Epidural hematomas are frequently followed by Skull fractures

Early in the evolution of Meniere's disease, hearing is lost

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Early in the evolution of Meniere's disease, hearing is lost

  1. Over all frequencies

  2. Primarily over high frequencies

  3. Primarily over middle frequencies

  4. *Primarily over low frequencies

  5. In virtually no patients

  • The olfactory cortex in humans is located in the

    1. Anterior perforated substance

    2. *Lateral olfactory gyrus (prepiriform area)

    3. Posterior third of the first temporal gyrus

    4. Angular gyrus

    5. Calcarine cortex

  • The hypogonadism and anosmia of Kallman syndrome usually attract medical attention during

    1. The newborn period

    2. Infancy

    3. Childhood

    4. *Adolescence

    5. Adult life

  • The posterior column neurons decussate at what level?

    1. *At the medulla

    2. At the midbrain

    3. At the pons

    4. At the thalamus

    5. Within one or two levels after entering the spinal cord

  • The lateral corticospinal tract decussates at what level?

    1. *At the junction of the medulla and the spinal cord

    2. At the junction of the midbrain and the medulla

    3. At the junction of the pons and the medulla

    4. At the thalamus

    5. Within one or two levels after entering the spinal cord

  • The arteria radicularis magna approximately what level?

    1. C2-C5

    2. C5-C8

    3. T2-T8

    4. *T10-L1

    5. L4-S4

  • The periumbilical area is innervated by which sensory dermatome?

    1. C6

    2. T2

    3. T5

    4. *T10

    5. S3

  • The patient has a greatly dilated abdominal aorta with a normal tho¬≠racic aorta. The most likely cause of this damage is

    1. Syphilis

    2. Trauma

    3. Chronic hypertension

    4. Diabetes mellitus

    5. *Atherosclerosis

  • Physical examination just after transurethral resection of the prostate (TURP) reveals preservation of some sensation in the feet. The most intact modality would be

    1. *Vibration

    2. Pain

    3. Temperature

    4. Two-point discrimination

    5. Graphesthesia

  • The most common cause of mononeuropathy multiplex is

    1. *Diabetes mellitus

    2. Temporal arteritis

    3. Sarcoidosis

    4. Systemic lupus erythematosus

    5. Periarteritis nodosa

  • Injuries limited to the upper brachial plexus are most likely with

    1. Node dissections in the axilla

    2. Pancoast tumor

    3. *Birth trauma

    4. Dislocation of the head of the humerus

    5. Aneurysm of the subclavian artery

  • The most prominent areas of degeneration with Friedreich's disease are in the

    1. Cerebellar cortex

    2. Inferior olivary nuclei

    3. Anterior horns of the spinal cord

    4. *Spinocerebellar tracts

    5. Spinothalamic tracts

  • Acute herniation of an intervertebral disk will require emergency surgery if

    1. The disk is laterally herniated at C7

    2. The disk is causing radicular pain

    3. *The cauda equina is being crushed

    4. Thoracic disk is involved

    5. The filum terminale is displaced

  • The presence of periorbital ecchymosis in patient should be considered a symptom of

    1. Subdural hemorrhage

    2. Parenchymal hematoma

    3. Ocular injury

    4. Retinal detachment

    5. *Basilar skull fracture

  • A positive Romberg test, performed standing with eyes closed, indicates a lesion in the:

    1. *Cerebellum

    2. Peripheral nerve

    3. Proprioceptive system

    4. Spinothalamic tract

    5. Visual system

  • With regard to the Glasgow Coma Scale:

    1. The review of the head CT is essential.

    2. The minimum value is zero.

    3. *A score of 8 or less indicates a severe head injury.

    4. Is not correlated with outcome.

    5. All of above mentioned

  • Management options in the treatment of intracranial hypertension secondary to trauma include all of the following except:

    1. *High dose corticosteroids.

    2. Mild sedation.

    3. External ventricular drainage.

    4. Use of osmotic diuretics.

    5. All of above mentioned

  • Indications for hospital observation of a patient who has suffered a cerebral concussion include:

    1. Alcohol intoxication.

    2. Abnormal CT scan.

    3. Decreased level of consciousness.

    4. *All of the above

    5. None of the above

  • With regard to diffuse axonal injury:

    1. Treatment is usually surgical.

    2. Neurologic outcome is usually excellent.

    3. Decorticate or decerebrate posturing is frequently seen.

    4. *All of the above.

    5. None of the above

  • With regard to acute traumatic subdural hematoma:

    1. Blood products collect between the inner surface of the calvarium and the dura.

    2. *Bleeding usually results from tearing of bridging veins.

    3. Cerebral contusions are infrequently seen.

    4. Burr hole drainage is the surgical treatment of choice.

    5. None of the above

  • The size of the cavity produced in the wake of a high velocity bullet is related to:

    1. Share with your friends:
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