AKINLABI OMOTOYOSI OYINDAMOLA 18-0223-973

CEREBRAL EDEMA MCQ

1.Which of the following is the diuretic of choice for cerebral edema
a) Spironolactone
b) Thiazide
c)Furosemide
d) Mannitol
Answer: D
2. A male involved in a car accident had a sudden loss of consciousness, he is evaluated in the
emergency department, CT scan reveals cerebral edema, his present Glasgow scale score is 9, he
is treated with a drug to reduce brain swelling. Which drug is most appropriate for this patient?
a) Spironolactone
b) Thiazide
c)Furosemide
d) Mannitol
Answer: D
3. Type of cerebral edema that causes distruption in cellular metabolism which impairs the
functioning of Na/K pump with BBB intact.
Answer: Cytotoxic cerebral edema
4. Which of the following is NOT a symptom of cerebral edema?
a) Headache
b) Neck pain/ stiffness
c) Confusion
d) Restless leg syndrome
Answer: D
5. Cerebral edema causes the brain to swell, increasing pressure as the brain presses
Against the skull. This pressure can affect blood flow and deprive the brain of :
a) Oxygen
b) Pottasium
c) Nitrogen
 d) Calcium Answer: A

6. The type of cerebral edema that breakdown of tight junctions of BBB, may result from Trauma,
tumors, inflammation with high altitude cerebral is called?

Answer: Vasogenic cerebral edema

7. Results in abnormal pressure gradient and movement of water into the brain leading to progressive
cerebral edema, this type of cerebral edema is called?

Answer: Osmotic Cerebral edema

8. How is cerebral Edema treated?

Answer: Osmotherapy via Mannitol

Diuretics to decrease fluid volume

Corticosteriods to surpress immune system

Hypertonic saline

Surgical decompression if very severe

9. If glascow coma score is less than 8 and ICP is less than 20 what is the treatment regimen?

Answer: Monitor

10. Mannitol and hypertonic Nacl must be given through

a) Border line

b) Central line

Answer: B

11. When using mannitol, what interval is ICP ordered to see if additional dose is needed at 5-6hrs mark

a) 2hrs

b) 3hrs

c) 4hrs

Answer: C

12. Factors that causes cerebral edema except?

a) TBI

b) Stroke

c) None of the above

d) Tumors
Answer: C

13. Procedures to diagnose cerebral edema?

a) All of the above

b) CT scan

c) Head MRI

d) Physical examination

Answer: A

14. This is performed to reduce the ICP by lowering the amount of carbondioxide in the bloodstream

a) Osmotherapy

b) Hypothermia

c) Hyperventilation

Answer: C

15. In severe cases of cerebral edema this procedure is carried our to relieve ICP?

a) Ventriculostomy

b) Surgery

c) Hypothermia

Answer: B