Order Polydipsia And Polyuria Discussion

Order Polydipsia And Polyuria Discussion
Order 5978456
Order Polydipsia And Polyuria Discussion
1. A 2-year-old presents after his mother noted
an abnormal white reflection in his right eye.
MRI is shown. Which one of the following
would you look for?
a. AT/RT
b. Hypothalamic hamartoma
c. Optic glioma
d. Pineoblastoma
e. Pontine glioma
2. A 4-year-old presents with torticollis, facial
asymmetry and ophthalmoparesis. Which
one of the following is appropriate next
management?
a. Biopsy
b. Radiotherapy
c. Chemotherapy
d. Midline suboccipital resection
e. Transoral resection
3. Which one of the following conditions is
most likely?
a. NF-1
b. NF-2
c. Tuberous sclerosis
d. Li-Fraumeni syndrome
e. Cowden syndrome
Order Polydipsia And Polyuria Discussion
4. A 5-year-old child presents with gait ataxia.
MRI is shown. Which one of the following
management strategies is appropriate in this
case?
a. Complete resection followed by
surveillance
b. Complete resection followed by focal
radiotherapy boost
c. Neoadjuvant chemotherapy followed by
resection and postoperative adjuvant
chemotherapy
d. Debulking surgery followed by craniospinal irradiation
e. Stereotactic radiosurgery
Order Polydipsia And Polyuria Discussion
5. A 9-year-old girl presents with headache and
vomiting. On examination there is bilateral
papilledema but she is otherwise neurologically stable. MRI is performed. Which one
of the following is the next appropriate step?
a. ICP monitoring
b. Lumbar puncture
c. Serum AFP and HCG
d. External ventricular drain
e. Endoscopic third ventriculostomy and
biopsy of lesion
6. A 13-year-old presents with polydipsia and
polyuria. Clinical examination is unremarkable. Serum blood tests show a Na 149 mEq/l
and serum osmolality is 315 mOsm/kg H2O,
with urine osmolality of 115 mOsm/l. MRI is
shown. Subsequent serum AFP and BHCG
are within normal limits. Which one of the
following is most likely?
a. Craniopharyngioma
b. Germinoma
c. Langerhans cell histiocytosis
d. NGGCT
e. Pineoblastoma
7. A 12-year-old boy presents with precocious
puberty and headache. CT head demonstrates obstructive hydrocephalus and pineal
region mass on CT. Serum HCG is
8178 IU/l, AFP is 5 ng/ml. What would be
the most appropriate next step in
management?
a. Stereotactic biopsy
b. Endoscopic biopsy
c. Endoscopic third ventriculostomy without biopsy
d. Tumor debulking
e. Ventriculoperitoneal shunt
8. An 8-year-old girl presents with symptoms of
raised intracranial pressure over the last
2 weeks. T1 GAD MRI is shown. Which
one of the following is most likely?
a. Arachnoid cyst
b. AT/RT
c. Choroid plexus papilloma
d. DNET
e. Medulloblastoma
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