Mental Performance on Game Day

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Questions and Answers

What is the primary focus of the author's quest?

  • Becoming the best in a competition
  • Learning new hobbies
  • Achieving fame and recognition
  • Maximizing potential (correct)

The author believes that all people have equal potential.

False (B)

What metaphor does the author use to explain personal potential?

Canisters

The Sly Man is a concept based on Gurdjieff's idea of __________.

<p>The Fourth Way</p> Signup and view all the answers

What does the author suggest as a method for increasing focus?

<p>Playing for the sake of playing (C)</p> Signup and view all the answers

The author encourages students to read material as if they were reading a novel for pleasure.

<p>True (A)</p> Signup and view all the answers

What does the author mean by 'filling the canister all the way up to the brim'?

<p>Reaching one's full potential</p> Signup and view all the answers

Match the following concepts with their descriptions:

<p>Mental Optimization = Focusing on the process of learning Sly Man = A deeper aspect of self-improvement Gurdjieff = Philosopher associated with the Sly Man Best Version of Yourself = Maximizing personal potential</p> Signup and view all the answers

What is primarily suggested to help manage performance anxiety in situations like ‘Game Day’?

<p>Practicing regularly (A)</p> Signup and view all the answers

Fear is described as a dishonest word in the context of test anxiety.

<p>True (A)</p> Signup and view all the answers

What is the root cause of the 'test anxiety' problem according to the content?

<p>The inability to control fear</p> Signup and view all the answers

The fear of failure is actually the fear of a perceived threat to your _______ and self-esteem.

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

Which scalp hematoma subtype is NOT limited by suture lines?

<p>Subgaleal hemorrhage (C)</p> Signup and view all the answers

A cephalohematoma can cross suture lines.

<p>False (B)</p> Signup and view all the answers

Which of the following is NOT mentioned as a source of fear in performance situations?

<p>Fear of the unknown (D)</p> Signup and view all the answers

The content suggests that it's important to ignore feelings of fear to achieve success.

<p>False (B)</p> Signup and view all the answers

What type of hematoma covers a much larger area than a cephalohematoma?

<p>Subgaleal hemorrhage</p> Signup and view all the answers

A subcutaneous hemorrhage occurs ______ to the aponeurosis.

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

What feeling does 'test anxiety' primarily arise from according to the text?

<p>Fear of perceived threat to ego</p> Signup and view all the answers

Match the scalp hematoma subtype with its characteristic feature:

<p>Caput succedaneum = Superficial to the aponeurosis Subgaleal hemorrhage = Deep to the aponeurosis Cephalohematoma = Limited by suture lines Subcutaneous hemorrhage = Located under the skin</p> Signup and view all the answers

What complication may occur from a subgaleal hemorrhage?

<p>Abscess formation (C)</p> Signup and view all the answers

Caput succedaneum typically requires intervention.

<p>False (B)</p> Signup and view all the answers

What is a possible effect of rapid blood loss from a subgaleal hemorrhage?

<p>Life-threatening condition</p> Signup and view all the answers

What is suggested as an ideal time for studying?

<p>Early morning (A)</p> Signup and view all the answers

Procrastination is encouraged as a strategy to manage study time.

<p>False (B)</p> Signup and view all the answers

What should one consider to avoid interruptions during study time?

<p>Possible distractions and their impact on study plans.</p> Signup and view all the answers

Never procrastinate; if you have a chance to do it now - then __________.

<p>do it</p> Signup and view all the answers

Match the resources with their purpose:

<p>Essentials: Crack the Core Vol 1 = Core study material TitanRadiology.com = Board review course Physics War Machine = Physics review resource Q Bank via TitanRadiology = Practice questions</p> Signup and view all the answers

What concept is emphasized to encourage timely studying?

<p>Premeditatio Malorum (B)</p> Signup and view all the answers

It's a good idea to ditch low yield lectures for more productive study time.

<p>True (A)</p> Signup and view all the answers

What should be prepared before ditching a lecture to study?

<p>A hiding place/study environment and clear goals.</p> Signup and view all the answers

What condition is characterized by the presence of a thrombosed cortical vein at the vertex?

