Test One

Question 1

If you see a skull defect what should you do and why

Answer 1

Mark defects, a breach rhythm will appear near defects

Question 2

Contrecoup

Answer 2

Opposite side from injury

Question 3

Coup

Answer 3

Side of impact

Question 4

Williams Paradox

Answer 4

Following a severe head injury, the EEG returns to normal, but neurological and psychological abnormalities persist

Question 5

closed head injury

Answer 5

skull fracture but the covering of the brain is not in tact

Question 6

open head injury

Answer 6

skull fracture that exposes brain or meninges

Question 7

otorrhea

Answer 7

drainage of CSF from ears

Question 8

rhinorrhea

Answer 8

drainage of CSF from nose

Question 9

why do head injuries cause loss of concussions

Answer 9

Due to concussion from blow to the head when recticular formation is damaged

Question 10

tentorial herniation

Answer 10

Tentorium separates from the cerebral hemispheres of brain stem and cerebellum

Question 11

why is intercranial pressure considered extremely crucial

Answer 11

prevents herniation, reduce pressure

Question 12

extended nocturnal sleep recordings may be helpful in predicting whether the pt in post-traumatic coma will recover. Explain the favorable and unfavorable sleep stages for this type patient

Answer 12

stuck in one stage of sleep- worse

coma - bad

Question 13

spikes occur more often in children than adults after a head injury

Answer 13

TRUE

Question 14

explain the difference in an adult skull compared to a child’s

Answer 14

adult- limited resilience beyond which it splinters

children- localized blow produces a depression without splintering

Question 15

with rhinorrhea and otorrhea what can enter the skull? what can this possibly cause?

Answer 15

air, pathogens, viruses

causes infections, meningitis

Question 16

epidural hematoma can cause bleeding, where?

Answer 16

above the dura

Question 17

an acute epidural is composed of what type of blood

Answer 17

arterial

Question 18

acute epidural a medical emergency?

Answer 18

YES

Question 19

what vessel probably ruptured?

Answer 19

middle meningial artery

Question 20

EEG changes with epidural hematoma show what?

Answer 20

focal slowing and attenuation of amplitude over the hematoma

Question 21

a subacute epidural hematoma is composed of what kind of blood?

Answer 21

veneous

Question 22

A subdural hematoma is bleed ___ the ___

Answer 22

under, dura

Question 23

subdural hematoma is composed of what kind of blood?

Answer 23

venous

Question 24

a subdural hematoma may behave clinically like a ____

Answer 24

tumor

Question 25

subdural hematoma may be chronic. these are often seen in what kind of pts?

Answer 25

alcoholics, elderly, epileptics (people who fall)

Question 26

Bilateral subdural hematoma may be seen in what kind of pts?

Answer 26

infants

Question 27

EEG changes in subdural hematomas in adults will show what?

Answer 27

delta focus and voltage attenuation children? more severe, more early detected than in adults infants? bilateral abnormalities

Question 28

A subarachnoid hemorrhage is bleeding into what space?

Answer 28

subarachnoid space

Question 29

the eeg changes with subarachnoid hemorrhage are?

Answer 29

diffuse changes including disorganization, distortion of the posterior alpha activity and excessive slow activity

Question 30

Describe typical accident neurosis. What is post traumatic syndrome?

Answer 30

Complaints of headaches, impairment of memories, unable to work, irritability, can't deal with noise