Matthew Coulson
Quiz by , created more than 1 year ago

Brain Tumours given by Kismet Hossain Ibrahim on 11/9/18

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Matthew Coulson
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Brain Tumours

Question 1 of 34

1

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Brain tumours can be described as supratentorial and infratentorial based on their position in relation to the

Explanation

Question 2 of 34

1

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Which benign brain tumour of the pituitary gland is known to cause bitemporal hemianopia in children due to compression of the optic chiasm?

Explanation

Question 3 of 34

1

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One of the main red flags for a brain tumour is a headache which is worse ( in the morning, at night, during exercise )

Explanation

Question 4 of 34

1

Whilst an intrinsic brain tumour affects the brain itself, an extrinsic brain tumour affects which of the following 2 structures?

Select one or more of the following:

  • Bone

  • Meninges

  • Spinal cord

  • Nasal cavity

Explanation

Question 5 of 34

1

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?

Select one or more of the following:

  • Systolic Hypertension

  • Bradycardia

  • Tachycardia

  • Decreased, Irregular Breathing

  • Hyperventilation

  • Hypotension

Explanation

Question 6 of 34

1

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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?

Explanation

Question 7 of 34

1

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?

Select one of the following:

  • Frontal lobe

  • Parietal lobe

  • Temporal lobe

  • Occipital lobe

  • Insular lobe

Explanation

Question 8 of 34

1

Which are the main two imaging modalities for brain tumour diagnosis?

Select one or more of the following:

  • CT

  • MRI

  • X-ray

  • Ultrasound

  • PET scan

  • Angiogram

Explanation

Question 9 of 34

1

What is the most common type of brain tumour?

Select one of the following:

  • Metastases from cancer process elsewhere in the body

  • Meningiomas

  • Neuroepithelial tissue cancers

  • Nerve sheath cell cancers

Explanation

Question 10 of 34

1

Neuroepithelial tissue brain tumours can arise from any of the following cell types, however which is the most common?

Select one of the following:

  • Astrocytes

  • Oligodendrocytes

  • Ependymal cells

  • Neuronal cells

  • Pineal cells

Explanation

Question 11 of 34

1

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There are ( 4, 3, 5 ) WHO gradings of astrocytic tumours

Explanation

Question 12 of 34

1

The only truly benign astrocytoma is...

Select one of the following:

  • Grade I astrocytoma

  • Grade II astrocytoma

  • Grade III astrocytoma

  • Grade IV astrocytoma

Explanation

Question 13 of 34

1

Of all astrocytomas, which most commonly occur in children?

Select one of the following:

  • Grade I astrocytoma

  • Grade II astrocytoma

  • Grade III astrocytoma

  • Grade IV astrocytoma

Explanation

Question 14 of 34

1

What is the most typical mode of treatment for a grade I astrocytoma?

Select one of the following:

  • Surgery

  • Chemotherapy

  • Radiotherapy

Explanation

Question 15 of 34

1

Low grade astrocytomas are also known as

Select one of the following:

  • Grade I astrocytoma

  • Grade II astrocytoma

  • Grade III astrocytoma

  • Grade IV astrocytoma

Explanation

Question 16 of 34

1

What tends to be the main presentation of low grade astrocytomas?

Select one of the following:

  • Headaches

  • Seizures

  • Diplopia

  • Nausea+Vomiting

Explanation

Question 17 of 34

1

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Low grade (Grade II) astrocytomas tend to affects people ( over, under ) 50

Explanation

Question 18 of 34

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 19 of 34

1

Of the malignant astrocytomas, which is by far the most common?

Select one of the following:

  • Anaplastic Astrocytoma

  • Glioblastoma Multiforme

Explanation

Question 20 of 34

1

Grade III Astrocytoma =
Grade IV Astrocytoma =

Select option below to complete the highlighted text

    Glioblastoma Multiforme
    Anaplastic Astrocytoma

Explanation

Question 21 of 34

1

Which treatment has been proven to be most effective in treating brain tumours?

Select one of the following:

  • Chemotherapy alone

  • Radiotherapy alone

  • Chemotherapy and Radiotherapy Combination

Explanation

Question 22 of 34

1

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Meningiomas are the most common ( benign, malignant ) intracranial tumour. They arise from ( arachnoid, dura, pia ) cap cells in the meninges.

Explanation

Question 23 of 34

1

There are four aggressive meningiomas. What are they?

Select one or more of the following:

  • Clear Cell Meningioma

  • Chordoid Meningioma

  • Rhabdoid Meningioma

  • Papillary Meningioma

  • Sphenoid Meningioma

  • Intraventricular Meningioma

Explanation

Question 24 of 34

1

How are meningiomas typically managed?

Select one of the following:

  • Surgery

  • Chemotherapy

  • Radiotherapy

Explanation

Question 25 of 34

1

Fill the blank space to complete the text.

A nerve sheath tumour originating in the myelin producing cells of the PNS is called a

Explanation

Question 26 of 34

1

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A is a tumour of the myelin forming cells of the 8th cranial nerve (vestibulocochlear nerve).

Explanation

Question 27 of 34

1

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Vestibular Schwannomas tend to occur in patients with the condition ( Neurofibromatosis Type II, Neurofibromatosis Type I )

Explanation

Question 28 of 34

1

The most common CNS germ cell tumour is...

Select one of the following:

  • Germinoma

  • Teratoma

  • Yolk sac Tumour

  • Choriocarcinoma

Explanation

Question 29 of 34

1

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?

Select one or more of the following:

  • Alpha Fetoprotein (AFP)

  • Human Choriogonadotrophin (bHCG)

  • Placental Alkaline Phosphatase (pALP)

  • Carcinoembryonic Antigen (CA)

  • CA-125 Protein

Explanation

Question 30 of 34

1

Which type of drug can be used to shrink a Prolactinoma?

Select one of the following:

  • Dopamine Receptor Agonist

  • Dopamine Receptor Antagonist

  • Somatostatin Analogue

Explanation

Question 31 of 34

1

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Name the dopamine receptor agonist used most frequently to shrink Prolactinomas

Explanation

Question 32 of 34

1

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The main therapy of choice for Acromegaly is the use of Analogues

Explanation

Question 33 of 34

1

Which of the following is a somatostatin analogue that can be used to treat acromegaly?

Select one of the following:

  • Octreotide

  • Lansoprazole

  • Pramipexole

  • Metyrapone

Explanation

Question 34 of 34

1

Tumour markers in germ cell tumours:
AFP present =
Beta-hCG present =
PLAP present =

Select option below to complete the highlighted text

    Germinoma
    Choriocarcinoma
    Yolk Sac Tumour

Explanation

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