.閉合性顱腦損傷練習(xí)題.closedheadinjuryrcises

1、27.閉合性顱腦損傷練習(xí)題（27. closed head injury exercises）double click the space in the answer bar to see the answerproblemoptionanswer1. scalp hematoma treatment principle, the correct thing is thata require incision and drainageb all need to puncture, remove, accumulate blood, pressure bandagec was treated w

2、ith local proper pressure bandagingd huge scalp hematoma easy to cause midline shift, so dehydration treatmente required intravenous blood transfusion to rescue shockc2. which one of the following is wrong about scalp laceration?a the wound has brain tissue overflow and must be sutured immediately t

3、o become closedb management focuses on the presence of skull and brain injuriesc debridement and suture as soon as possibled debridement time limit to 24 hourse even if the wound is not big, bleeding is moreathe 3. is usually based on the diagnosis of cranial fracturea head radiographyb scalp wounds

4、c local palpation and bone fricative smelld severe headache accompanied by vomitinge contralateral hemiplegiaa4. diagnosis of skull base fracture is usually based ona head radiographyb injury mechanismc severe headache accompanied by vomitingd clinical signse disturbance of consciousnessd5. the most

5、 accurate basis of diagnosing skull base fracture isa suffered violent head and facial injuriesb eyelid cyanosisc x-ray showed linear fracture of frontal boned nasal bleedinge cerebrospinal fluid rhinorrheae6. which of the following is wrong with regard to skull base fractures?a is mostly linear fra

6、ctureb can be divided into three types according to their locationc if it hurts the carotid artery, it will form a cavernous sinus fistulad can be manifested as central facial paralysise x-ray showed only 30 to 50% of the fracture lined7. the most urgent treatment of the following brain injuries isa

7、 brain concussionb at the top of the depression fracture, depth of 1.5cmc skull base fracture leads to external auditory canal bleedingd open craniocerebral injury, brain tissue overflowe intracranial hematoma with cerebral hernia formatione8. which of the following is not the basis for the diagnosi

8、s of concussion?a occurs immediately after traumab retrograde amnesia after injuryc can be characterized by pale skin, low blood pressure, and shallow breathing during a disturbance of consciousnessd headache, nausea and vomiting after waking upe csf positive red blood celle9. which of the following

9、 is wrong about diffuse axonal injury?a had a long coma at the time of the injuryb is mentally conscious and may become comatose again after secondary brain damagec causes extensive cortical damaged coma is mainly caused by the loss of contact between the cortex and subcortical centerse c t showed m

10、ultiple punctate hemorrhages in areas such as the cortex, medulla junction, corpus callosum, and so onc10. on the hypothalamus following traumatic injury, which is wronga early consciousness disorderb early pyramidal signc high fever or low temperatured digestive tract bleeding or perforatione diabe

11、tes insipidusb11. acute supratentorial epidural hematoma is the most common source of bleedinga meningeal veinb meningeal arteryc venous sinusd fracture diploic veine cerebral superficial bridging veinb12. after traumatic intracranial hematoma formation, its severity lies ina is caused by extensive

12、brain injury with extensive frontotemporal involvementb hematoma is located deep in the white matterc the middle meningeal artery is damaged and the bleeding rate is fastd causes intracranial hypertension and leads to brain herniae associated with cerebral edemad13., the most basic measures to rescu

13、e the patients with intracranial hematoma area 20% mannitol 250ml quick static pointb tracheotomy to reduce brain edemac clears hematomad artificial hibernation and physical coolinge decompressive craniectomycthe 14. cranial fossa fracture is the most easily damaged cranial nervea olfactory nervefac

14、ial nerve of bc trigeminal nerved abduct nervetrochlear nerve of eathe 15. cranial fossa fracture is the most easily damaged cranial nervea olfactory nerveb abduct nervec oculomotor nerved vagus nervefacial nerve of ee16. of the clinical manifestations of cerebral contusion, which of the following d

15、oes not match?a coma lasts several hours to several weeks after injuryb delayed mydriasis and no cerebral herniac often has signs of life changesd may have paralysis, aphasia, etce lumbar puncture, cerebrospinal fluid has bloodb17., the most characteristic manifestation of acute epidural hematoma is

16、a intermediate wakefulnessb bilateral pupil asymmetryc skull fracture line crosses the middle meningeal artery sulcusd carries on sexual consciousness obstaclee contralateral limb paralysis or pyramidal tract sign is positivea18. which of the following statements is wrong with regard to chronic subd

17、ural hematoma?a can have mental symptomsb can have hemiplegiac must have a history of traumad is more common in middle-aged and elderly peoplee may have increased intracranial pressurec19. traumatic acute brain compression is the most reliable early clinical manifestationa blood pressure rises, brea

18、thing slows downb headache, vomiting, optic disc edemac headache, vomiting, progressive sexual disturbanced, c, ushing reactione pupils vary from normal to unequalc20. the fatal factor of traumatic intracranial hematoma isa acute brain compression cerebral herniab cerebrospinal fluid circulatory obs

