Chapter 28: Traumatic brain injury

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Multiple Choice Question 1 of 4

1. Question

Which of the following is NOT a direct result of raised intracranial pressure (ICP)?

Reduced perfusion pressure.
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Headache, vomiting and reduced conscious level.
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Tonsillar herniation.
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Loss of cerebral autoregulation.
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Displacement of CSF and venous blood from the cranium.
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Multiple Choice Question 2 of 4

2. Question

Which of this is not included in the primary survey for patients with severe traumatic brain injury?

Management of respiratory and circulatory compromise.
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Cervical spine clearance.
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Assessment of GCS.
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Assessment of pupil reactivity.
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Blood glucose measurement.
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Multiple Choice Question 3 of 4

3. Question

According to NICE criteria, CT is indicated after mild head injury for patients with which of the following:

An episode of vomiting.
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Ongoing headache.
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Loss of consciousness at the time of injury.
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Age over 65.
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GCS 13 or 14 at presentation.
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Multiple Choice Question 4 of 4

4. Question

Which of the following statements are true?

Severe traumatic brain injury (TBI) not requiring surgery is best managed in a local unit rather than by transfer to a neurosurgical centre.
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Anaesthetic escort is mandatory for transfer of all head-injured patients.
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Sedation of head-injured patients prevents assessment of the pupils.
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Early transfer is recommended to avoid primary brain injury.
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Secondary brain injury can be minimised by optimising ventilation, electrolyte balance, and sedation and by ensuring that the hard collar is loose so as not to occlude venous return.
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Chapter 28: Traumatic brain injury

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