Increased Intracranial Pressure (ICP)
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Questions and Answers

Which of the following is NOT a key factor in the treatment goals for increased intracranial pressure (ICP)?

  • Ensuring adequate cerebral blood flow and oxygen delivery
  • Maintaining ICP below 20 mmHg
  • Maintaining cerebral perfusion pressure (CPP) above 70 mmHg
  • Maintaining mean arterial pressure (MAP) above 90 mmHg (correct)
  • Which of the following is a consequence of altered cerebral hemodynamics and blood-brain barrier dysfunction?

  • Decreased cerebral edema
  • Increased hydrocephalus (correct)
  • Decreased cerebral blood flow
  • Decreased intracranial pressure
  • The concept of cerebral autoregulation refers to the ability of the brain to:

  • Regulate the passage of molecules across the blood-brain barrier
  • Maintain a constant cerebral blood flow despite changes in perfusion pressure (correct)
  • Increase blood flow to areas of increased neuronal activity
  • Maintain a constant blood pressure
  • Which of the following is a key characteristic of the blood-brain barrier?

    <p>It actively transports nutrients and metabolites across the barrier</p> Signup and view all the answers

    What is the primary mechanism by which cerebral edema can lead to increased intracranial pressure (ICP)?

    <p>Displacement of brain tissue and cerebrospinal fluid within the cranial cavity</p> Signup and view all the answers

    How does the concept of cerebral perfusion pressure (CPP) relate to the regulation of cerebral blood flow?

    <p>Maintaining an appropriate CPP is crucial for ensuring adequate cerebral blood flow</p> Signup and view all the answers

    What is the primary goal when managing increased intracranial pressure (ICP)?

    <p>Maintain a cerebral perfusion pressure (CPP) greater than 70 mmHg</p> Signup and view all the answers

    What is the mechanism behind the autoregulation failure seen in increased ICP?

    <p>Systemic arterial vasoconstriction leading to decreased blood flow</p> Signup and view all the answers

    What is the primary mechanism by which increased ICP leads to a decrease in cerebral perfusion pressure?

    <p>Increased resistance to venous outflow, increasing blood volume</p> Signup and view all the answers

    What is the key pathophysiological change that occurs in the later stages of increased ICP?

    <p>Cerebral hypoxia and hypercapnia leading to acidosis</p> Signup and view all the answers

    Which of the following is the most accurate description of the blood-brain barrier in the context of increased ICP?

    <p>The blood-brain barrier is disrupted, leading to the formation of cerebral edema</p> Signup and view all the answers

    What is the primary mechanism by which cerebral edema contributes to increased ICP?

    <p>Compression of cerebral veins, reducing venous outflow</p> Signup and view all the answers

    Which of the following is a key mechanism that protects the brain from fluctuations in systemic blood pressure?

    <p>Autoregulation</p> Signup and view all the answers

    What is the primary function of the blood-brain barrier?

    <p>Selectively restricting the passage of substances from the blood to the brain</p> Signup and view all the answers

    Which of the following is a potential complication of increased intracranial pressure?

    <p>Development of cerebral edema</p> Signup and view all the answers

    What is the relationship between mean arterial pressure (MAP) and intracranial pressure (ICP) in determining cerebral perfusion pressure (CPP)?

    <p>CPP = MAP - ICP</p> Signup and view all the answers

    Which of the following conditions can lead to a disruption of the blood-brain barrier?

    <p>All of the above</p> Signup and view all the answers

    What is the primary mechanism by which cerebral autoregulation maintains constant blood flow to the brain?

    <p>Altering the diameter of cerebral arterioles</p> Signup and view all the answers

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