Category: Neurosurgery

GCS

GCS

Q. Best predictor in the GCS

A. Eye opening
B. Motor response
C. Verbal response
D. All


23) B, Motor response

Motor score is the best predictor of neurological outcome.

The m component of the GCS,  is not only linearly related to survival, but preserves almost all the predictive power of the GCS 

BAiley

MRCS Neurosurgery

MRCS Neurosurgery

Q)  A 35 year old lady has severe vomiting accompanied with headache and becomes unconscious. She has no similar history in the past and is not on any medicines.

She has a GCS of 11/15, BP 140/90, Pulse of 86/min. No cardiac or respiratory cause is noted for the symptoms.She has mild nuchal rigidity and b/l extensor plantar response. 

CT scan of the brain is equivocal .Lumbar puncture studies show high RBcs in the aspirate? What is the next step in management?

a) MRI brain

b) Cerebral Angiogram

c) MR angiogram

d) IV broad spectrum antibiotic and anti virals

Answer

Examination of cranial nerves in head injury

Examination of cranial nerves in head injury

Q) Gaze paresis is seen after head injury? What is responsible for this

a) Facial nerve injury

b) Vestibulo cochlear nerve injury

c) Brain stem dysfunction

d) Optic nerve injury

Answer

Gaze paresis is inability to produce horizontal eye movements in one or both directions. Examination of cranial nerves in head injury is very important to fully assess the extent of injury. Read on for answer

LE fort’s fracture

LE fort’s fracture

Q) True about Le fort's fracture

a) Type I is pyramidal in shape

b) Type II involves the orbit and fractures the cribriform plate

c) Type III separates the facial alveolus from facial skeleton above it

d) CSF and dural leaks are more common in type II fractures

Answer for premium 

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