Epidural hematomas are frequently followed by Skull fractures



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*At the gray-white junction

  • In the thalamus

  • In the posterior fossa

  • In the caudate

  • In the sella turcica

  • The shortest life expectancy with metastatic disease to the brain will be found in the patient with metastatic

    1. *Malignant melanoma

    2. Breast cancer

    3. Lung cancer

    4. Renal cancer

    5. Prostate cancer

  • A patient has a MRI performed and a colloid cyst of the third ventri­cle is identified. The most common complication of this lesion is

    1. Bitemporal hemianopsia

    2. *Hydrocephalus

    3. Gait ataxia

    4. Optic atrophy

    5. Oscillopsia

  • The tumor type that is common in the brain of patients with AIDS, but otherwise extremely rare, is

    1. Lymphocytic leukemia

    2. Metastatic lymphoma

    3. *Primary lymphoma

    4. Kaposi s sarcoma

    5. Lymphosarcoma

  • With an ependymoma of the posterior fossa, the patient is at risk of dying because of

    1. *Transforaminal herniation

    2. Emboli from the tumor

    3. Vascular occlusion by the tumor

    4. Hemorrhagic necrosis of the tumor

    5. Status epilepticus

  • The most common cause of dementia in the general population is

    1. Epilepsy

    2. Vascular disease

    3. *Alzheimer's disease

    4. Parkinsons disease

    5. Head trauma

  • In the dementia associated with Alzheimer's disease, the EEG will usually show

    1. Spike-and-wave discharges

    2. Periodic frontal lobe discharges

    3. Focal slowing

    4. *Generalized background slowing

    5. An isoelectric record

  • The brain of the adult with trisomy 21 (Down syndrome) exhibits many of the histopathologic features of which of the following?

    1. Tay-Sachs disease

    2. Friedreich s disease

    3. Picks disease

    4. Parkinsons disease

    5. *Alzheimer's disease

  • A patient gives a history of chorea gravidarum. This condition only occurs in

    1. Newborns

    2. Depressed men

    3. *Pregnant women

    4. Pubescent girls

    5. Pubescent boys

  • Atrophy in the head of the caudate nucleus in patients with Hun­tington's disease affects the shape of the

    1. Cerebellum

    2. *Lateral ventricle

    3. Third ventricle

    4. Lenticular nuclei

    5. Temporal lobe

  • Which brain structures are currently targets for deep brain stimula­tion in patients with Parkinson`s disease?

    1. Globus pallidus, medulla, and parietal lobe

    2. *Globus pallidus, subthalamic nucleus, and thalamus

    3. Hippocampus, medulla, and thalamus

    4. Medulla, occipital lobe, and subthalamic nucleus

    5. Parietal lobe, temporal lobe, and thalamus

  • Which of the following would you use to treat person with Parkinson`s disease ?

    1. Alteplase

    2. *Carbidopa-levodopa

    3. Glatiramer

    4. Interferon p-lA

    5. Sertraline

  • Neurons remaining in the substantia nigra of the patient with Parkinson`s disease may exhibit

    1. Intranuclear inclusion bodies

    2. Intranuclear and intracytoplasmic inclusion bodies

    3. *Intracytoplasmic inclusion bodies

    4. Neurofibrillary tangles

    5. Amyloid plaques

  • The CSF in persons with multiple sclerosis will typically exhibit

    1. Glucose content of less than 20% of the serum content

    2. Persistently elevated total protein content

    3. *Persistently elevated immunoglobulin G (IgG) content

    4. Mononuclear cell counts of greater than 100 cells per L

    5. Erythrocyte counts of greater than 10 cells per L

  • The most appropriate pharmacological treatment for multiple sclerosis is

    1. Interferon (5-IB

    2. *Corticosteroids

    3. Gabapentin

    4. Glatiramer

    5. Pramipexole

  • Multiple sclerosis is the most common demyelinating disease in the United States, affecting approximately 1 person in

    1. 100

    2. 500

    3. *1,000

    4. 5,000

    5. 10,000

  • The evoked response pattern that is most often abnormal in patients with early multiple sclerosis is the

    1. Brainstem auditory evoked response (BAER)

    2. Far-field somatosensory evoked response (SSER)

    3. *Visual evoked response (VER)

    4. Jolly test

    5. Sensory nerve conduction test

  • Cystometrographic analysis of bladder function in the patient with multiple sclerosis is likely to show which of the following abnormalities?

    1. Bladder hypotonia

    2. Large residual volume of urine

    3. *Premature bladder emptying

    4. Good voluntary control of bladder emptying

    5. Urinary tract infection

  • Which of the following factors might be expected to worsen the con­dition of patient with multiple sclerosis?

    1. Bright lights

    2. Red wine

    3. Tyramine-containing compounds

    4. *Hot weather

    5. Amantadine

  • The second cervical vertebra extends above the level of the foramen magnum and places the patient at high risk of having

    1. Meningoencephalocele

    2. Myelomeningocele

    3. Syringobulbia

    4. Syringomyelia

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