27闭合性颅脑损伤练习题

27闭合性颅脑损伤练习题 The problem options The answer The treatment principle of scalp hematoma, correct is A is required to open the drainage B all require a puncture The C is partially appropriately pressurized D large scalps of the scalp can easily cause the midline displaced to be treated with dehydration E all need a vein transfusion to save shock C Which of the following is wrong about the scalp crack A creative mouth has an overflows of the brain, and it must be immediately closed to the scalp and open to closure When dealing with B, it is important to check for skull and brain damage C. C as early as possible The D is relaxed to 24 hours E even if it's small, there's more bleeding a. The usual basis for the diagnosis of cranial fractures A skull X-ray B scalp scar C local palpation and bone rubbing D severe headache accompanied vomiting E to the lateral limb hemiplegia a. A diagnosis of a skull fracture is usually based on A skull X-ray B injury mechanism C. a severe headache accompanies vomiting D clinical signs E D The most accurate basis for diagnosing a skull fracture is A has A history of violence lilac C-x line fracture D nasal bleeding E cerebrospinal fluid leakage E Which of the following is wrong about a fractured skull A is A polymorphic fracture B is divided into three types C damage and carotid artery form a cavernous sinus fistula D can be characterized by central facial paralysis E X rays show only a 30-50% fracture line D The following brain damage is most urgently needed A concussion The concave fracture at the top of B is 1.5 cm deep The skull fracture of C causes hemorrhage in the outside ear canal D open cranial brain injury, brain tissue overflows E intracranial hematoma and brain hernia formation E Which of the following is the basis for the diagnosis of concussion An awareness disorder was immediately followed by A B is retrograde amnesia During the period of consciousness of C, there may be pale skin, lower blood pressure, and shallow breathing D wake up headache, nausea and vomiting E CSF is positive E Which of the following is wrong about diffuse axis damage A was injured at the time of A prolonged coma B: when he gets better, he can be in a coma again because of his secondary brain injury C causes extensive damage to the cortex D coma is mainly due to the loss of connection between the cortex and the lower center of the cortex E C T is seen in the area of the cutaneous medullary junction, the corpus callosum and other areas have multiple point hemorrhages C Which of the following is wrong with respect to external injury A early consciousness disorder B early pyramidal tract C high or low D gastrointestinal bleeding or perforation E diabetes insipidus B Epidural hematoma, the most common source of hemorrhage in the acute cerebellum A vein in the cerebellum B meningeal artery C sinus D fracture of the barrier vein E to the surface bridge vein B After traumatic intracranial hematoma formation, the severity is A is caused by A wide range of the frontal and temporal parts of the brain B hematoma is in the deep white In C, the artery is damaged and the bleeding is fast D causes the intracranial pressure to increase and cause cerebral hernia E to the degree of cerebral edema D The most basic measure of the rescue of patients with intracranial hematoma is A 20% mandeol 250ml B trachea incision to reduce cerebral edema C scavenging hematoma D artificial hibernation and physical cooling E to bone reduction C The most vulnerable cranial nerve is the cranial nerve A olfactory nerve B facial nerve Trigeminal nerve D Block nerve a. The most vulnerable cranial nerve is the cranial nerve A olfactory nerve Abductor nerve C eye nerve D vagus nerve E facial nerve E Which of the following does not correspond to the clinical manifestation of brain contusion An injured coma lasts for several hours to more than A few weeks B delayed pupil dilation and no cerebral hernia C often changes in vital signs D may have limb paralysis, loss of language, etc E lumbar puncture cerebrospinal fluid has blood B The most characteristic manifestation of acute epidural hematoma is A middle wake period The pupil is asymmetrical on both sides of the B C skull fracture line crosses the cerebral artery D. progressive awareness disorder E to the lateral limb paralysis or the cone beam a. Which of the following statements is false about the chronic subdural hematoma A can have mental symptoms B can be partial paralysis C must have a history of trauma D is mostly in middle and old age E may have an increase in intracranial pressure C Acute brain compression after trauma is the most reliable early clinical presentation A blood pressure rises and the pulse of breathing slows B headache, vomiting, nipple swelling C headache, vomiting, progressive awareness disorder D C ushing reaction E the pupil of E is changed from normal to different C Fatal intracranial hematoma, is A acute encephalocele B cerebrospinal fluid circulatory obstruction C diffuse cerebral edema Subarachnoid hemorrhage E coma - lung infection a. On the scalp, the wrong thing is A blunt impact does not break B should be immediately bandaged to stop the bleeding C 24 hours of cleft trauma can be stitched together After the creation of D, the use of layered suture is good E scalp defect should be repaired a. The longest period of unwound injury in the scalp is A 4 hour B eight hours C 12 hours D 24 hours E can be extended to 72 hours in the case of antibiotics E The most important principle of the disposition of open brain injury is that it is A removes contaminants and foreign objects B fully trim the skin C closely sew or repair the hard film D use broad-spectrum antibiotics in time Subcutaneously placed the drainage a. Male suffering, 50 years old. Stick wounded left temporal 2 hours ago, after the injury has a headache, vomiting, unconsciousness, 1 hour ago on moderate coma, left eye loose big pathology (+) of the right limbs, consider for diagnosis A cranial depression is accompanied by A cerebral hernia B subdural hematoma with cerebral hernia Epidural hematoma is associated with cerebral hernia D brain injury accompanied cerebral hernia E original brain stem injury C There is a patient, 