Hydrocephalus

Descripción

Hydrocephalus lecture given by Dr Ibrahim
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace más de 5 años
1886
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Resumen del Recurso

Pregunta 1

Pregunta
What is the mean CSF pressure?
Respuesta
  • 5 mmHg
  • 10 mmHg
  • 15 mmHg

Pregunta 2

Pregunta
A CSF pressure of greater than [blank_start]15[blank_end]mmHg represents an abnormally high pressure.
Respuesta
  • 15
  • 20
  • 10

Pregunta 3

Pregunta
Most of the CSF in the brain is produced by [blank_start]choroid[blank_end] plexuses
Respuesta
  • choroid

Pregunta 4

Pregunta
CSF is for the most part absorbed into the subarachnoid space via
Respuesta
  • Arachnoid granulations
  • Dura granulations
  • Arachnoid pillars
  • Dura pillars
  • Dura pillars

Pregunta 5

Pregunta
The main role of the CSF in supporting the brain is to reduce its effective ...?
Respuesta
  • Weight
  • Size
  • Shape

Pregunta 6

Pregunta
A baby with Hydrocephalus may present with which of the following clinical signs? (4 answers)
Respuesta
  • Unusually large head
  • Thin, shiny scalp with easily visible veins
  • Bulging fontanelle
  • Downward looking eyes
  • Upward looking eyes
  • Bulging eyes
  • Unusually small head

Pregunta 7

Pregunta
Ventriculomegaly is a brain condition of the foetus whereby the [blank_start]lateral ventricles[blank_end] become dilated.
Respuesta
  • lateral ventricles
  • 3rd ventricle
  • 4th ventricle
  • 3rd & 4th ventricles

Pregunta 8

Pregunta
When performing a ventriculoperitoneal shunt to drain a hydrocephalus, there is a risk of infection. What should be used within the shunt to prevent this?
Respuesta
  • Iodine
  • Triclocarban
  • Benzalkonium Chloride
  • Chlorine

Pregunta 9

Pregunta
In children, Hydrocephalus causes the eyes to become fixed in which direction?
Respuesta
  • Gazing downwards
  • Gazing upwards
  • Cross eyed
  • Gazing left
  • Gazing right

Pregunta 10

Pregunta
What are the three main symptoms of Normal Pressure Hydrocephalus in adults?
Respuesta
  • Ataxia
  • Memory decline
  • Incontinence
  • Headaches
  • Ear ache
  • Vomiting

Pregunta 11

Pregunta
Normal Pressure Hydrocephalus usually occurs in those [blank_start]over 60[blank_end] and is one of the potentially reversible causes of [blank_start]dementia[blank_end]
Respuesta
  • Dementia
  • Parkinson's disease
  • over 60
  • under 60
  • Creutzfeldt-Jakob Disease

Pregunta 12

Pregunta
The ataxia associated with normal pressure hydrocephalus is usually related to the ...
Respuesta
  • arms
  • legs
  • head & necl

Pregunta 13

Pregunta
Of the symptoms associated with normal pressure hydrocephalus, which tends to present first?
Respuesta
  • Ataxia
  • Memory dysfunction
  • Urinary incontinence

Pregunta 14

Pregunta
For normal pressure hydrocephalus, what is the most widely used method of treatment?
Respuesta
  • Lumboperitoneal shunt
  • Ventriculoperitoneal shunt
  • Endoscopic ventriculostomy

Pregunta 15

Pregunta
A 47 year old woman presents to her GP complaining of visual field constriction and headaches. She has a BMI of 31 and a PMH of hypothyroidism. It is likely that she is suffering from [blank_start]Idiopathic Intracranial Hypertension[blank_end]
Respuesta
  • Idiopathic Intracranial Hypertension
  • Hydrocephalus
  • Normal Pressure Hydrocephalus
  • AIDS

Pregunta 16

Pregunta
A 67 year old woman presents with her daughter, who describes her mother as having had increasing problems with her memory over the past year. She has also developed a urinary incontinence. What condition may be causing her memory problems?
Respuesta
  • Normal Pressure Hydrocephalus
  • Idiopathic Intracranial Hypertension

Pregunta 17

Pregunta
Which of the following signs would you expect to find on fundoscopy of a patient with idiopathic intracranial hypertension?
Respuesta
  • Papilloedema
  • Corneal injection
  • Venous engorgement
  • Micro-haemorrhages
  • Exudates

Pregunta 18

Pregunta
The standard diagnostic investigation for Idiopathic Intracranial Hypertension is a measurement of the lumbar pressure. If a lumbar puncture finds the CSF pressure to be over [blank_start]25[blank_end]cm CSF, then the condition is very likely.
Respuesta
  • 25
  • 15
  • 20

Pregunta 19

Pregunta
Both CT and MRI scans are normal in cases of idiopathic intracranial hypertension and therefore these modes of investigation are not diagnostically useful.
Respuesta
  • True
  • False

Pregunta 20

Pregunta
In most cases, the main treatment for idiopathic intracranial hypertension is ...
Respuesta
  • Weight loss
  • Lumbar puncture
  • Venous stenting
  • Diuretics

Pregunta 21

Pregunta
Orthostatic headache is a medical condition in which a person develops a headache while [blank_start]vertical[blank_end] and the headache is relieved when [blank_start]horizontal[blank_end]
Respuesta
  • vertical
  • horizontal
  • horizontal
  • vertical

Pregunta 22

Pregunta
An orthostatic headache is the main symptom of a condition of negative CSF pressure within the brain cavity. This condition is called [blank_start]Spontaneous Intracranial Hypotension[blank_end].
Respuesta
  • Spontaneous Intracranial Hypotension

Pregunta 23

Pregunta
[blank_start]Spontaneous Intracranial Hypotension[blank_end]: Headache relieved by lying horizontally [blank_start]Meningitis[blank_end]: Headache exacerbated by lying horizontally
Respuesta
  • Meningitis
  • Spontaneous Intracranial Hypotension
  • Normal Pressure Hydrocephalus
  • Idiopathic Intracranial Hypertension

Pregunta 24

Pregunta
What would the following investigations show in a patient with spontaneous intracranial hypotension? Lumbar puncture: [blank_start]Low CSF pressure[blank_end] MRI Head: [blank_start]Meningeal enhancement[blank_end]
Respuesta
  • Low CSF pressure
  • High CSF pressure
  • Normal CSF pressure
  • Meningeal enhancement
  • Ventricular enhancement

Pregunta 25

Pregunta
Name the condition: A generic term referring to a disorder in which a cyst or cavity forms within the spinal cord [blank_start]Syringomyelia[blank_end]
Respuesta
  • Syringomyelia

Pregunta 26

Pregunta
One of the early signs of Syringomyelia is the development of hyperhidrosis. What is this?
Respuesta
  • Excessive sweating
  • Excessive saliva production
  • Excessive urination
  • Excessive CSF production
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