      1. *Basal ganglia haemorrhage

      2. Cerebellum hemorrhage

      3. Ischemic stroke

      4. Ependimoma

      5. Brain cyst

    30. What do you see at the CT? (Рис.Fig._30)

      1. *Linear skull fracture

      2. Depressed skull fracture

      3. Scalp laceration

      4. Fracture of the base of the skull

      5. Bone sutures divergence

    31. What do you see at this cerebral angiogram? (Рис.Fig._31)

      1. Saccular aneurysm

      2. Fusiform aneurysm

      3. *Arterio-venous malformation

      4. It is normal angiogram

      5. Carotid-cavernosus fistula

    32. What do you see at this CT? (Рис.Fig._32)

      1. Cerebral contusion

      2. Brain concussion

      3. Cerebral haemorrhage

      4. *Ischemic stroke

      5. Subarachnoid hemorrhage

    33. What do you see at this CT? (Рис.Fig._33)

      1. Brain swelling

      2. *Shearing forces

      3. Hydrocephalus

      4. Brain concussion

      5. It is normal CT

    34. What do you see at this CT? (Рис.Fig._34)

      1. Brain swelling

      2. *Shearing forces

      3. Hydrocephalus

      4. Brain concussion

      5. It is normal CT

    35. Specify localization of brain injury on a picture. (Рис.Fig._35)

      1. Frontal lobe

      2. *Temporal lobe

      3. Parietal lobe

      4. Occipital lobe

      5. Cerebellum

    36. What number is mark the frontal brain lobe? (Рис.Fig._36)

      1. *1

      2. 2

      3. 3

      4. 4

      5. 5

    37. What is this? (Рис.Fig._37)

      1. Ischemic stroke

      2. Cavernoma

      3. Brain cyst

      4. *Intracerebral haemorrhage

      5. Subarachnoid hemorrhage

    38. What number is mark an medulla? (Рис.Fig._38)

      1. 1

      2. 2

      3. *3

      4. 4

      5. 5

    39. How is the represented mechanism of head injury named? (Рис.Fig._39)

      1. Accelerations-decelerations

      2. *Impact

      3. Direct

      4. Accelerations

      5. Rotatory

    40. The number of a.vertebralis is. (Рис.Fig._40)

      1. 10

      2. 11

      3. 12

      4. *13

      5. 14

    41. The number of a.communicans posterior is. (Рис.Fig._41)

      1. 1

      2. 2

      3. 3

      4. *4

      5. 5

    42. The number of a.communicans anterior is. (Рис.Fig._42)

      1. 1

      2. 2

      3. *3

      4. 4

      5. 5

    43. What number of cerebellum is.(Рис.Fig._43)

      1. 1

      2. 2

      3. 3

      4. 4

      5. *5

    44. What do you see at the MRI? (Рис.Fig._44)

      1. *Temporal lobe tumor

      2. Occipital lobe tumor

      3. Ischemic stroke

      4. Intracerebral haemorrhage

      5. Severe head injury

    45. There is the tumor localize? (Рис.Fig._45)

      1. Left frontal lobe

      2. *Right frontal lobe

      3. Right occipital lobe

      4. Left occipital lobe

      5. Basal ganglia

    46. That device is it? (Рис.Fig._46)

      1. *Cyber-knife

      2. Neuronavigation system

      3. Cyclotron

      4. MRI

      5. Nothing of the above mentioned

    47. What method of treatment is it? (Рис.Fig._47)

      1. *Stenting

      2. Balloon angioplasty

      3. Endarterectomy

      4. Ateromectomy

      5. Direct trombectomy

    48. What do you see at this MRI? (Рис.Fig._48)

      1. Cavernoma

      2. Fusiform aneurysm

      3. *Arterio-venous malformation

      4. It is normal angiogram

      5. Carotid-cavernosus fistula

    49. The name of approach for craniotomy at the picture is. (Рис.Fig._49)

      1. *Pterional

      2. Temporal

      3. Frontal

      4. Fronto-temporo-occipital

      5. Bifrontal

    50. Which pathology manifestate by symptom represented on a picture? (Рис.Fig._50)

      1. Anterior cranial fossa fracture

      2. *Middle cranial fossa fracture

      3. Posterior cranial fossa fracture

      4. Orbital fracture

      5. Temporal bone fracture

    51. What is this? (Рис.Fig._60)

      1. Subdural haematoma

      2. Cavernosus hemangioma

      3. *Extradural haematoma

      4. Intraventricular haematoma

      5. Intracerebral haemorrhage

    52. Name the author of this conception (3th supporting collumn). (Рис.Fig._52)

      1. *Dennis

      2. Dandy

      3. Chushing

      4. Moniz

      5. Spiegel

    53. What is this? (Рис.Fig._53)

      1. *Subdural haematoma

      2. Cavernosus hemangioma