<p>Cerebral Edema (C)</p> Signup and view all the answers

Retroclival hematomas are always thick and pronounced.

<p>False (B)</p> Signup and view all the answers

What is considered enlarged for extra-axial fluid spaces in millimeters?

<p>greater than 5 mm</p> Signup and view all the answers

The bridging vein may show medial displacement when there is a _______ fracture.

<p>depressed skull</p> Signup and view all the answers

Match the following conditions with their descriptions:

<p>Epidural = Extra-axial collection of blood between the skull and the dura mater Chronic Subdural = CSF density accumulation over time Cortical veins = Adjacent to the inner table, may be impacted by trauma Prominent CSF Spaces = Typically indicated by symmetry in imaging findings</p> Signup and view all the answers

What indicates the presence of edema in cervical soft tissues?

<p>Condition referred to as 'Look Lower' (A)</p> Signup and view all the answers

Identify one common indicator of asymmetry in bridging veins post-injury.

<p>medial displacement</p> Signup and view all the answers

Enlarged extra-axial fluid spaces can be symmetric.

<p>True (A)</p> Signup and view all the answers

What is BESSI an acronym for?

<p>Benign Enlargement of the Subarachnoid Space in Infancy (B)</p> Signup and view all the answers

BESSI typically presents around month 5 or 6.

<p>False (B)</p> Signup and view all the answers

What is the male predominance associated with BESSI?

<p>There is a strong male predominance.</p> Signup and view all the answers

The typical resolution time for BESSI is after ______ years with no treatment.

<p>2</p> Signup and view all the answers

Match the following characteristics with BESSI and subdural conditions:

<p>BESSI = Increased risk of isolated subdural bleed Subdural = Typically caused by trauma</p> Signup and view all the answers

What complication is associated with BESSI?

<p>Subdural bleed (C)</p> Signup and view all the answers

Brain parenchyma is usually abnormal in cases of BESSI.

<p>False (B)</p> Signup and view all the answers

In BESSI, what is the typical condition of the ventricles?

<p>Normal ventricle size or very mild communicating hydrocephalus.</p> Signup and view all the answers

Flashcards

Test Anxiety

A term that implies discomfort or distress, often used to describe the feeling of nervousness or worry about a test.

Fear

A core human emotion that alerts us to potential danger, triggering a response to protect our safety.

Present in the Moment

A mental state where you are fully engaged in the present moment, without distractions from past regrets or future worries.

Imposter Syndrome

A state of mind where individuals feel like they're not as capable or intelligent as they appear to be.

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Fear of Looking Bad

A situation where individuals experience fear or anxiety based on a potential social disapproval or embarrassment.

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Psychogenic

A condition where someone believes their mental state is causing physical symptoms like pain, nausea, or fatigue.

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Conquering Fear

The ability to manage and control the effects of fear to prevent it from inhibiting performance or decision-making.

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Channeling Fear

Harnessing the energy of fear to fuel motivation and achieve goals, rather than allowing it to cause paralysis.

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Cephalohematoma

A collection of blood that forms under the scalp, between the skin and the periosteum. This hematoma is limited by suture lines, meaning it won't cross the lines of the baby's skull.

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Subgaleal Hemorrhage

A collection of blood that forms under the scalp, between the periosteum and the aponeurosis. This hematoma can be quite large and is not limited by suture lines.

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Caput Succedaneum

A superficial collection of blood under the scalp, located above the aponeurosis. This hematoma usually resolves quickly and has a smooth, diffuse appearance.

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Subgaleal Hemorrhage - Life-threatening

A condition that occurs when a subgaleal hemorrhage is present, potentially causing rapid blood loss. This can be a serious issue for newborns.

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Cephalohematoma - Calcification

A complication that can occur in some cases of cephalohematoma, where the outer border of the hematoma calcifies forming a bony rim, resembling myositis ossificans.

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Cephalohematoma - Infection

A complication that can occur in cephalohematoma, where the hematoma becomes infected. This can be a serious issue and may require drainage.

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Subgaleal Hemorrhage - Osteomyelitis

A complication that can occur in subgaleal hemorrhage, where the bone underneath the hematoma becomes infected.

