29 Neurosurgery MCQs
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A 15-year-old boy is struck by a baseball in the side of the head. He briefly looses consciousness but quickly returns to a lucid state. Which of the following statement(s) is/are true concerning his subsequent course.
- The initial neurologic finding may be dilatation of the ipsilateral pupil
- If the patient has a normal neurologic examination at the time of emergency room assessment, he can be discharged safely to home
- A head computed tomography (CT) scan should be performed regardless of the current neurologic examination
- The likely mechanism of injury arises from a tear of a branch of the middle meningeal artery as it courses through a grove in the skull at the area of impact
- If, after an initial lucid interval, a rapid progression to coma with fixed and dilated pupils and decerebration occurs, the most likely CT finding would be a subdural hematoma
Category: Surgery MCQs
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