      3. Extradural haematoma

      4. Intraventricular haematoma

      5. Intracerebral haemorrhage

    54. What is this? (Рис.Fig._54)

      1. * Subarachnoid hemorrhage

      2. Intracerebral haemorrhage

      3. Intraventricular hemorrhage

      4. Subdural haematoma

      5. Extradural haematoma

    55. What number is mark disk herniation? (Рис.Fig._55)

      1. *1

      2. 2

      3. 3

      4. 4

      5. 5

    56. What number is mark a dura mater? (Рис.Fig._56)

      1. 1

      2. 2

      3. 3

      4. *4

      5. 5

    57. What number is mark a procesus spinosus? (Рис.Fig._57)

      1. 1

      2. 2

      3. 3

      4. 4

      5. *5

    58. What number is mark the annulus fibrosus? (Рис.Fig._58)

      1. 1

      2. *2

      3. 3

      4. 4

      5. 5

    59. What number is mark a nerve root? (Рис.Fig._59)

      1. 1

      2. 2

      3. *3

      4. 4

      5. 5

    60. What is this? (Рис.Fig._60)

      1. Spondilolysis

      2. *Spondylolisthesis

      3. Spondylosis

      4. Spondylodesis

      5. Subluxation of faset joints

    61. The name of the method of investigation is: (Рис.Fig._61)

      1. CT

      2. MRI

      3. *3D-CT angiography

      4. Spectroscopy

      5. Positron-emission tomography

    62. The name of device is: (Рис.Fig._62)

      1. *CT

      2. MRI

      3. Cyclotron

      4. Gamma-knife

      5. Angiograph

    63. Name the type of fracture: (Рис.Fig._63)

      1. Hyperextension fracture-dislocation

      2. Rotatory

      3. *Compressive

      4. Hyperflection fracture-dislocation

      5. Burst

    64. What do you see at this MRI? (Рис.Fig._64)

      1. *Meningioma

      2. Subdural haematoma

      3. Cavernosus hemangioma

      4. Extradural haematoma

      5. Intraventricular haematoma

    65. What do you see at this CT? (Рис.Fig._65)

      1. Shearing force

      2. Brain death

      3. Diffuse cortical atrophy

      4. *Hydrocephalus

      5. Brain swelling

    66. What is this? (Рис.Fig._66)

      1. Cavernoma

      2. Fusiform aneurysm

      3. *Arterio-venous malformation

      4. Saccular aneurism

      5. Carotid-cavernosus fistula

    67. This is the operation of. (Рис.Fig._67)

      1. Ventriculoperitoneostomy

      2. *Ventriculocisternostomy

      3. Ventriculokardiostomy

      4. Lumboperitoneostomy

      5. Third ventriculostomy

    68. This is the operation of. (Рис.Fig._68)

      1. *Ventriculoperitoneostomy

      2. Ventriculocisternostomy

      3. Ventriculokardiostomy

      4. Lumboperitoneostomy

      5. Third ventriculostomy

    69. Name the type of fracture: (Рис.Fig._69)

      1. *Burst

      2. Rotatory

      3. Compression

      4. Hyperflection fracture-dislocation

      5. Hyperextension fracture-dislocation

    70. The number of foramen spinosum is: (Рис.Fig._70)

      1. 1

      2. 2

      3. 3

      4. *4

      5. 5

    71. The number of foramen ovale is: (Рис.Fig._71)

      1. 1

      2. *2

      3. 3

      4. 4

      5. 5

    72. The number of foramen rotundum is: (Рис.Fig._72)

      1. 1

      2. 2

      3. *3

      4. 4

      5. 5

    73. How is the point B named? (Рис.Fig._73)

      1. Asterion

      2. *Pterion

      3. Bregma

      4. Inion

      5. Obelion

    74. How is the point E named? (Рис.Fig._74)

      1. *Asterion

      2. Pterion

      3. Bregma

      4. Inion

      5. Obelion

    75. The number of middle cranial fossa is: (Рис.Fig._75)

      1. 1

      2. *2

      3. 3

      4. 4

      5. 5

    76. The number of dura mater is: (Рис.Fig._76)

      1. 1

      2. *2

      3. 3

      4. 4

      5. 5

    77. The number of pia mater is: (Рис.Fig._77)

      1. 1

      2. 2

      3. 3

      4. *4

      5. 5

    78. Named the devise for head fixation at the picture. (Рис.Fig._78)

      1. *Mayfield frame

      2. CITO frame

      3. Hallo-west devise

      4. Kruchfield frame

      5. All answers is wrong

    79. The number of foramen spinosum is: (Рис.Fig._79)

      1. 1

      2. 2

      3. *3

      4. 4

      5. 5

    80. At what level of spinal injury there will be tetraplegia. (Рис.Fig._80)

      1. *1 and 2

      2. 2 and 3

      3. 1

      4. 3

      5. 4


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