15057295
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Quiz von Matthew Coulson, aktualisiert more than 1 year ago
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Erstellt von Matthew Coulson
vor fast 6 Jahre
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Frage 1
Frage
Brain tumours can be described as supratentorial and infratentorial based on their position in relation to the [blank_start]tentorium cerebelli[blank_end]
Antworten
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tentorium cerebelli
Frage 2
Frage
Which benign brain tumour of the pituitary gland is known to cause bitemporal hemianopia in children due to compression of the optic chiasm?
[blank_start]Craniopharyngioma[blank_end]
Antworten
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Craniopharyngioma
Frage 3
Frage
One of the main red flags for a brain tumour is a headache which is worse [blank_start]in the morning[blank_end]
Antworten
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in the morning
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at night
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during exercise
Frage 4
Frage
Whilst an intrinsic brain tumour affects the brain itself, an extrinsic brain tumour affects which of the following 2 structures?
Antworten
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Bone
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Meninges
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Spinal cord
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Nasal cavity
Frage 5
Frage
Cushing's triad is a series of signs/symptoms that are indicative of possible impending fatal herniation of the brain.
What are the constituents of this triad?
Antworten
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Systolic Hypertension
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Bradycardia
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Tachycardia
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Decreased, Irregular Breathing
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Hyperventilation
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Hypotension
Frage 6
Frage
A patient showing signs of Cushing's triad should be immediately rushed to surgery for decompression. Which diuretic drug should be given in the meantime to ensure they don't pass away before reaching theatre?
[blank_start]Mannitol[blank_end]
Antworten
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Mannitol
Frage 7
Frage
A patient with a known brain tumour is unable to perform three separate motor functions in a row (such as rock, paper, scissors). It is likely their tumour is affecting which part of the brain?
Antworten
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Frontal lobe
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Parietal lobe
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Temporal lobe
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Occipital lobe
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Insular lobe
Frage 8
Frage
Which are the main two imaging modalities for brain tumour diagnosis?
Antworten
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CT
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MRI
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X-ray
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Ultrasound
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PET scan
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Angiogram
Frage 9
Frage
What is the most common type of brain tumour?
Antworten
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Metastases from cancer process elsewhere in the body
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Meningiomas
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Neuroepithelial tissue cancers
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Nerve sheath cell cancers
Frage 10
Frage
Neuroepithelial tissue brain tumours can arise from any of the following cell types, however which is the most common?
Antworten
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Astrocytes
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Oligodendrocytes
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Ependymal cells
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Neuronal cells
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Pineal cells
Frage 11
Frage
There are [blank_start]4[blank_end] WHO gradings of astrocytic tumours
Antworten
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4
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3
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5
Frage 12
Frage
The only truly benign astrocytoma is...
Antworten
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Grade I astrocytoma
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Grade II astrocytoma
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Grade III astrocytoma
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Grade IV astrocytoma
Frage 13
Frage
Of all astrocytomas, which most commonly occur in children?
Antworten
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Grade I astrocytoma
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Grade II astrocytoma
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Grade III astrocytoma
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Grade IV astrocytoma
Frage 14
Frage
What is the most typical mode of treatment for a grade I astrocytoma?
Antworten
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Surgery
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Chemotherapy
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Radiotherapy
Frage 15
Frage
Low grade astrocytomas are also known as
Antworten
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Grade I astrocytoma
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Grade II astrocytoma
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Grade III astrocytoma
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Grade IV astrocytoma
Frage 16
Frage
What tends to be the main presentation of low grade astrocytomas?
Antworten
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Headaches
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Seizures
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Diplopia
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Nausea+Vomiting
Frage 17
Frage
Low grade (Grade II) astrocytomas tend to affects people [blank_start]over[blank_end] 50
Antworten
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over
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under
Frage 18
Frage
Low grade astrocytomas don't tend to differentiate into higher grade tumours (Grade III/IV) and therefore surgery is not recommended. Instead, serial imaging and potential chemo/radiotherapy is the mainstay of treatment.
Antworten
- True
- False
Frage 19
Frage
Of the malignant astrocytomas, which is by far the most common?
Antworten
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Anaplastic Astrocytoma
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Glioblastoma Multiforme
Frage 20
Frage
Grade III Astrocytoma = [blank_start]Anaplastic Astrocytoma[blank_end]
Grade IV Astrocytoma = [blank_start]Glioblastoma Multiforme[blank_end]
Antworten
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Glioblastoma Multiforme
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Anaplastic Astrocytoma
Frage 21
Frage
Which treatment has been proven to be most effective in treating brain tumours?
Antworten
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Chemotherapy alone
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Radiotherapy alone
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Chemotherapy and Radiotherapy Combination
Frage 22
Frage
Meningiomas are the most common [blank_start]benign[blank_end] intracranial tumour. They arise from [blank_start]arachnoid[blank_end] cap cells in the meninges.
Antworten
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arachnoid
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dura
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pia
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benign
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malignant
Frage 23
Frage
There are four aggressive meningiomas. What are they?
Antworten
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Clear Cell Meningioma
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Chordoid Meningioma
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Rhabdoid Meningioma
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Papillary Meningioma
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Sphenoid Meningioma
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Intraventricular Meningioma
Frage 24
Frage
How are meningiomas typically managed?
Antworten
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Surgery
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Chemotherapy
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Radiotherapy
Frage 25
Frage
A nerve sheath tumour originating in the myelin producing cells of the PNS is called a [blank_start]Schwannoma[blank_end]
Antworten
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Schwannoma
Frage 26
Frage
A [blank_start]Vestibular Schwannoma[blank_end] is a tumour of the myelin forming cells of the 8th cranial nerve (vestibulocochlear nerve).
Antworten
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Vestibular Schwannoma
Frage 27
Frage
Vestibular Schwannomas tend to occur in patients with the condition [blank_start]Neurofibromatosis Type II[blank_end]
Antworten
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Neurofibromatosis Type II
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Neurofibromatosis Type I
Frage 28
Frage
The most common CNS germ cell tumour is...
Antworten
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Germinoma
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Teratoma
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Yolk sac Tumour
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Choriocarcinoma
Frage 29
Frage
There are 3 main tumour markers for germ cell tumours. Therefore, in a child with a midline brain tumour which 3 markers should be tested for?
Antworten
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Alpha Fetoprotein (AFP)
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Human Choriogonadotrophin (bHCG)
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Placental Alkaline Phosphatase (pALP)
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Carcinoembryonic Antigen (CA)
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CA-125 Protein
Frage 30
Frage
Which type of drug can be used to shrink a Prolactinoma?
Antworten
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Dopamine Receptor Agonist
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Dopamine Receptor Antagonist
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Somatostatin Analogue
Frage 31
Frage
Name the dopamine receptor agonist used most frequently to shrink Prolactinomas
[blank_start]Cabergoline[blank_end]
Antworten
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Cabergoline
Frage 32
Frage
The main therapy of choice for Acromegaly is the use of [blank_start]Somatostatin[blank_end] Analogues
Antworten
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Somatostatin
Frage 33
Frage
Which of the following is a somatostatin analogue that can be used to treat acromegaly?
Antworten
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Octreotide
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Lansoprazole
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Pramipexole
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Metyrapone
Frage 34
Frage
Tumour markers in germ cell tumours:
AFP present = [blank_start]Yolk Sac Tumour[blank_end]
Beta-hCG present = [blank_start]Choriocarcinoma[blank_end]
PLAP present = [blank_start]Germinoma[blank_end]
Antworten
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Germinoma
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Choriocarcinoma
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Yolk Sac Tumour
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