BPT 5th Semester MCQ Quiz

Resuscitation and Guidelines

• Resuscitation in head injuries follows Advanced Trauma Life Support (ATLS) guidelines.
• ATLS provides protocols for managing trauma patients, emphasizing rapid assessment and treatment.

Cushing's Triad

• Cushing's triad includes hypertension, bradycardia, and irregular respiration.
• It is a clinical syndrome indicating elevated intracranial pressure (ICP).

Triple H Therapy

• Triple H therapy is used for the management of vasospasms in Subarachnoid Hemorrhage.
• Components of Triple H therapy:
  • Induction of hypertension
  • Hypervolemia
  • Hemodilution
• Maintaining normothermia is not part of this therapy.

Glasgow Coma Scale (GCS)

• In a traumatic head injury scenario, a young gentleman displays confusion, responds to painful stimuli, and localizes pain.
• Based on observed behaviors, his GCS score is calculated as 11.

Hangman Fracture

• The Hangman fracture refers to a fracture of the C2 vertebra.
• This type of fracture is associated with a high risk of spinal cord injury.

Common Brain Tumors

• The most common brain tumor in adults is metastasis.
• Metastatic tumors originate from cancer in other parts of the body and spread to the brain.

Three Column Concept

• The Three Column concept of spine fractures was designed by Denis.
• This framework helps classify spinal injuries and guide treatment decisions.

Unconscious Head Injury Patients

• In unconscious head injury cases, CT scans may reveal biconcave hypodense lesions.
• Management often involves surgical intervention, with craniotomy indicated for hematoma sizes greater than 15mm.

Initial Management of Raised ICP

• Initial management of raised intracranial pressure includes various interventions that should be avoided:
  • Trendelenburg's positioning is not recommended in this context.
  • Loosening collars, controlling seizures, and maintaining normocapnia ventilation are appropriate measures.

Autonomic Dysreflexia

• Autonomic dysreflexia may manifest in patients with spinal injuries and involves symptoms like bradycardia and flushing from specific triggers.
• Hypotension is not typically categorized under autonomic dysreflexia.

Exam Preparation Tips

• Focus on understanding key concepts rather than memorizing answers.
• Familiarize with the terminology and definitions related to head injuries, spinal injuries, and management protocols.
• Understand the implications of each condition and treatment to answer application-based questions effectively.