Neurosurgery Modules - Formative Review

Question 1 of 14

1

❌: voluntary motor control of limbs and digits.
❌: voluntary motor control of the trunk and maintains posture.

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Anterior Corticospinal Tract

Lateral Corticospinal Tract

Explanation

Question 2 of 14

1

Click on each orange point and select the correct answer.

Which lesions correspond to the presentations below?

Explanation

Question 3 of 14

1

Which tract originates in the red nucleus of the midbrain?

Select one of the following:

Rubrospinal tract
Reticulospinal tract
Vestibulospinal tract

Explanation

Question 4 of 14

1

A 30 year old man presented with a stab wound in his back. He has right sided weakness starting at T5 and left sided loss of pinprick sensation and temperature starting at T7.

Select one of the following:

Central Cord Syndrome
Brown-Sequard Syndrome
Anterior Cord Syndrome
Complete Cord Transection

Explanation

Question 5 of 14

1

Which type of cerebral haemorrhage presents as the following:

Severe “thunderclap” headache, meningeal irritation and loss of consciousness

Select one of the following:

Extradural haemorrhage
Subdural haemorrhage
Subarachnoid haemorrhage

Explanation

Question 6 of 14

1

Fill the blank space to complete the text.

Extradural haemorrhages usually occur due to damage to the artery

Explanation

Question 7 of 14

1

Which of the following cerebral haemorrhage usually has a venous origin (cerebral bridging veins)?

Select one of the following:

Extradural haemorrhage
Subdural haemorrhage
Subarachnoid haemorrhage

Explanation

Question 8 of 14

1

A CT Angiogram would give a definitive diagnosis for which of the following conditions?

Select one of the following:

Extradural haemorrhage
Subdural haemorrhage
Subarachnoid haemorrhage

Explanation

Question 9 of 14

1

Match the blood vessel to where blood would accumulate if it were to be damaged:
Bridging Cerebral Vein - ❌
Posterior Communicating Artery Aneurysm - ❌
Middle Meningeal Artery - ❌

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Between Arachnoid and Pia

Between Bone and Dura

Between Dura and Arachnoid

Explanation

Question 10 of 14

1

Match the clinical description to the definitive diagnostic tool:
A 70 year old patient presents with progressive headaches and nausea with gradual loss of sensation in her right arm. Imaging reveals a mass in the temporal lobe.
❌

A 25 year old boxer lost consciousness in his final fight due to a punch in the head but was in a good state straight after. However, 4 hours later his GCS was 6/15.
❌
A 25-year-old man developed a sudden onset 'worst ever' headache and collapsed.
❌

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Biopsy

CT Scan

CT Angiography

Explanation

Question 11 of 14

1

A patient presents unconscious with unilateral pupil mydriasis that does not constrict to light following a car accident. On CT, an intracranial hemorrhage with cerebral herniation. What is the most likely cause from the options below?

Select one of the following:

Tonsilar herniation (coning)
Uncal herniation
Central herniation
Subfalcine herniation

Explanation

Question 12 of 14

1

Match the stroke type to the symptoms it causes:
❌ - Higher cerebral dysfunction (e.g. dysphasia), Homonymous visual field defect and contralateral motor and/or sensory deficit of at least two areas (out of face, arm and leg).
❌ - Cerebellar dysfunction, Isolated homonymous visual field defect and Cranial nerve dysfunction
❌ - A pure motor or pure sensory stroke

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Anterior Circulation Stroke

Posterior Circulation Stroke

Lacunar Stroke

Explanation

Question 13 of 14

1

	Created by Matthew Coulson over 5 years ago

Neurosurgery Modules - Formative Review lecture given in Week 5

Neurosurgery Modules - Formative Review

Question 1 of 14

❌: voluntary motor control of limbs and digits. ❌: voluntary motor control of the trunk and maintains posture.

Drag and drop to complete the text.

Explanation

Question 2 of 14

Click on each orange point and select the correct answer.

Which lesions correspond to the presentations below?

Explanation

Question 3 of 14

Which tract originates in the red nucleus of the midbrain?

Select one of the following:

Explanation

Question 4 of 14

A 30 year old man presented with a stab wound in his back. He has right sided weakness starting at T5 and left sided loss of pinprick sensation and temperature starting at T7.

Select one of the following:

Explanation

Question 5 of 14

Which type of cerebral haemorrhage presents as the following: Severe “thunderclap” headache, meningeal irritation and loss of consciousness

Select one of the following:

Explanation

Question 6 of 14

Fill the blank space to complete the text.

Extradural haemorrhages usually occur due to damage to the artery

Explanation

Question 7 of 14

Which of the following cerebral haemorrhage usually has a venous origin (cerebral bridging veins)?

Select one of the following:

Explanation

Question 8 of 14

A CT Angiogram would give a definitive diagnosis for which of the following conditions?

Select one of the following:

Explanation

Question 9 of 14

Match the blood vessel to where blood would accumulate if it were to be damaged: Bridging Cerebral Vein - ❌ Posterior Communicating Artery Aneurysm - ❌ Middle Meningeal Artery - ❌

Drag and drop to complete the text.

Explanation

Question 10 of 14

Drag and drop to complete the text.

Explanation

Question 11 of 14

A patient presents unconscious with unilateral pupil mydriasis that does not constrict to light following a car accident. On CT, an intracranial hemorrhage with cerebral herniation. What is the most likely cause from the options below?

Select one of the following:

Explanation

Question 12 of 14

Drag and drop to complete the text.

Explanation

Question 13 of 14

Diagnose this patient: A 70-year-old male with left homonymous hemianopia. He has no other symptoms

Select one of the following:

Explanation

Question 14 of 14

Fill the blank space to complete the text.

This test needs to be completed once you have completed the neuro modules.

Explanation

❌: voluntary motor control of limbs and digits.
❌: voluntary motor control of the trunk and maintains posture.

Which type of cerebral haemorrhage presents as the following:

Severe “thunderclap” headache, meningeal irritation and loss of consciousness

Match the blood vessel to where blood would accumulate if it were to be damaged:
Bridging Cerebral Vein - ❌
Posterior Communicating Artery Aneurysm - ❌
Middle Meningeal Artery - ❌

Diagnose this patient:
A 70-year-old male with left homonymous hemianopia. He has no other symptoms