Matthew Coulson
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Neuropathology I: Introduction & Cerebrovascular Disease lecture given in Week 4

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Matthew Coulson
Created by Matthew Coulson about 6 years ago
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Neuropathology I: Introduction & Cerebrovascular Disease

Question 1 of 21

1

Learning point: A good way to remember layers of the cranium is with the acronym SCALP




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    Skin
    Connective Tissue
    Aponeurosis
    Loose Connective Tissue
    Pericranium

Explanation

Question 2 of 21

1

Fill the blank space to complete the text.

The central structure of a eukaryotic neuron responsible for producing rRNA is called the

Explanation

Question 3 of 21

1

Acute neuronal injury, whereby hypoxia/ischaemia causes irreversible damage to the neuronal cell (loss of nucleolus, etc) is known as ...

Select one of the following:

  • Red neuron

  • White neuron

  • Yellow neuron

Explanation

Question 4 of 21

1

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The most important histological indicator of CNS injury is .

Explanation

Question 5 of 21

1

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Gliosis is acute ( hyperplasia, hypoplasia ) and ( hypertrophy, atrophy ) of glial cells (astrocytes, oligodendrocytes, microglia) and is a major indicator of CNS damage.

Explanation

Question 6 of 21

1

Which type of glial cell is typically damaged as part of demyelinating conditions such as multiple sclerosis?

Select one of the following:

  • Oligodendrocytes

  • Schwann cells

  • Astrocytes

  • Microglia

Explanation

Question 7 of 21

1

The immune mediators of the CNS are called ...

Select one of the following:

  • Microglia

  • Oligodendrocytes

  • Astrocytes

  • Natural Killer cells

Explanation

Question 8 of 21

1

Are brain infarctions more frequently embolic or thrombotic?

Select one of the following:

  • Embolic

  • Thrombotic

Explanation

Question 9 of 21

1

Cerebral infarction (due to e.g. thrombosis or emboli) is more prevalent in women than men.

Select one of the following:

  • True
  • False

Explanation

Question 10 of 21

1

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Differentiate thrombotic from embolic cerebral infarction:
( Thrombotic, Embolic ) = Atherosclerotic segment formed in the arteries of the brain
( Embolic, Thrombotic ) = Substance formed elsewhere in the body (commonly internal carotid, aortic arch or heart) that travels to the brain in the blood and becomes lodged, thus causing infarction.

Explanation

Question 11 of 21

1

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Venous thrombi (red thrombi) typically form via blood stasis in which bodily organ?
The

Would this cause an embolic or thrombotic cerebral infarction?
cerebral infarction

Explanation

Question 12 of 21

1

In which artery of the brain is a thrombus most likely to form?

Select one of the following:

  • Anterior cerebral artery

  • Middle cerebral artery

  • Posterior cerebral artery

Explanation

Question 13 of 21

1

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Approximately 48 hours after a cerebral infarct, neutrophils are no longer the predominant cell type. What is the dominant cell type?
cells

Explanation

Question 14 of 21

1

In terms of Haemorrhagic infarcts, match the site of lesion to the clinical findings.
: Contralateral weakness or sensory loss. If dominant hemisphere may experience aphasia/apraxia
: Weakness predominantly contralateral face and arm
: Weakness and sensory loss in contralateral leg
: Vertigo, Ataxia, Dysarthria, Dysphagia, among other brain stem syndromes

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    Carotid artery disease
    Middle cerebral artery
    Anterior cerebral artery
    Vertebro-basilar artery disease

Explanation

Question 15 of 21

1

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Which clinical condition is the biggest risk factor for stroke?

Explanation

Question 16 of 21

1

Hypertension typically predisposes to which type of stroke?

Select one of the following:

  • Total Anterior Circulation Syndrome

  • Partial Anterior Circulation Stroke

  • Posterior Circulation Syndrome

  • Lacunar Stroke

Explanation

Question 17 of 21

1

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What is the most common type of stroke?
stroke

Explanation

Question 18 of 21

1

Intracerebral haemorrhages most typically occur in the ...

Select one of the following:

  • Basal Ganglia

  • Thalamus

  • Cerebellum

Explanation

Question 19 of 21

1

What are the most common vascular malformations?

Select one of the following:

  • Cavernous angiomas

  • Venous angiomas

  • Capillary telangiectases

  • Arteriovenous malformations

Explanation

Question 20 of 21

1

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Arteriovenous Malformations...
Involve shunting from ( artery to vein, vein to artery ), leading to formation of easily ruptured smooth muscle and aneurysms
Typically occur in the territory of the ( middle, anterior, posterior ) cerebral artery

Explanation

Question 21 of 21

1

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Subarachnoid haemorrhages most typically occur due to rupture of aneurysms. 90% of subarachnoid haemorrhages occur in the territory of the artery.

Explanation