Sports Approach to Head Injury Patients Quiz
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Questions and Answers

What is the Glasgow Coma Scale score indicative of severe trauma and a poor clinical state?

  • 13 to 15
  • 9 to 12
  • 8 or less (correct)
  • 16 to 18

    • Which patient with head injury would typically remain comatose from time of injury?

  • A patient who is conscious or rapidly regaining consciousness
  • A patient with serious cerebral damage following lucid interval
  • A patient with no significant symptoms
  • A patient who remains comatose from the time of injury (correct)

    • In the context of head trauma, what does a Glasgow Coma Scale score between 9 to 12 indicate?

  • Severe trauma
  • Normal neurologic function
  • Mild injury
  • Moderate injury (correct)

    • When should a Head CT scan be obtained according to the text?

    <p>Loss of consciousness for &gt; 1 minute</p> Signup and view all the answers

    What are the indications for obtaining a Head CT scan in the context of head trauma?

    <p>Severe and persisting headache, nausea and vomiting</p> Signup and view all the answers

    In the given clinical case, what does a GCS score of E3V3M5 represent?

    <p>GCS score of 11 indicating moderate trauma</p> Signup and view all the answers

    What abnormality would be found on the CT scan in the provided clinical case?

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

    Which type of hematomas is characterized by tearing of bridging pial veins and arteries from minor head trauma or acceleration injury?

    <p>Acute subdural hematoma</p> Signup and view all the answers

    In which type of subdural hematoma is urgent evacuation recommended if large enough to cause symptoms?

    <p>Acute subdural hematoma</p> Signup and view all the answers

    Which age group is at risk for developing chronic subdural hematomas?

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

    What is the typical location of a subdural hygroma?

    <p>Lateral cerebral convexities</p> Signup and view all the answers

    In which age group is a subdural hygroma most commonly seen?

    <p>Infants, children, adults</p> Signup and view all the answers

    What is a common risk factor for chronic subdural hematomas?

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

    Which type of hematoma may be hyper- or isodense on radiologic imaging?

    <p>Chronic subdural hematoma</p> Signup and view all the answers

    What is the causative factor for a cerebral contusion?

    <p>Shearing of parenchymal vessels</p> Signup and view all the answers

    Which radiologic factor is indicative of a cerebral contusion?

    <p>Multiple, confluent regions of edema intermixed with focal, acute blood</p> Signup and view all the answers

    What is the typical clinical presentation of acute subdural hematomas?

    <p>Drowsiness, coma; pupillary dilatation with contralateral then bilateral limb weakness; progressive stupor then coma</p> Signup and view all the answers

    What clinical profile is associated with a subdural hygroma?

    <p>Mimics chronic subdural hematoma</p> Signup and view all the answers

    In which age group is a cerebral contusion most likely to occur?

    <p>Infants, children, adults</p> Signup and view all the answers

    What would be the evolution time frame for a subdural hygroma?

    <p>Days to weeks</p> Signup and view all the answers

    What is the typical location for an acute epidural hematoma?

    <p>Lateral cerebral convexities</p> Signup and view all the answers

    In acute epidural hematoma, which vessel is commonly lacerated?

    <p>Middle meningeal artery</p> Signup and view all the answers

    What is a common radiologic factor associated with acute epidural hematomas?

    <p>Acute bulging epidural clot bounded by cranial sutures</p> Signup and view all the answers

    What is the typical age group at risk for acute epidural hematomas?

    <p>Children, young adults</p> Signup and view all the answers

    What is the usual clinical profile seen in acute epidural hematoma cases?

    <p>Lucid interval then coma, pupillary dilatation, limb weakness, stupor then coma</p> Signup and view all the answers

    What is the common surgical intervention for acute epidural hematomas?

    <p>Urgent evacuation</p> Signup and view all the answers

    Which type of injury is characterized by deceleration or rotational forces?

    <p>Diffuse axonal injury</p> Signup and view all the answers

    What is the typical age group at risk for diffuse axonal injury?

    <p>Any age group</p> Signup and view all the answers

    Which type of traumatic brain injury is largely reversible and may present with normal CT imaging?

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

    In concussion, what distinguishes the full form from the mild form?

    <p>Loss of consciousness or confusion after trauma</p> Signup and view all the answers

    Which brain region is commonly affected in diffuse axonal injury?

    <p>Corpus callosum</p> Signup and view all the answers

    What are the core features of a concussion?

    <p>Immediate loss of consciousness or confusion after trauma</p> Signup and view all the answers

    Why might a CT scan be normal in a patient with concussion?

    <p>Because concussions do not cause structural brain damage visible on CT scans</p> Signup and view all the answers

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