Surg & Anat MCQs

 Q8. In the ICU the patient is showing signs of Cushing  reflex and you are not able to get hold of the radiologist or the neurosurgeon. In the absence of an imaging test, you decide to perform a burr hole at location ‘A.’ Your landmarks will be?

a. 2 cm above and 1 cm anterior to the helix

b. 2 cm anterior and 3 cm above the tragus

c. Half way between the front and back of the skull

d. 2 cm above and 4 cm behind the eye

https://youtu.be/rqK-6wzZ5q8

Surg & Anat MCQs

 Q6. If the herniation occurs at site “D” what one key feature will you note on the physical exam?

A. Diplopia

B. Nystagmus

C. Ipsilateral dilated pupil

D. Contralateral dilated pupil

E. Horner syndrome

F. Deviated tongue

https://youtu.be/rqK-6wzZ5q8

Anat & Surg MCQs

 Q4. From the previous slide, if an epidural hematoma causes the most type of herniation, based on the cranial vessel involved where on the homunculus below, will the neurological deficit be most pronounced?

A

B

C

D

E

https://youtu.be/rqK-6wzZ5q8

Surg & Anat MCQs

 Q3. With the most common type of herniation following an  epidural hematoma (see previous slide), what cranial vessel is most often affected?

A. 

B

C

D

E

F

G

https://youtu.be/rqK-6wzZ5q8

Anat & Surg MCQs

 Q2. In a patient with herniation at site B from the previous slide what part of the brain will be pushed against the falx cerebri?

A

B

C

D

E

F

G

https://youtu.be/rqK-6wzZ5q8