Order Brain Trauma Foundation Essay

Order Brain Trauma Foundation Essay
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Order Brain Trauma Foundation Essay
1. An 8-month-old female child who previously
fell from a changing table. She presented on
referral from her pediatrician for evaluation
of a left frontoparietal mass. Which one of
the following management strategies is most
appropriate?
a. Cranioplasty
b. Conservative management
c. Dural repair
d. Duraplasty and autologous cranioplasty
e. Head bandage
8. Brain trauma foundation guidelines for medical management of TBI in children, which
one of the following statements is incorrect:
a. Rewarming after hypothermia should not
occur faster than 1 °C/h
b. A minimum CPP of 40 mmHg may be
considered
c. 3% hypertonic saline should be considered for the treatment of intracranial
hypertension
d. Continuous infusion of propofol for
either sedation or the management of
refractory intracranial hypertension
should be avoided
e. The use of corticosteroids is not recommended to improve outcome or
reduce ICP
2. Regarding Brain Trauma Foundation guidelines for surgical management of TBI in children which one of the following is LEAST
accurate?
a. ICP should be treated when exceeding
15 mmHg in children
b. Simultaneous EVD and lumbar drainage
of CSF can be used in refractory intracranial hypertension
c. Decompressive craniectomy should only
be considered after the onset of late signs
of neurologic deterioration
d. Decompressive craniectomy improves
long-term neurological outcome compared to aggressive medical management
of raised ICP
Order Brain Trauma Foundation Essay
e. ICP monitor placement is recommended
for early detection of expanding intracerebral hematomas in coagulopathic children
10. A 4-month-old girl presenting with apnea
and loss of consciousness. CT head scan is
shown. Which one of the following is most
likely?
a. Fall from 3 ft height
b. Moya disease
c. Traumatic vertebral artery dissection
d. Shaken baby syndrome
e. Benign enlargement of the subdural space
11. Which one of the following is not a sensitive
finding of non-accidental injury in children?
a. A fractured femur in a pre-mobile child.
b. Bruising away from bony prominences
c. Torn labial frenulum in a mobile child
d. Genital and perineal burns
e. Multiple fractures and/or fractures of
different ages
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