Headache Evaluation for Brain Tumor Quiz

Play an AI-generated podcast conversation about this lesson

Which of the following headache symptoms is NOT concerning for the possibility of a brain tumor?

Headaches that are positional or worsen with exertion

Chronic, mild headaches that have been present for years (correct)

New headaches in older adults or children

Headaches associated with any new neurologic symptoms

What was the primary goal of the literature searches described in the text?

To evaluate the effectiveness of different treatment approaches for brain tumors

To determine when a headache should prompt evaluation for a brain tumor (correct)

To assess the prevalence of brain tumors in the general population

To identify causes of brain tumors

Which of the following types of articles were included in the literature review?

All types of articles, including case reports and editorials

Only clinical trials

Only meta-analyses and systematic reviews

Clinical trials, meta-analyses, systematic reviews, retrospective studies, and guidelines/consensus papers (correct)

What is the primary focus of the text?

When a headache should prompt evaluation for a brain tumor Signup and view all the answers

Which of the following headache characteristics is NOT mentioned as concerning for the possibility of a brain tumor?

Chronic, dull headaches that have been present for several years Signup and view all the answers

What was the primary method used to identify articles for the literature review described in the text?

A combination of searching PubMed, reviewing citations, and consulting the authors' knowledge Signup and view all the answers

Which imaging feature is most characteristic of a glioblastoma?

Ring enhancement with central necrosis Signup and view all the answers

What is the primary purpose of performing a cerebrospinal fluid (CSF) cytology following surgery for a brain tumor?

To assess for leptomeningeal dissemination Signup and view all the answers

Which corticosteroid is preferred for the treatment of cerebral edema associated with brain tumors?

Dexamethasone Signup and view all the answers

Which of the following imaging features is most characteristic of primary central nervous system (CNS) lymphoma?

Homogeneous enhancement Signup and view all the answers

Which of the following brain tumors is associated with the presence of a 'dural tail' on imaging?

Malignant meningioma Signup and view all the answers

What is the primary function of the T2-weighted/FLAIR sequence in the imaging of brain tumors?

To detect the presence of vasogenic edema Signup and view all the answers

What is the most common presenting symptom of lower-grade gliomas?

Seizures Signup and view all the answers

Which type of tumor is most likely to cause ocular palsies, hearing loss, or dysphagia?

Tumors with leptomeningeal dissemination Signup and view all the answers

Which of the following is a common symptom of primary central nervous system lymphoma (PCNSL)?

Blurred vision or floaters Signup and view all the answers

Which type of tumor is most likely to cause anosognosia, defined as the inability to recognize one's deficits?

Frontal lobe tumors Signup and view all the answers

Which symptom is most likely to be associated with tumors in the dominant hemisphere?

Speech difficulty Signup and view all the answers

What is a common symptom of increased intracranial pressure?

Transient loss of consciousness (plateau waves) Signup and view all the answers

Which of the following symptoms is most commonly associated with tumors in the frontal lobe?

Contralateral motor deficits Signup and view all the answers

A patient with a tumor in the temporal lobe is likely to experience which of the following symptoms?

Seizures Signup and view all the answers

Which of the following symptoms is most commonly associated with tumors in the parietal lobe?

Contralateral sensory deficits Signup and view all the answers

A patient with a tumor in the occipital lobe is likely to experience which of the following visual field defects?

Contralateral homonymous hemianopia Signup and view all the answers

Which of the following symptoms is most commonly associated with tumors in the cerebellum?

Nausea and vomiting Signup and view all the answers

A patient with a tumor in the brainstem is likely to experience which of the following symptoms?

Facial droop Signup and view all the answers

What is the recommended dose of dexamethasone for severe symptoms of glioblastoma?

10 mg bolus, then 16 mg/d in divided doses Signup and view all the answers

Which of the following is NOT a potential adverse effect of bevacizumab, a vascular endothelial growth factor inhibitor?

Hyperkalemia Signup and view all the answers

What is the recommended prophylaxis for patients taking dexamethasone at a dose of 3 mg or higher for at least 1 month?

Pneumocystis pneumonia (PCP) prophylaxis Signup and view all the answers

Which of the following statements about trimethoprim-sulfamethoxazole (TMP-SMX) is FALSE?

It should not be used in patients with sulfa allergy Signup and view all the answers

What is the mechanism of action of dapsone, an alternative agent for Pneumocystis pneumonia prophylaxis?

Para-aminobenzoic acid antagonism Signup and view all the answers

Which of the following is NOT listed as a potential adverse effect of dapsone?

Nephrotoxicity Signup and view all the answers

What is a characteristic symptom reported by patients with steroid-induced myopathy?

Difficulty rising from a seated position Signup and view all the answers

What is the primary target of Bevacizumab, a monoclonal antibody used for treating glioblastomas?

VEGF-A Signup and view all the answers

How is IDH-wild-type glioblastoma diagnosed in patients aged 55 years and older?

