Question 1
Question
What is the mean CSF pressure?
Question 2
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A CSF pressure of greater than [blank_start]15[blank_end]mmHg represents an abnormally high pressure.
Question 3
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Most of the CSF in the brain is produced by [blank_start]choroid[blank_end] plexuses
Question 4
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CSF is for the most part absorbed into the subarachnoid space via
Answer
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Arachnoid granulations
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Dura granulations
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Arachnoid pillars
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Dura pillars
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Dura pillars
Question 5
Question
The main role of the CSF in supporting the brain is to reduce its effective ...?
Question 6
Question
A baby with Hydrocephalus may present with which of the following clinical signs? (4 answers)
Question 7
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Ventriculomegaly is a brain condition of the foetus whereby the [blank_start]lateral ventricles[blank_end] become dilated.
Answer
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lateral ventricles
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3rd ventricle
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4th ventricle
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3rd & 4th ventricles
Question 8
Question
When performing a ventriculoperitoneal shunt to drain a hydrocephalus, there is a risk of infection. What should be used within the shunt to prevent this?
Answer
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Iodine
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Triclocarban
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Benzalkonium Chloride
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Chlorine
Question 9
Question
In children, Hydrocephalus causes the eyes to become fixed in which direction?
Answer
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Gazing downwards
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Gazing upwards
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Cross eyed
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Gazing left
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Gazing right
Question 10
Question
What are the three main symptoms of Normal Pressure Hydrocephalus in adults?
Answer
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Ataxia
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Memory decline
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Incontinence
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Headaches
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Ear ache
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Vomiting
Question 11
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Normal Pressure Hydrocephalus usually occurs in those [blank_start]over 60[blank_end] and is one of the potentially reversible causes of [blank_start]dementia[blank_end]
Question 12
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The ataxia associated with normal pressure hydrocephalus is usually related to the ...
Question 13
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Of the symptoms associated with normal pressure hydrocephalus, which tends to present first?
Answer
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Ataxia
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Memory dysfunction
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Urinary incontinence
Question 14
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For normal pressure hydrocephalus, what is the most widely used method of treatment?
Question 15
Question
A 47 year old woman presents to her GP complaining of visual field constriction and headaches. She has a BMI of 31 and a PMH of hypothyroidism. It is likely that she is suffering from [blank_start]Idiopathic Intracranial Hypertension[blank_end]
Question 16
Question
A 67 year old woman presents with her daughter, who describes her mother as having had increasing problems with her memory over the past year. She has also developed a urinary incontinence. What condition may be causing her memory problems?
Question 17
Question
Which of the following signs would you expect to find on fundoscopy of a patient with idiopathic intracranial hypertension?
Answer
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Papilloedema
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Corneal injection
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Venous engorgement
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Micro-haemorrhages
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Exudates
Question 18
Question
The standard diagnostic investigation for Idiopathic Intracranial Hypertension is a measurement of the lumbar pressure. If a lumbar puncture finds the CSF pressure to be over [blank_start]25[blank_end]cm CSF, then the condition is very likely.
Question 19
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Both CT and MRI scans are normal in cases of idiopathic intracranial hypertension and therefore these modes of investigation are not diagnostically useful.
Question 20
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In most cases, the main treatment for idiopathic intracranial hypertension is ...
Answer
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Weight loss
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Lumbar puncture
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Venous stenting
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Diuretics
Question 21
Question
Orthostatic headache is a medical condition in which a person develops a headache while [blank_start]vertical[blank_end] and the headache is relieved when [blank_start]horizontal[blank_end]
Answer
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vertical
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horizontal
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horizontal
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vertical
Question 22
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An orthostatic headache is the main symptom of a condition of negative CSF pressure within the brain cavity. This condition is called [blank_start]Spontaneous Intracranial Hypotension[blank_end].
Question 23
Question
[blank_start]Spontaneous Intracranial Hypotension[blank_end]: Headache relieved by lying horizontally
[blank_start]Meningitis[blank_end]: Headache exacerbated by lying horizontally
Answer
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Meningitis
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Spontaneous Intracranial Hypotension
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Normal Pressure Hydrocephalus
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Idiopathic Intracranial Hypertension
Question 24
Question
What would the following investigations show in a patient with spontaneous intracranial hypotension?
Lumbar puncture: [blank_start]Low CSF pressure[blank_end]
MRI Head: [blank_start]Meningeal enhancement[blank_end]
Answer
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Low CSF pressure
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High CSF pressure
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Normal CSF pressure
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Meningeal enhancement
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Ventricular enhancement
Question 25
Question
Name the condition: A generic term referring to a disorder in which a cyst or cavity forms within the spinal cord
[blank_start]Syringomyelia[blank_end]
Question 26
Question
One of the early signs of Syringomyelia is the development of hyperhidrosis. What is this?