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Neurological Trauma and Critical Care Quiz

#1

Which of the following is a primary cause of traumatic brain injury?

Fall
Explanation

Falls are a leading cause of traumatic brain injury, especially among the elderly.

#2

What is the Glasgow Coma Scale used to assess?

Consciousness level
Explanation

The Glasgow Coma Scale is used to assess the level of consciousness in patients with brain injury.

#3

Which imaging modality is typically used as the first-line investigation for acute head trauma?

Computed tomography (CT)
Explanation

CT scans are commonly used as the initial imaging modality for evaluating acute head trauma due to their ability to quickly visualize intracranial structures.

#4

Which of the following is NOT a feature of diffuse axonal injury (DAI)?

Focal neurological deficits
Explanation

Focal neurological deficits are not typically associated with diffuse axonal injury, which instead presents with widespread brain damage.

#5

Which type of hemorrhage is characterized by bleeding into the subarachnoid space?

Subarachnoid hemorrhage
Explanation

Subarachnoid hemorrhage is characterized by bleeding into the space between the arachnoid membrane and the pia mater surrounding the brain.

#6

What is the term for a sudden, severe headache often described as the 'worst headache of my life' and associated with subarachnoid hemorrhage?

Thunderclap headache
Explanation

Thunderclap headache is a sudden, severe headache associated with subarachnoid hemorrhage and other serious conditions.

#7

Which medication is commonly administered to reduce intracranial pressure in patients with traumatic brain injury?

Mannitol
Explanation

Mannitol is commonly used to reduce intracranial pressure in patients with traumatic brain injury by osmotically drawing fluid out of brain tissue.

#8

Which of the following is NOT a typical symptom of a concussion?

Visual hallucinations
Explanation

Visual hallucinations are not typically associated with concussions, which instead may present with symptoms like headache, confusion, and memory problems.

#9

What is the term for a penetrating injury to the skull where bone fragments are pushed into the brain tissue?

Depressed skull fracture
Explanation

A depressed skull fracture occurs when bone fragments are pushed into the brain tissue, often as a result of significant trauma.

#10

What is the Monroe-Kellie Doctrine?

Concept of maintaining constant intracranial pressure
Explanation

The Monroe-Kellie Doctrine states that the sum of volumes of brain tissue, blood, and cerebrospinal fluid within the skull must remain constant to maintain normal intracranial pressure.

#11

What is the term for a condition characterized by the presence of blood within the brain tissue itself?

Intracerebral hematoma
Explanation

Intracerebral hematoma refers to bleeding within the brain tissue, often as a result of trauma or ruptured blood vessels.

#12

Which of the following is a common complication of spinal cord injury that involves the sudden, abnormal increase in blood pressure often triggered by a noxious stimulus?

Autonomic dysreflexia
Explanation

Autonomic dysreflexia is a potentially life-threatening complication of spinal cord injury characterized by a sudden increase in blood pressure due to overactivity of the autonomic nervous system.

#13

What is the term for the sudden, transient loss of consciousness and postural tone due to temporary global cerebral hypoperfusion?

Syncopal episode
Explanation

A syncopal episode refers to a sudden, transient loss of consciousness and postural tone due to temporary inadequate blood flow to the brain, often resulting from a drop in blood pressure or heart rate.

#14

Which of the following is a characteristic feature of a spinal epidural hematoma?

Concave-shaped hemorrhage beneath the dura mater
Explanation

A spinal epidural hematoma is characterized by bleeding between the dura mater and the spinal cord, often resulting in a convex-shaped hemorrhage.

#15

What is the term for the abnormal accumulation of blood within the brain parenchyma?

Intracerebral hematoma
Explanation

Intracerebral hematoma refers to bleeding within the brain tissue itself, often due to trauma or ruptured blood vessels.

#16

Which of the following is a characteristic feature of diffuse axonal injury?

Consciousness disturbances
Explanation

Diffuse axonal injury often presents with consciousness disturbances, including coma or altered levels of consciousness.

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