Order Neurosurgery And Pregnancy

Order Neurosurgery And Pregnancy
Order 5976573
Order Neurosurgery And Pregnancy
1. Which one of the following best describes
the risk of subarachnoid hemorrhage during
pregnancy?
a. Lowest during the first trimester
b. Highest during the puerperium
c. Highest during the second trimester
d. Lowest during the third trimester
e. Highest during labor
f. Not increased during pregnancy, labor, or
puerperium
2. A 28-year-old left-handed female who is
14 weeks pregnant presented to the emergency department with worsening headache,
vomiting and drowsiness. CT head scan
showed a large right frontal tumor with significant edema. After 48 h of dexamethasone
her headache has improved but she still has a
mild left-sided arm weakness. Which one of
the following would be most appropriate?
a. Permit gestational advancement to second
trimester
b. Craniotomy and tumor resection followed
by chemoradiotherapy
c. Cesarean section followed by neurosurgery
d. Iatrogenic termination followed by neurosurgery
e. Radiotherapy alone until fetal maturity
established
3. At what gestational age is it generally
accepted that a ruptured cerebral aneurysm
should be managed by cesarean section under
general anesthesia followed by immediate
aneurysm exclusion?
a. 26 weeks
b. 28 weeks
c. 30 weeks
d. 32 weeks
e. 34 weeks
4. According to available evidence, which one of
the following statements is most correct
regarding the timing of cerebral arteriovenous
malformation rupture during pregnancy?
a. Most AVMs rupture during the first and
second trimesters
b. Most AVMs rupture during the puerperium
c. Most AVMs rupture during the second
trimester
d. Most AVMs rupture during the second
and third trimesters
e. Most AVMs rupture during labor
f. Same rate of AVM rupture throughout
pregnancy and puerperium
5. Back pain in pregnancy is most likely due to the
action which one of the following hormones?
a. FSH
b. Oestrodiol
c. Oxytocin
d. Progesterone
e. Relaxin
6. A 36-year-old female who is 20 weeks pregnant presents with sciatica, saddle anesthesia
and urinary incontinence. MRI of the lumbosacral spine reveals a significant L5/S1 disc
prolapse with compression of cauda equina
nerve roots. What would be your preferred
option?
a. Anterior discectomy in supine position
with 30° lateral decubitus tilt
b. Discectomy in lateral decubitus position
c. Discectomy with patient prone on fourposter frame
d. Iatrogenic termination and proceed to
discectomy in prone position
e. Laminectomy only in lateral decubitus
position
7. The additional risk of childhood cancer
above the natural risk (1 in 500) per CT
head performed on a pregnant female is
approximately:
a. Less than 1 in 1,000,000
b. 1 in 1,000,000 to 1 in 100,000
c. 1 in 100,000 to 1 in 10,000
d. 1 in 10,000 to 1 in 1000
e. 1 in 1000 to 1 in 200
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