principles of cranial surgery

for tumors
MCQ
1. Increased compliance shifts the pressure volume curve:

A. to the Right .
B. to the left.
C. upward.
D. downward.
E. no shift.

A. To the right.
2. In a patient with a brain SOL, All the following suggest
impending coning and dictate urgent management except:

A. Drowsiness.
B. Persistent vomiting.
C. Bradycardia.
D. Progressive hemiplegia.
E. Neck stiffness

D. Progressive hemiplegia.
3. All the following radiological features of a brain tumor
suggest aggressive behavior, and need urgent management
except:
A. large size.
B. Deep tumor.
C. Edema.
D. Shift and compression of normal structures.
E. Hydrocephalus.

B. Deep tumor.
4. During surgery in siting position which of the following is
used in early detection of air embolism?

A. Brain stem evoked potential.

B. Auditory evoked potential.
C. Precordial Doppler.
D. CVP.
E. Intraoperative MRI

C. Precordial Doppler.
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4

7
3
2 6

1
6. In cranial surgery for tumors, which of the following is
classified as regional complication?
A. Motor deficit
B. Sensory deficit
C. Aphasia/ Dysphasia
D. Visual field defect
E. Seizure

E. seizure
7. Neurological complications are more commonly associated
with all the followings Except:
A. Age above 60
B. Karnofsky scale score below 60
C. Deep seated tumor
D. Tumor proximity to eloquent brain areas.
E. Total excision

E. Total excision
8. All the following are regional complications except:

A. Seizure.
B. Hydrocephalus.
C. D.V.T.
D. CSF leak.
E. Abscess.

C. D.V.T.