Buy Pediatric Vascular Neurosurgery Discussion

Buy Pediatric Vascular Neurosurgery Discussion
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Buy Pediatric Vascular Neurosurgery Discussion
1. Which one of the following pathologies is
most likely to produce the ultrasound appearance seen below?
a. Band heterotopia
b. Germinal matrix hemorrhage
c. Hydrocephalus
d. Schizencephaly
e. Subependymal nodules
2. Which one of the following is most likely in a
child with the below MRI appearance presenting with increasing head circumference
and shortness of breath?
a. Cavernous malformation
b. Developmental venous anomaly
c. Dural AV fistula
d. Tentorial AVM
e. Vein of galen malformation
3. This 14-year-old presented with intraventricular hemorrhage. Which one of the following management options is likely to be
discussed based on this right ICA angiogram?
a. Coil embolization
b. Extracranial-Intracranial Bypass
c. Intravenous antibiotics
d. Onyx embolization
e. Stereotactic radiosurgery
4. Choroidal vein of Galen malformations present most commonly as:
a. Congestive heart failure
b. Delayed developmental milestones
c. Focal neurological deficit
d. Increasing head circumference
e. Subarachnoid hemorrhage
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5. Which treatment would be preferred in a
vein of Galen malformation patient with a
extremely high flow shunt and in which perforating arteries are of small caliber?
a. Surgical excision
b. Transfemoral transarterial embolization
c. Transfemoral transvenous embolization
d. Transtorcula
e. VP shunting
6. Wyburn-Mason syndrome is most accurately
described by which one of the following
statements?
a. Facial angioma and ipsilateral
parietooccipital AVM
b. Multiple visceral, muscosal, and
cerebral AVM
c. Optic tract glioma and midbrain AVM
d. Retinal angiomatosis, facial hemangioma,
and midbrain AVM
e. Retinal angioma and posterior fossa
hemangioblastoma
7. Which one of the following statements about
pediatric intracranial aneurysms is NOT
likely?
a. Infectious aneurysms are more common
in children than adults
b. Internal carotid bifurcation aneurysms are
the commonest type
c. Posterior circulation aneurysms are
more common that anterior circulation
aneurysms
d. There is an association with coarctation of
the aorta
e. They occur more commonly in males than
females
8. The approach LEAST likely to be utilized
during surgery for a dorsolateral brainstem
cavernous malformation is:
a. Anterior petrosectomy
b. Retrosigmoid
c. Suboccipital
d. Supracerebellar infratentorial
e. Transcallosal
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9. A 9-year-old boy sustains a left sided penetrating brain injury secondary to air rifle accident.
Initial CT head shows traumatic SAH and
hemorrhagic contusion in the left temporal
lobe. GCS recovers to 15 and he is discharged
after 7 days. He is readmitted 5 days later
with intermittent dysphasia and right facial
weakness. Which one of the following surgically treatable conditions are you concerned
about?
a. Enlarging aneurysm
b. Hydrocephalus
c. Maturation of hemorrhagic contusion
d. Meningitis
e. Vasospasm
10. A 22month oldmale childwith a history ofiron
deficiency anemia developed progressive lethargy and vomiting over several days, culminating in flaccid quadriparesis. Brain MRI and
MRV confirmed cerebral venous sinus thrombosis with subcortical white matter infarction.
Lumbar puncture revealed elevated opening
pressure, normal cerebrospinal fluid cell count,
protein and glucose. Laboratory studies
showed Hb 7.5 mg/dl with iron deficiency,
and a positive lupus anticoagulant. The most
appropriate management strategy is:
a. IV rehydration
b. IV rehydration and systemic heparin
c. IV rehydration and thrombolysis
d. IV rehydration and warfarinization
e. IV rehydration and venous stenting
11. Which one of the following extracranial to
intracranial bypass grafts is LEAST likely
to be possible in children?
a. Encephaloduroarteriosynangiosis
b. Encephalomyoarteriosynangiosis
c. Encephalomyosynangiosis
d. Superficial temporal artery to MCA
e. Transposed temporalis muscle forms an
anastomosis
12. Small, deep-seated pediatric arteriovenous
malformations may be most appropriately
treated with which one of the following?
a. Endovascular coil embolization
b. Fractionated stereotactic radiotherapy
c. Proton beam therapy
d. Stereotactic radiosurgery
e. Surgical excision
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