Head Injuries

Group Discussion Of Physical Inj

By Dr Abo Yazid

Choose only one answer

1 - The following scalp wound posses a great MLS A - Scalp avulsion. B - Scalp laceration C - Firearm injuries D - Cut wounds 2 - Which is lot true about traumatic meningitis : A - Presence of contused wound at the scalp. B - Pus is collected underlying the wound. C - Meningococci are the causative organic: d - Fissure fracture may be present. 3-D.D CONTUSED SCALP wound from cut wound by: A – Edges B - Bleeding C – Hair D - Tissue bridges 4 - Rspid healing occur in : -A-Fissure racture B - Cut fr cture C — Local ised depressed fracture D- Comminuted fracture 5 - The head of an axe may produce : -A - Fissure fracture B - Localised depressed fracture C - Localised depressed comminuted fraciuie D - Both A&B E - Both B&C 6 - In fissure fracture the followings are true except: -

Group Discussion Of Physical Inj

By Dr Abo Yazid

A — It is caused by a blunt instrument B — May occur alone or with oilier fractures

C - Take the shape of the causer Instrument D - Diastitic fracture is a subtype of fissure fracture 7 — Which is not true about ring fracture : A - It is caused by a blunt instrument B - May occur alone or with other fractures C - Always occur at the base D - It is a fissure fracture 8 — Permanent infirmity may follow : A - Fissure fracture B — Comminuted fracture C — Diastatic fracture D - Chipped fracture 9 — All skull fractures heal by fibrous tissue except : -A - Fissure fracture B - Cut fracture C — Cut comminuted fracture D — Comminuted fracture 10 — Ring fracture of the skull base : A - It is a depressed fracttire B - It occur around orbital plates C — It caused by falling on the vault D - It cased by falling on the breach 11 - Smoothening of the edges of fissure fracture occur after : A — 1 week B - 2 weeks C - 3 months D — 3 — 6 months

Group Discussion Of Physical Inj

By Dr Abo Yazid

12 - which of the following is not applied to fracture middle Ibssa A - otorrhea & ear bleeding may occur B - May cased by upper cut in boxmg C — Nuchal stiffness may occur D - May caused by a bullet injury 13 - Depress localized fracture caused by : -/ A — b1unt instrument, localized S.S.A with low momentum B- Blunt instrument, localized S.S.A with high momentum C - Blunt instrument, wide S.S.A with low momentum D - Blunt instrument, wide S.S.A with high momentum 14 - Lion forceps is used in the treatment of: -A - Fissure fracture B - Diastatic fracture C — Depressed localized fracture D — Depressed comminuted fracture 15 - Which of the following is not true in chipped fracture : -A - Caused by sharp instrument pass tangential B — May occur on the mastoid process C - Brain compression may occur D - Affecting only the outer skull layer

16 - Concussion may show :A - Projectile vomiting B - Muscles rigidity C - Slow pulse D - Non of the above. 17 - Arterial extradural hematoma usually originate from : -A - Middle meningeal artery. B - Diploic vessels C - Venous sinus

Group Discussion Of Physical Inj

By Dr Abo Yazid *>

D - Middle cerebral artery 18 - In concussion, the putse is : -A - Slow & week B - Slow, full C-Irregular D - Weak & rapid 19 - Chronic traumatic subdural haematoma : A - May be extension of subarachnoid haematoma B - Medullary herniation may occur. C - Atherosclerosis is a predesing factor D - Non of the above 20- During lucid interval : A - Reflexes are exaggerated B - Blood pressure rises C - Pupils are unequal D - Pupils are constricted 21 - Which of the following is true in pathological intracerebral haemorrhage /

A - Never occur in elderly B - Ltaemorrhage is more at surface than inward C - Skull fractures may be present D - Hypertension is an important predising factor 22 - Rupture aneurysm is an important factor in : A - Extradural haematonui B - Acute stibdural naematoma C - Subarachnoid haernak ma D - Chronic subdural haematoma 23 -In compression, which of the following is true : A - Pupils are wqual bilateral

Group Discussion Of Physical Inj

By Dr Abo Yazid

B - Pulse is weak & rapid C - Reflexes are exaggerated on contralateral side D - Treatment is conservative 24— Concussion may be followed by A - Compression B — Complete recovery C - Death D - Any of the above 25- Exaggerated reflexes at left side of side of the body may indicate A - Early compression at left side of the brain B - Early compression at right side of the brain

C - Brain concussion D - Retrograde amnesia 26 - Post - concussion automatism is : A - Amnesia toeard the old events B — Amnesia towaed the recent events C - Abnormal violent tendency D - Headache, neurosis & vertigo 27- Which of the following denote cerebral irritation : A - Fever B - Mydriasis C - Hypertension

D - Syncope 28 - Which is affected first in brain compression : -A - Veins B - Arteries C- Medulla D - Non of the above 29 - Muscle paralysis after brain trauma may denote : -A — Brain concussion B - Brain compression C - Syncope

Group Discussion Of Physical Inj

By Dr Abo Yazid

i D - Medullary herniation ID- Regarding contra - coup lesions, which is true : A — Brain injury occur on contra — lateral site of extermal trauma B — Not occur in brain laceration C — Stretching of the blood vessels may be trie cause in linear head movement D - Suction of the brain may be the eause in rotatory head movement