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Skull Osteomyelitis

An inflammation of the bone, often caused by infections, and usually occurs as a complication of a subgaleal hemorrhage, affecting the skull.

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The Canister Analogy

The idea that everyone's potential is different, like canisters of varying sizes; emphasizing maximizing one's personal potential, rather than striving for absolute perfection.

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The Sly Man

A mental state of complete immersion in an activity, focusing solely on the present moment and the act itself, without seeking external outcomes or distractions.

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The Sly Man Method

A mental optimization technique that involves engaging in activities solely for the sake of experiencing them, without pursuing external goals or outcomes.

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Studying Endurance

The ability to sustain focus and concentration for extended periods, particularly when engaged in intellectually demanding tasks.

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Recall Ability

The process of retrieving information from memory, specifically relevant to the context of studying material.

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Getting Through the Material

A detrimental mindset that focuses on completing tasks as quickly as possible, neglecting true understanding and engagement with the material.

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Reading for Pleasure

The act of reading with genuine interest and absorption, similar to reading for pleasure, enhancing comprehension and retention.

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The Quest for Personal Optimization

The overall process of maximizing one's potential, striving to become the best version of oneself across all aspects of life.

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Premeditatio Malorum

The tactic of planning for potential disruptions and setbacks that could derail your study plan. It encourages you to think about all the negative things that may happen and prepare for them.

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Never put off or delay studying

The principle of seizing every opportunity to study, without delaying or procrastinating. It emphasizes that opportunities may be fleeting and unpredictable.

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Skipping Low-Yield Lectures

The benefit of prioritizing studying over attending low-yield lectures. This strategy focuses on maximizing learning by spending time on activities that produce the most knowledge.

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Early Morning Studying

The idea that studying early in the morning is an optimal strategy for some individuals. It suggests that studying in the morning can improve focus and productivity.

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Stealing Time During The Day

The idea that stealing time during the day, especially during breaks between lectures or during lunch, can be a valuable strategy to maximize study time.

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Having a Hiding Place for Studying

The importance of having a designated study environment or hiding place to maximize focus and productivity during those stolen study sessions.

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Setting Clear Goals for Studying

The principle of setting clear goals for what you want to achieve during a stolen study session. It emphasizes the importance of focus and intention.

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Sleep Is for Pussies

The belief that studying is more important than sleep. This extreme view suggests that sleep can be sacrificed for studying.

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DAI (Diffuse Axonal Injury)

A type of brain injury that causes bruising and swelling in the brain tissue. It is often caused by a strong impact to the head.

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Parenchymal Contusion

A specific type of DAI where the brain tissue is bruised and damaged due to a direct blow to the head. It is often associated with skull fractures and other brain injuries.

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Extra-Axial Fluid Space

A collection of blood that forms outside the brain. It is typically caused by a tear in a blood vessel.

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Epidural Hematoma

A type of extra-axial fluid space located between the skull and the dura mater (the outermost layer of the meninges).

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Subdural Hematoma

A type of extra-axial fluid space located between the dura mater and the arachnoid mater (the middle layer of the meninges).

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Chronic Subdural Hematoma

A specific type of extra-axial fluid space located under the dura mater (the outermost layer of the meninges) and is usually caused by a tear in a bridging vein. They can grow slowly and cause symptoms over time.

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Enlarged Extra-Axial Fluid Spaces

A specific type of subdural hematoma that is larger than 5 mm. It indicates a significant amount of fluid buildup.

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Subdural Hygroma

A specific type of subdural hematoma that is caused by a tear in a bridging vein. It can be acute or chronic.

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BESSI (Benign Enlargement of the Subarachnoid Space in Infancy)

A condition in infants where the spaces between the brain's membranes (subarachnoid spaces) widen, usually outgrowing by age 2.

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What is the most common cause of macrocephaly in infants?

A type of macrocephaly (large head) caused by BESSI, commonly appearing around 2-3 months of age, and more frequent in boys.

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What do we see in BESSI when looking at cortical veins?

Cortical veins located near the inner surface of the skull (inner table).

