Head Injuries MCQs

1.Lucid interval is the period of :
A) Concussion
B) Amnesia
C) Consciousness****
D) Profound coma

2.Concussion lasts for:
A) Minutes****
B) 1h
C) 6 h
D) 12 h
E) 12 – 24 h

3. A man was hit by head of an axe will result in :
A) Fissure fracture
B) Depressed fracture****
C) Comminuted fracture
D) Cut fracture
E) ??

4. Brain compression due to fissure fracture:
A) Traumatic injury
B) Followed by concussion
C) Caused by hemorrhage***
D) Caused by depressed bone
E) ??

5. Brain contusion means:
A) Pia mater is opend
B) Pia mater is lacerated
C) There is skull bleeding
D) There is skull fracture
E) ??

6. Best sign for lateralization is :
A) Weak rapid pulse
B) Unequal constricted pupils****
C) Slow irregular pulse
D) Loss of reflexes
E) ??

7. 39 years old man was involved in a car accident, he was diagnosed as brain compression, the diagnosis due to the presence of:
A) Constricted pupils
B) Muscle twitch
C) Slow full pulse***
D) Loss of reflexes
E) ??

8. A man sustained upper cut in the head of mandible after boxing match this can cause :
A) Fissure fracture
B) Depressed fracture
C) Cut fracture
D) Cut comminuted fracture
E) Ring fracture****

9. What is the most dangerous complication of depressed fractures:
A) Concussion
B) Intracranial hemorrhage
C) Cerebral compression
D) Cerebral laceration****
E) ??

10. The handle of axe will cause:
A) Fissure fracture****
B) Depressed fracture
C) Cut fracture
D) Cut comminuted fracture
E) Polar fracture

11. Skull with multi injury was found in the desert, there were bone erosion affect the inner tables, the most likely cause of death:
A) Brain compression
B) Concussion
C) Infection , sepsis****
D) Neurogenic shock
E) ??

12. A woman brought to the ER with a Hx of head trauma since 3 hrs , she was unconscious for seconds the best Rx is :
A) Morphine for pain
B) Observation for 24 hrs****
C) Take care of Her BP
D) Sedation
E) ??

13. A man was involved in RTA, they Dx him as anterior fossa fracture, this is due to:
A) Black eye***
B) Eye contusion
C) Polar fracture
D) Head injury
E) ??

14. The commonest fate of concussion is:
A) Korsakoff’s psychosis
B) Retrograde amnesia
C) Post traumatic neurosis
D) Death
E) Complete recovery****

15. Skull fracture that result from falling from height on the buttock is:
A) Comminuted
B) Indirect fracture
C) Polar
D) Ring****
E) Depressed

16. The pulse in concussion is:
A) Slow
B) Slow & full
C) Weak
D) Weak & rapid***
E) ??

17. Concussion must be considered after:
A) Head trauma**
B) Loss of consciousness***
C) Lacerated scalp injury
D) Brain compression
E) ??
18. The side of brain compression is best diagnosed by:
A) Sudden loss of consciousness
B) Unequal pupils
C) Conjugate deviation of eyes****
D) Projectile effortless vomiting
E) Weak reflexes

19.a skull vault fissure fracture results from a trauma by an object having a :
A) big striking surface and high momentum
B) localized striking surface and low momentum
C) big striking surface and low momentum ***
D) localized striking surface and high momentum
E) none of the above

20.The clinical picture of lucid interval is commonly seen in one of the following types of intracranial haemorrhage :
A) subdural
B) extradural****
C) intracerebral
D) subarachnoid
E) all of the above

21. contra coup injury is a brain injury:
A) Under the impact point
B) Due to depressed skull bone
C) Caused by hemorrhage
D) Opposite the impact point
E) Non of the above

22. a skull vault fissure fracture results from a trauma by an object having a :
a. big striking surface and high momentum
b. localized striking surface and low momentum
c. big striking surface and low momentum****
d. localized striking surface and high momentum
e. none of the above

23. The clinical picture of lucid interval is commonly seen in one of the following types of intracranial haemorrhage :
a. subdural
b. extradural****
c. intracerebral
d. subarachnoid
e. all of the above