Absence of immunoreactivity for IDH1 R132H Signup and view all the answers

What does the 'not elsewhere classifiable' (NEC) designation indicate in diagnostic criteria?

'Appropriate diagnostic testing performed, but no alternative diagnosis found' Signup and view all the answers

Which group of patients should have further molecular work-up to exclude specific genetic findings related to brain tumors?

Patients with pediatric-type diffuse gliomas Signup and view all the answers

What symptom may resolve after discontinuing steroid use in patients with steroid-induced myopathy?

Difficulty climbing stairs Signup and view all the answers

What type of headaches should prompt evaluation for a brain tumor?

Headaches that worsen with exertion Signup and view all the answers

Which population group may new headaches raise concern for brain tumors?

Older adults or children Signup and view all the answers

What types of studies were primarily included in the literature review mentioned in the text?

Retrospective studies Signup and view all the answers

Which action was part of the methods for conducting literature searches in the text?

Excluding articles with the MeSH term 'pediatric' Signup and view all the answers

What type of headaches may raise concern for brain tumor if they represent a change from prior headache patterns?

Acute, severe headaches Signup and view all the answers

Which type of brain tumor was NOT specifically mentioned in the text's literature searches?

Astrocytoma Signup and view all the answers

Which type of glioma typically affects patients younger than 50 years of age?

Oligodendroglioma Signup and view all the answers

What is the peak incidence age range for glioblastoma, the most common malignant primary brain tumor in adults?

75-84 years Signup and view all the answers

Which organization's classification of Tumors of the Central Nervous System is referred to as the international standard?

World Health Organization Signup and view all the answers

Which of the following terms is used in the text to describe the group of brain tumors that includes glioblastoma?

Adulttype diffuse gliomas Signup and view all the answers

What is the most common presenting symptom of lower-grade gliomas?

Seizures Signup and view all the answers

What is the recommended dose of dexamethasone for mild to moderate symptoms of glioblastoma?

4 to 8 mg per day without a loading dose Signup and view all the answers

How often is once- or twice-a-day dosing typically recommended for dexamethasone in managing neurologic symptoms?

Once or twice a day Signup and view all the answers

What is the primary reason for the slow taper of corticosteroids in patients with glioblastoma?

To identify the minimal steroid dose required for symptom control Signup and view all the answers

In patients with glioma, what percentage may experience seizures?

75% Signup and view all the answers

Which group of drugs can affect the metabolism of concomitant medications due to their effect on hepatic cytochrome P450 enzymes?

Antiepileptic drugs Signup and view all the answers

In patients receiving the equivalent of prednisone 20 mg daily for more than a month, approximately how much dexamethasone would they be taking daily?

$3 mg daily Signup and view all the answers

Which brain region is most commonly affected by tumors causing anosognosia?

Frontal lobes Signup and view all the answers

Which symptom is most likely to occur with leptomeningeal dissemination or increased intracranial pressure?

Cranial neuropathies Signup and view all the answers

Which brain tumor type preferentially affects deep matter structures?

Primary central nervous system lymphoma (PCNSL) Signup and view all the answers

What is the most common presenting symptom of lower-grade gliomas?

Seizures Signup and view all the answers

Which brain region is most likely associated with speech difficulties when affected by a tumor?

Dominant hemisphere Signup and view all the answers

Which symptom is most likely associated with tumors affecting the nondominant hemisphere?

Spatial distortion and constructional apraxia Signup and view all the answers

Which of the following is a potential adverse effect of dexamethasone, a corticosteroid used to treat cerebral edema in brain tumors?

Hyperglycemia Signup and view all the answers

What is the recommended prophylaxis for patients taking dexamethasone at a dose of 3 mg or higher for at least 1 month?

Trimethoprim-sulfamethoxazole (TMP-SMX) Signup and view all the answers

What is the mechanism of action of bevacizumab, a monoclonal antibody used in the treatment of glioblastoma?

Vascular endothelial growth factor inhibition Signup and view all the answers

Which of the following is NOT a potential adverse effect of trimethoprim-sulfamethoxazole (TMP-SMX), a drug used for Pneumocystis pneumonia prophylaxis?

Methemoglobinemia Signup and view all the answers

Which of the following is a potential adverse effect of dapsone, an alternative agent for Pneumocystis pneumonia prophylaxis?

Methemoglobinemia Signup and view all the answers

What is the recommended dosing of dexamethasone for severe symptoms of glioblastoma?

Bolus 10 mg, then 16 mg/day in divided doses Signup and view all the answers

Headache Evaluation for Brain Tumor Quiz

Choose a study mode

Podcast

Questions and Answers

Which of the following headache symptoms is NOT concerning for the possibility of a brain tumor?

What was the primary goal of the literature searches described in the text?

Which of the following types of articles were included in the literature review?

What is the primary focus of the text?

Which of the following headache characteristics is NOT mentioned as concerning for the possibility of a brain tumor?

What was the primary method used to identify articles for the literature review described in the text?

Which imaging feature is most characteristic of a glioblastoma?