19、tructionc diffuse brain edemad subarachnoid hemorrhagee coma - lung infectiona21. about scalp laceration, the mistake isa blunt impact does not occur lacerationb should be bandaged immediately to stop bleedingc laceration after 24 hours can be sutured at first stageafter d debridement, it is better

20、to use stratified suturee scalp defects should be repaireda22., the most wound changqing scalp wound time isa 4 hoursb 8 hoursc 12 hoursd 24 hourse can be extended to 72 hours with antibioticse23. in the debridement of open craniocerebral trauma, the most important treatment principle isa removal of

21、 contaminants and foreign bodiesb fully trimmed wound skinc tight suture or repair dura materd timely use of broad-spectrum antibioticse subcutaneous placement drainagea24. men, 50 years old. 2 hours ago, the stick injuries to the left temporal region, headache and vomiting after injury, unconscious

22、ness 1 hours ago, moderate coma in the examination, left mydriasis, and pathological sign of the right limb (+)a skull depressed fracture with brain herniab subdural hematoma with cerebral herniac epidural hematoma with cerebral herniad brain injury with cerebral herniae primary brain stem injuryc25

23、., one patient who has consciousness and headache for 6 hours after brain injury. which of the following treatment principles is inadvisable?a consciousness clear, so go home to observeb observed changes in consciousness, pupil, life sign, etc.c for cranial c t examinationd symptomatic treatmente ex

24、plained to the family that delayed intracranial hematoma may be presenta26., there is a traumatic intracranial hematoma patients, the right pupil loose, emergency treatment first choicea head c t scan, the location of hematomab quick static point mannitolc drill and explore the hematoma as soon as p

25、ossibled tracheotomy prevents brain hypoxiae intraventricular puncture and drainage of cerebrospinal fluidb27. there is a patient, skull fracture, combined with cerebrospinal fluid rhinorrhea, the wrong treatment isa adrenaline gauze stuffed nasal cavityb antibiotic therapyc stay in bed quietlyd pre

26、vents constipation and upper respiratory tract infectionse ban on lumbar puncturea28., there is a right top pillow to the ground to fall patients, 2 hours after injury, the left pupil scattered, the hematoma site isa right upper occipital partb right frontotemporalc left upper occipital partd left f

27、rontotemporalposterior fossa of ed29. is there a skull fracture patient? which one is right?a bloody cerebrospinal fluid patients with lumbar paracentesisb cerebrospinal fluid leakage, should as soon as possible to repair the dura leakagec reduces visual acuity after injury and can be decompressed m

28、ore than one monthd skull base fractures require surgical treatment for nerve decompressione focuses on whether there is brain damage, and treatment of cerebrospinal fluid leakage, nerve damage and so one30., 4 hours after a trauma, the patient had headache or vomiting. which hematoma was definitely

29、 present?a temporal trauma, local hematoma of the scalpb occipital injuries, swelling of soft tissueneurological dysfunction occurred immediately after c injuryd progressive deepening of consciousness disordere cranial c t findingse31. one patient was diagnosed with cerebral contusion,which is not t

30、he basis for diagnosing brain contusion?a csf contains red blood cellsb consciousness disorder for more than 30 minutesc can manifest focal brain injury signd cerebrospinal fluid rhinorrheae, c, t have punctate high density foci in the foreheadd32., a patient with brain trauma, c, t showed a spindle

31、 shape of the right temporal axis, and the midline of the ventricles was displaced by compression. the diagnosis wasa brain contusionb subdural hematomac epidural hematomad intracerebral hematomae hypertensive intracerebral hemorrhagec33. of the patients had brain trauma, and c t showed a crescent l

32、ike high density image at the right fronto temporal roofa acute epidural hematomab acute subdural hematomac chronic subdural hematomad intracerebral hematomae hypertensive intracerebral hemorrhageb34., a 65 year old patient with a history of head trauma 2 months ago, presented with a headache, c, t,

33、 right, frontal, parietal, crescent, low density imaging, diagnosis was madea acute epidural hematomab acute subdural hematomac chronic subdural hematomad intracerebral hematomae hypertensive intracerebral hemorrhagec35., there is a 30 year old car accident head injury patients, deep coma, stimulate

34、 to have the brain rigidity attack, c, t no intracranial hematoma and brain contusion, the ring pool is not compressed, the diagnosis should bea brain concussionb brain contusionc axis injuryd brain stem injurye skull base fractured36., a 12 year old boy with a full head cap like subdural hematoma,

35、the preferred treatment isa pressure bandaging, static point hemostatic drugsb puncture blood, static point hemostatic drugsc wait until it is absorbed by itself and stop the bleedingd puncture blood pressure + bandaginge incision and drainage + pressure bandagingd37. there is a 20 year old female p

36、atient who has hemorrhagic cerebrospinal fluid overflow from the nasal cavity after traumaa nasal packing compression hemostasisb nasal irrigationc is treated with antibioticsd lumbar puncture cerebrospinal fluid bleedinge head low for drainagec38. the main measures to prevent the wound and intracra

37、nial infection are the first measures for the patients with open craniocerebral injurya closely observed changes in the conditionb applies broad-spectrum antibioticsc physiotherapy improves local blood circulationd strengthens nutrition and strengthens wound healing abilitye early debridemente39. 、