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What happens to the cortical veins in a subdural hematoma?

In BESSI, these veins are displaced away from the inner table of the skull and may not be easily visible.

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What bleeding condition is sometimes associated with BESSI?

A collection of blood within the subdural space, often seen in association with BESSI.

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What distinguishes the subdural hematomas associated with BESSI from those related to non-accidental trauma?

A collection of blood in the subdural space that occurs simultaneously, suggesting a single event is the cause (e.g., a minor trauma).

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What is a similar condition to BESSI, but seen in premature infants?

An enlargement of the extra-axial spaces (around the brain) in premature infants treated with ECMO, although not strictly BESSI.

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What is the state of the brain parenchyma and ventricles in BESSI?

The brain tissue itself is normal, and the ventricles (fluid-filled chambers within the brain) are either normal or mildly enlarged (communicating hydrocephalus).

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Study Notes

Performance on Game Day

  • Performance in practice should equal performance on game day.
  • Focusing on the present moment, avoiding distractions from anxiety, fear, or regret, improves focus.
  • Fear, more specifically fear of perceived threat to ego and self-esteem (fear of embarrassment, or exposure as a fraud), underlies test anxiety.

Variations and Adaptability

  • The "Sly Man" method of optimizing mental performance:
    • Engage in activities (listening to music, dancing) solely for the experience without trying to derive meaning or analyze them.
    • Focus on the present moment, minimizing daydreaming and absent-mindedness.
    • Study for the purpose of studying, avoiding "getting through the material" mentality.
    • Treat studying like reading a novel, for pleasure.
  • Sleep is for pussies. Optimize sleep, and if possible, steal an hour during the day for focused study sessions.
  • Never procrastinate studying.
  • Premeditate potential problems/interruptions, to avoid procrastination

Resources for Studying

  • Essentials: Crack the Core Vol 1, Crack the Core Vol 2, Physics War Machine, Crack the Core Case Companion, and Combat Ready - Q&A book.
  • Strongly recommended: TitanRadiology.com and RadiologyRonin.com courses.
  • Supplemental: Google images.
  • Recommended Q bank: Author's TitanRadiology Q bank; multiple commercial Q banks also suggested.

Scalp Trauma

  • Three scalp hematoma subtypes: caput succedaneum, cephalohematoma, and subgaleal hemorrhage.

  • Caput succedaneum:

    • Location: subcutaneous (superficial to the aponeurosis)
    • Suture lines: not limited by suture lines.
    • Trivia: covers a wider area than cephalohematoma; potentially life threatening (rapid blood loss); resolves within a few weeks, and often not seen until hours or days after delivery.
  • Cephalohematoma:

    • Location: under the periosteum (skin of the bone).
    • Suture lines: limited by suture lines (won't cross sutures). Outer border may calcify.
    • Trivia: resolves within a few days; requires no intervention.
  • Subgaleal Hemorrhage:

    • Location: deep to the aponeurosis (between the aponeurosis and periosteum).
    • Suture lines: not limited by suture lines.
    • Trivia: potentially life-threatening (rapid blood loss); can get super infected (E.Coli); can cause skull osteomyelitis; resolves within a few weeks.
  • Look High, Look Low for specific injury subtypes:

    • Look High: thrombosed cortical vein at the vertex.
    • Look Low: retroclival hematoma (thin hyperdense sliver in the pre-pontine region).
    • Look Lower: edema within cervical soft tissues

Brain - Select Topics

  • Brain tumors, cord tumors, and other pediatric neurological pathologies are discussed in Volume 2.
  • Congenital heart, GU, GYN, and MSK topics are in other chapters.
  • Enlarged extra-axial fluid spaces: these are considered enlarged if >5mm.
  • BESSI (benign enlargement of the subarachnoid space in infancy) - Cortical veins adjacent to the inner table. It’s the most common cause of macrocephaly. Typically presents around month 2 or 3. Has a strong male predominance. Typically resolves after 2 years. Increased risk of subdural bleed (spontaneous or trauma).
  • Subdural hygroma: usually displaced, or asymmetric in size, cortical veins, often not seen. Also related to extra-axial fluid.

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