What is the primary purpose of performing a cerebrospinal fluid (CSF) cytology following surgery for a brain tumor?

Which corticosteroid is preferred for the treatment of cerebral edema associated with brain tumors?

Which of the following imaging features is most characteristic of primary central nervous system (CNS) lymphoma?

Which of the following brain tumors is associated with the presence of a 'dural tail' on imaging?

What is the primary function of the T2-weighted/FLAIR sequence in the imaging of brain tumors?

What is the most common presenting symptom of lower-grade gliomas?

Which type of tumor is most likely to cause ocular palsies, hearing loss, or dysphagia?

Which of the following is a common symptom of primary central nervous system lymphoma (PCNSL)?

Which type of tumor is most likely to cause anosognosia, defined as the inability to recognize one's deficits?

Which symptom is most likely to be associated with tumors in the dominant hemisphere?

What is a common symptom of increased intracranial pressure?

Which of the following symptoms is most commonly associated with tumors in the frontal lobe?

A patient with a tumor in the temporal lobe is likely to experience which of the following symptoms?

Which of the following symptoms is most commonly associated with tumors in the parietal lobe?

A patient with a tumor in the occipital lobe is likely to experience which of the following visual field defects?

Which of the following symptoms is most commonly associated with tumors in the cerebellum?

A patient with a tumor in the brainstem is likely to experience which of the following symptoms?

What is the recommended dose of dexamethasone for severe symptoms of glioblastoma?

Which of the following is NOT a potential adverse effect of bevacizumab, a vascular endothelial growth factor inhibitor?

What is the recommended prophylaxis for patients taking dexamethasone at a dose of 3 mg or higher for at least 1 month?

Which of the following statements about trimethoprim-sulfamethoxazole (TMP-SMX) is FALSE?

What is the mechanism of action of dapsone, an alternative agent for Pneumocystis pneumonia prophylaxis?

Which of the following is NOT listed as a potential adverse effect of dapsone?

What is a characteristic symptom reported by patients with steroid-induced myopathy?

What is the primary target of Bevacizumab, a monoclonal antibody used for treating glioblastomas?

How is IDH-wild-type glioblastoma diagnosed in patients aged 55 years and older?

What does the 'not elsewhere classifiable' (NEC) designation indicate in diagnostic criteria?

Which group of patients should have further molecular work-up to exclude specific genetic findings related to brain tumors?

What symptom may resolve after discontinuing steroid use in patients with steroid-induced myopathy?

What type of headaches should prompt evaluation for a brain tumor?

Which population group may new headaches raise concern for brain tumors?

What types of studies were primarily included in the literature review mentioned in the text?

Which action was part of the methods for conducting literature searches in the text?

What type of headaches may raise concern for brain tumor if they represent a change from prior headache patterns?

Which type of brain tumor was NOT specifically mentioned in the text's literature searches?

Which type of glioma typically affects patients younger than 50 years of age?

What is the peak incidence age range for glioblastoma, the most common malignant primary brain tumor in adults?

Which organization's classification of Tumors of the Central Nervous System is referred to as the international standard?

Which of the following terms is used in the text to describe the group of brain tumors that includes glioblastoma?

What is the most common presenting symptom of lower-grade gliomas?

What is the recommended dose of dexamethasone for mild to moderate symptoms of glioblastoma?

How often is once- or twice-a-day dosing typically recommended for dexamethasone in managing neurologic symptoms?

What is the primary reason for the slow taper of corticosteroids in patients with glioblastoma?

In patients with glioma, what percentage may experience seizures?

Which group of drugs can affect the metabolism of concomitant medications due to their effect on hepatic cytochrome P450 enzymes?

In patients receiving the equivalent of prednisone 20 mg daily for more than a month, approximately how much dexamethasone would they be taking daily?

Which brain region is most commonly affected by tumors causing anosognosia?

Which symptom is most likely to occur with leptomeningeal dissemination or increased intracranial pressure?

Which brain tumor type preferentially affects deep matter structures?

What is the most common presenting symptom of lower-grade gliomas?

Which brain region is most likely associated with speech difficulties when affected by a tumor?

Which symptom is most likely associated with tumors affecting the nondominant hemisphere?

Which of the following is a potential adverse effect of dexamethasone, a corticosteroid used to treat cerebral edema in brain tumors?

What is the recommended prophylaxis for patients taking dexamethasone at a dose of 3 mg or higher for at least 1 month?

What is the mechanism of action of bevacizumab, a monoclonal antibody used in the treatment of glioblastoma?

Which of the following is NOT a potential adverse effect of trimethoprim-sulfamethoxazole (TMP-SMX), a drug used for Pneumocystis pneumonia prophylaxis?

Which of the following is a potential adverse effect of dapsone, an alternative agent for Pneumocystis pneumonia prophylaxis?

What is the recommended dosing of dexamethasone for severe symptoms of glioblastoma?

More Like This

Headache Types

Headache Evaluation and Diagnosis Quiz

Classification and Evaluation of Headaches

Health Assessment Lecture 4: Head and Neck