38、the most effective way to keep the airway clear and prevent the hypoxia is to treat the patients with severe craniocerebral injury and deep comaa maintain oxygenb placed the airwayc completely suctioningd tracheotomye gives respiratory stimulantsd40. men, 27 years old. coma immediately after head in

39、jury, awake in five minutes, coma again after three hours, x-ray findings of linear fracture of skull, and fracture line across the middle meningeal artery sulcusa brain contusionb acute epidural hematomac acute subdural hematomad traumatic intracerebral hematomae brain edemab41. female patients, ad

40、mitted to hospital for three days, immediately after the head injury, coma, 10 minutes after the sober, vomiting, injury can not be recalled, diagnosis isa brain concussionb contusion and laceration of brainc intracranial hematomad brain stem injurye brain insufficiencya42. the length of the interme

41、diate waking period depends mainly on the number of patients with acute epidural hematomaa extent of primary brain injuryb the source of bleedingc site of hematomad the rate of hematoma formationthe size of e hematomad43. men, 40 years old. the car fell down, left pillow to the ground, there is prog

42、ressive sexual consciousness disorder, followed by the right pupil dilated, diagnosis isa left occipital epidural hematomab left frontotemporal epidural hematomac left frontotemporal subdural hematomad right frontal temporal epidural hematomae right frontal temporal subdural hematomae44. women, 50 y

43、ears old. head stick injury, no history of coma and disturbance of consciousness, no skull fracture, and increased intracranial pressure after a month, most likelya chronic epidural hematomab multiple intracranial hematomac chronic subdural hematomad acute intracranial hematomae sequelae of concussi

44、onc45. women, 30 years old. the head injury coma after half an hour, awake after the left limb weakness, lumbar puncture and bloody cerebrospinal fluid,later on, the better, most likelya brain concussionb brain contusionc acute epidural hematomad acute subdural hematomae intracerebral hematomab46. i

45、s a 45 year old female patient, 3 hours before the accident, head injury and coma immediately after injury, c t after admission, admission examination moderate coma, right pupil, light reflex, left upper extremity hypermyotonia, pathological syndrome (+), left parietal occipital scalp hematoma with

46、diameter of 4.0cm. c t showed right frontotemporal high density crescent image. diagnosis isa right frontal temporal contusion, brain herniab right fronto temporal acute subdural hematoma, hernia cerebric right fronto temporal acute epidural hematoma, hernia cerebrid right fronto temporal acute subd

47、ural effusion, hernia cerebrie right frontal temporal brain hematoma, brain herniab47. is a 45 year old female patient, 3 hours before the accident, head injury and coma immediately after injury, c t after admission, admission examination moderate coma, right pupil, light reflex, left upper extremit

48、y hypermyotonia, pathological syndrome (+), left parietal occipital scalp hematoma with diameter of 4.0cm. c t showed right frontotemporal high density crescent image. the source of bleeding wasa meningeal arteryb contusion of cerebral surface arteriolec bridging veinsagittal sinus of the de arachno

49、id granuleb48. is a 45 year old female patient, 3 hours before the accident, head injury and coma immediately after injury, c t after admission, admission examination moderate coma, right pupil, light reflex, left upper extremity hypermyotonia, pathological syndrome (+), left parietal occipital scal

50、p hematoma with diameter of 4.0cm. c t showed right frontotemporal high density crescent image. the most important treatment isa hibernation, physical coolingb tracheotomyc dehydration treatmentd hemostasis, prevention of infection treatmente evacuation of hematomae49. is a 6 year old boy, 3 days ag

51、o in the right frontal touch on the corner of the table, then we can cry, right frontotemporal scalp uplift, local touch with 12cm * 12cm wave zone, no neurological symptoms, brain c t showed right frontotemporal scalp swelling. diagnosis isa scalp contusionb subcutaneous hematomac subperiosteal hem

52、atomad cap subperiosteal hematomae scalp effusiond50. is a 6 year old boy, 3 days ago in the right frontal touch on the corner of the table, then we can cry, right frontotemporal scalp uplift, local touch with 12cm * 12cm wave zone, no neurological symptoms, brain c t showed right frontotemporal sca

53、lp swelling. disposal should bea pressure bandagingb local not for disposalc physical therapy, to promote its absorptiond puncture blood pressure + bandaginge incision and drainage + pressure bandagingd51. is a 30 year old male patient with accident right frontotemporal injury to unconsciousness, ab

54、out half an hour after waking, after waking, headache, vomiting, 3 hours after the disturbance of consciousness, lateral skull film showed right temporal linear fracture, the fracture line across the middle meningeal artery sulcus, c t showed high density right temporal fusiform shape, midline ventr

55、icle compression, admission right pupil. diagnosis isa right temporal subdural hematoma, hernia cerebrib right temporal epidural hematoma, hernia cerebric right temporal brain contusion, hernia cerebrid right temporal intracerebral hematoma, hernia cerebrie subarachnoid hemorrhage, cerebral herniab52. is a 30 year old male patient with accident right frontotemporal injury to unconsciousness, about half an hour af