Epidural hematomas are frequently followed by Skull fractures



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Ventriculitis

  • Liquorrhoea

  • Abscess

  • Meningitis

  • Encephalitis

  • None-inflammatory craniocerebral complications of the head injury include

    1. Posttraumatic granulomas

    2. *Dislocation syndromes

    3. Thromboembolism of cerebral vessels, brain infarction

    4. Late prolapse of the brain

    5. Collapse of the brain

  • Extracranial complications NOT INCLUDE

    1. Shock

    2. DIC syndrome

    3. Pneumonia

    4. Liquorrhoea

    5. Acute cardiovascular failure, cardiac rhythm disorders

  • In which cases should head injury be considered an open one

    1. Injury of the skull and brain with contusions and wounds of the soft tissues without lesion of the aponeurosis

    2. Injury of the skull and brain with contusions and wounds of the soft tissues with the lesion of aponeurosis

    3. All cases of CCT with liquorrhoea

    4. Head injury with any types of calvarium fractures

    5. All right

  • Penetrating head injury is considered to be

    1. Open head injury with rupture of the arachnoid

    2. Open head injury with injury of the dura mater

    3. Open head injury with pneumocephalus

    4. Open head injury with hydrocephalus

    5. Open head injury with rupture of the aponeurosis

  • The following changes occurs in brain concussion

    1. Solitary ruptures of axons in the diencephalic regions of the brain

    2. *Ultra structural changes such as injury of the synaptic membranes, cellular organelles, redistribution of the cellular fluid

    3. Small focal changes in the cortical regions of frontal and temporal lobes as well as microscopic hemorrhages in the paraventricular zones

    4. Cerebral hemorrhage

    5. Subarachnoid hemorrhage

  • The course of head injury has the following periods

    1. Acute

    2. Final

    3. Remote

    4. A and B right

    5. All right

  • Cephalohematoma is

    1. Subcutaneous hematoma

    2. Subaponeurotic hematoma

    3. *Subperiostal hematoma

    4. Subdural hematoma

    5. Multi-storey hematoma

  • The optimal treatment method in cephalohematomas is

    1. Dissection with further drainage

    2. *Puncture removal

    3. Total removal with its capsule

    4. Total removal with bone resection

    5. Decompressive cranial trepanation

  • Type of consciousness disorders in severe head injury are

    1. Torpor

    2. Sopor

    3. *Coma

    4. Shock

    5. Amnesia

  • For brain concussion typical consciousness disorder is

    1. *Short-term unconsciousness

    2. Multiple vomiting

    3. One-time vomiting

    4. Headache

    5. Presence of mild dislocation syndromes

  • Among the trasient focal symptoms in brain concussion the most frequent is

    1. Spontaneous horizontal nystagmus

    2. Brudzinskiy symptom

    3. *Marinesku-Radovici symptom

    4. Lasseg's symptom

    5. Weakness of convergence

  • The method of choice in therapeutic tactics in traumatic subarachnoid hemorrhages is

    1. Urgent surgical intervention aimed at arresting of the bleeding and decompression of the brain

    2. *Unloading lumbar punctures

    3. Selective neurosurgical intervention aimed at decompression of the brain in 7-10 days after injury

    4. Stereotactic clipping of the pia mater vessels in 7-10 days after injury

    5. All right

  • Subdural hematomas are located

    1. Between the aponeurosis and the periosteum

    2. *Between the dura and the arachnoid mater

    3. Between the dura and the periosteum

    4. In the great occipital cistern

    5. All are wrong

  • In case of subdural hematoma and dislocation of the brain is indicated

    1. *Urgent neurosurgical intervention

    2. Dynamic follow-up in the intensive care unit

    3. Hemostatic therapy and dynamic follow-up in the neurologic department

    4. Urgent lumbar puncture, especially in hematomas of the posterior cranial fossa

    5. All are wrong

  • Method of surgical treatment of acute subdural hematomas is

    1. Removal through the drilled openings

    2. *Removal during skull trepanation

    3. Endovascular removal

    4. Stereotactic removal

    5. Puncture removal of the hematoma

  • Subdural hydromas are

    1. Subarachnoid accumulation of CSF

    2. Accumulation of exudate under the dura

    3. *Accumulation of CSF under the dura

    4. Accumulation of liquid blood under the dura

    5. Accumulation of transsudate under the dura

  • Methods of surgical threatment of subdural hydromas

    1. *Puncture emptying through the drilled opening

    2. Stereotactic removal

    3. Prolonged endolumbar drainage

    4. Endovascular removal

    5. All are wrong

  • Peculiarities of head injury in the eldery and senile age

    1. *Hypertensive syndrome is mildly prominent

    2. Hypertensive syndrome is almost always present

    3. Severe consciousness disorders develop frequently

    4. Relatively severe lesions of the brain

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