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Neurosurgery Question Bank

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Neurosurgery Question Bank

Most common symptoms:

-AVM

-Astrocytoma

-Cerebellar bleed

Initial Diagnostic studies:

-AVM

-Seizure

-Meningitis

-Stroke

-Tumor

What to do next? Initial mgt at ER?

4 post op develop motor deterioting weakness most likely cause? (Edema? Vasopasm? Occlusion?)

Topics:

1. Amyloid angiopathy
a. major site (multiple subcortical?)
b. demogrpahics
c. most common’s
d. percentages?
e. tx
2. AVM
a. 1 yr rebleeding %
b. major site
c. component (arteries, venules, nidus?) - description of each component? hyalinize
venule, abormal artery?
d. standard criteria used in avm
e. most common initial symptoms (seizure? Headache? Asymptomatic?)
f. Tx? Embolization? Steriotactic surgery?
g. rupture
3. CNS Tumors
a. Most common in adult and pedia
b. differentiate -tx -pathologic feature -prognosis
c. standard criteria/grading scale for each tumors
i. Meningioma simpsons grading
ii. AVM spelzter grading
4. Stroke
a. gcs
b. infarct vs bleed
c. most common site
d. hemorrhage 2 to oral anticoagulant
e. syndromes with s/sx of each artery affected
5. ICH -types -tx
a. Thalamic hemorrhage what major s/sx? -major sensory loss? -ipsi motor weak? -dialted
pupils? -aphasia?
b. Alcohol drugs cause ICH?
c. Nimodipine vasospasm prevention
6. SAH
a. most common site
b. Hunt and hess
7. Hydrocephalus (normo vs ex vacuo) -different causes -mgt -triad of normo
a. Compensation hydroceph in normo vs ex vacuo -is it thru compression of brain? Artery
flow?
b.
8. Spinal -spinal root in vertebra level -brown Sequard
9. CSF -rate -cpp = map -icp ? -mechanism
10. Cereballar bleed
a. dandy walker (triad?) -s/sx
b. Cerebellar bleed what artery? Pica aica basillar?
c. When to operate ceberallar bleed? Greater tham 3 cm?
d. Is the initial symtpoms loss of consciousness? Coma?
11. Herniation
12. Steriotactic surgery
13. Anatomy & Physiology
a. holes in skull and its accompany -visual pathway
b. Pterion, asterion
c. Cranial nerves esp trigeminal like cavernus sinus
d. Ant vs post pituitary gland components
14. Seizure -intial labs -intial mgt
15. TBI types and vessel involved
16. ICP - Cushings triads

Situational analysis

 wrong doings of senior ask you to stay quiet..what will you do


 wrong mgt plan of senior, pt ask you for mgt plan, what will you do?
 why manhole is circle? -no angulation and sharp edges to avoid injuries and ease of trnasport in
and out of manhole

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