Matthew Coulson
Quiz by , created more than 1 year ago

Hydrocephalus lecture given by Dr Ibrahim

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Matthew Coulson
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Hydrocephalus

Question 1 of 26

1

What is the mean CSF pressure?

Select one of the following:

  • 5 mmHg

  • 10 mmHg

  • 15 mmHg

Explanation

Question 2 of 26

1

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A CSF pressure of greater than ( 15, 20, 10 )mmHg represents an abnormally high pressure.

Explanation

Question 3 of 26

1

Fill the blank space to complete the text.

Most of the CSF in the brain is produced by plexuses

Explanation

Question 4 of 26

1

CSF is for the most part absorbed into the subarachnoid space via

Select one of the following:

  • Arachnoid granulations

  • Dura granulations

  • Arachnoid pillars

  • Dura pillars

  • Dura pillars

Explanation

Question 5 of 26

1

The main role of the CSF in supporting the brain is to reduce its effective ...?

Select one of the following:

  • Weight

  • Size

  • Shape

Explanation

Question 6 of 26

1

A baby with Hydrocephalus may present with which of the following clinical signs? (4 answers)

Select one or more of the following:

  • Unusually large head

  • Thin, shiny scalp with easily visible veins

  • Bulging fontanelle

  • Downward looking eyes

  • Upward looking eyes

  • Bulging eyes

  • Unusually small head

Explanation

Question 7 of 26

1

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Ventriculomegaly is a brain condition of the foetus whereby the ( lateral ventricles, 3rd ventricle, 4th ventricle, 3rd & 4th ventricles ) become dilated.

Explanation

Question 8 of 26

1

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?

Select one of the following:

  • Iodine

  • Triclocarban

  • Benzalkonium Chloride

  • Chlorine

Explanation

Question 9 of 26

1

In children, Hydrocephalus causes the eyes to become fixed in which direction?

Select one of the following:

  • Gazing downwards

  • Gazing upwards

  • Cross eyed

  • Gazing left

  • Gazing right

Explanation

Question 10 of 26

1

What are the three main symptoms of Normal Pressure Hydrocephalus in adults?

Select one or more of the following:

  • Ataxia

  • Memory decline

  • Incontinence

  • Headaches

  • Ear ache

  • Vomiting

Explanation

Question 11 of 26

1

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Normal Pressure Hydrocephalus usually occurs in those ( over 60, under 60 ) and is one of the potentially reversible causes of ( Dementia, Parkinson's disease, Creutzfeldt-Jakob Disease )

Explanation

Question 12 of 26

1

The ataxia associated with normal pressure hydrocephalus is usually related to the ...

Select one of the following:

  • arms

  • legs

  • head & necl

Explanation

Question 13 of 26

1

Of the symptoms associated with normal pressure hydrocephalus, which tends to present first?

Select one of the following:

  • Ataxia

  • Memory dysfunction

  • Urinary incontinence

Explanation

Question 14 of 26

1

For normal pressure hydrocephalus, what is the most widely used method of treatment?

Select one of the following:

  • Lumboperitoneal shunt

  • Ventriculoperitoneal shunt

  • Endoscopic ventriculostomy

Explanation

Question 15 of 26

1

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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 ( Idiopathic Intracranial Hypertension, Hydrocephalus, Normal Pressure Hydrocephalus, AIDS )

Explanation

Question 16 of 26

1

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?

Select one of the following:

  • Normal Pressure Hydrocephalus

  • Idiopathic Intracranial Hypertension

Explanation

Question 17 of 26

1

Which of the following signs would you expect to find on fundoscopy of a patient with idiopathic intracranial hypertension?

Select one of the following:

  • Papilloedema

  • Corneal injection

  • Venous engorgement

  • Micro-haemorrhages

  • Exudates

Explanation

Question 18 of 26

1

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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 ( 25, 15, 20 )cm CSF, then the condition is very likely.

Explanation

Question 19 of 26

1

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

Select one of the following:

  • True
  • False

Explanation

Question 20 of 26

1

In most cases, the main treatment for idiopathic intracranial hypertension is ...

Select one of the following:

  • Weight loss

  • Lumbar puncture

  • Venous stenting

  • Diuretics

Explanation

Question 21 of 26

1

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Orthostatic headache is a medical condition in which a person develops a headache while ( vertical, horizontal ) and the headache is relieved when ( horizontal, vertical )

Explanation

Question 22 of 26

1

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An orthostatic headache is the main symptom of a condition of negative CSF pressure within the brain cavity. This condition is called .

Explanation

Question 23 of 26

1

: Headache relieved by lying horizontally
: Headache exacerbated by lying horizontally

Drag and drop to complete the text.

    Meningitis
    Spontaneous Intracranial Hypotension
    Normal Pressure Hydrocephalus
    Idiopathic Intracranial Hypertension

Explanation

Question 24 of 26

1

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What would the following investigations show in a patient with spontaneous intracranial hypotension?
Lumbar puncture: ( Low CSF pressure, High CSF pressure, Normal CSF pressure )
MRI Head: ( Meningeal enhancement, Ventricular enhancement )

Explanation

Question 25 of 26

1

Fill the blank space to complete the text.

Name the condition: A generic term referring to a disorder in which a cyst or cavity forms within the spinal cord

Explanation

Question 26 of 26

1

One of the early signs of Syringomyelia is the development of hyperhidrosis. What is this?

Select one of the following:

  • Excessive sweating

  • Excessive saliva production

  • Excessive urination

  • Excessive CSF production

Explanation

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