6 hours after brain injury, consciousness, headache, which of the following processing principles is not advisable A is clear, so go home and observe B observe consciousness, pupil, vital signs and other changes C for head C T check D treatment E to the family members to have a delayed intracranial hematoma a. There is a patient with traumatic intracranial hematoma. The right pupil is large and emergency treatment is preferred A head C T scan, specifically the area of the hematoma B quick, quiet, mannitol C drill into the hematoma as soon as possible D tracheal incision to prevent brain spent oxygen E ventricular puncture in cerebrospinal fluid B There is a patient, a skull fracture, and a combined cerebrospinal fluid nasal leak, the wrong treatment A adrenal gauze filling the nasal cavity B antibiotic therapy C is still in bed D prevents constipation and upper respiratory infection E bar a. There is a right occipital on the ground of the injured patient, two hours after the injury, the left pupil is large and the hematoma is in the area Right head occipital Right frontal lobe C left head occipital D left frontotemporal E after cranial concave D There is a patient with a skull fracture, which is correct A hemorrhagic cerebrospinal fluid with A spinal fluid in the waist B cerebrospinal fluid ear leakage should be repaired as soon as possible The loss of vision after C injury exceeds a month of surgical decompression D cranial fracture, surgical treatment is needed to relieve the nerves E focuses on the presence of brain damage and treatment of spinal fluid leakage, nerve damage, etc E 4 hours after a traumatic injury, headache and vomiting, which is sure to be a haematoma There is A hematoma in the scalp of the A temporalis B: B: the sleeper is injured, and there is a soft tissue swelling A neurological disorder was immediately followed by a C injury D awareness disorder is progressive E skull C T test results E One patient, diagnosed with brain contusion, is not the basis for diagnosing brain damage A cerebrospinal fluid contains red blood cells B is more than 30 minutes C can show focal brain injury D (D) E C T has a high density focal point D A patient with a traumatic brain injury, C T, and the right temporo-temporal sudoid image, the Central Line of the ventricle was shifted, and the diagnosis was A brain contusion Subdural hematoma Epidural hematoma D brain hematoma E hypertension with cerebral hemorrhage C A patient with a traumatic brain injury, C T, was diagnosed with a high-density image of the right temporo-temporal upper temporal A acute epidural hematoma B acute subdural hematoma C chronic subdural hematoma D brain hematoma E hypertension with cerebral hemorrhage B A 65-year-old patient, who had a history of head trauma 2 months ago, has a headache, a low-density image of the right temporal zenith of the right superior temporal lobe of C T, which is diagnosed A acute epidural hematoma B acute subdural hematoma C chronic subdural hematoma D brain hematoma E hypertension with cerebral hemorrhage C 35. There is a 30 patients of head injury, deep coma, stimulation to brain tonic-closure seizures, C T no intracranial hematoma and cerebral contusion, ring pool not compression, diagnosis should be A concussion B brain contusion Axin injury D brain stem injury E skull fracture D There is a 12-year-old boy with a full head cap with hematoma, the preferred treatment is A pressurized bandage, A static hemostatic drug B punctured blood and static medication C. treat it to its own absorption and stop the bleeding D piercing blood + pressurized bandage E cut the drainage and add the pressurized bandage D There is a woman who is 20 years old and has a hemorrhagic cerebrospinal fluid from the nasal cavity after the trauma. The treatment should be taken A nasal filling oppresses the bleeding B nasal flushing C gives antibiotics treatment D is worn with hemorrhagic cerebrospinal fluid E to the low post C The first measure of the prevention of invasive cranial brain injury, and the prevention of wound infection in the brain, is the first step A closely observes the changes of the disease B apply broad spectrum antibiotics C physiotherapy, improve the local blood circulation D enhances nutrition and enhances wound healing Early in E E The most effective method for preventing hypoxia is the most effective way to prevent hypoxia from deep coma patients with severe brain injury A sustains oxygen B put the ventilator way C complete sputum tracheotomy E gives breathing stimulants D Male, 27. Immediately after a head injury in a coma, awake after five minutes, again after three hours in a coma, skull X-ray found linear fracture, and fracture line across the middle meningeal artery sulcus, tips for A brain contusion B acute epidural hematoma C acute subdural hematoma D traumatic brain endohematoma E brain edema B Female patient, admission three days, head injury immediately coma, after 10 minutes awake, have vomiting, the injury situation can't recall, diagnosis is A concussion B brain contusion C cranial hematoma D brain stem injury E brain is not full of blood a. In patients with epidural hematoma, the length of the median wakefulness is mainly dependent on The degree to which A primary brain injury B haemorrhage C hematoma The rate at which D is formed The size of the E hematoma D 43. Male, 40 years old. When the car falls down, the left occipital is on the ground, there is the progressive consciousness disorder, the following with the right pupil, the diagnosis is A left occipital epidural hematoma B left frontotemporal epidural hematoma C left superior temporal epidural hematoma D the right temporal epidural hematoma E right temporal subdural hematoma E 44. The female, 50 years old. The head stick is broken, no comatose history and the conscious obstacle, no skull fracture, a month later the intracranial pressure increases symptom, most likely is A chronic epidural hematoma B has multiple intracranial hematomas C chronic subdural hematoma D acute intracranial hematoma E concussion sequela C 45. The female, 30 years old. After the head injury, coma for half an hour, the left side of the left limb is weak, the waist wears the hemorrhagic cerebrospinal fluid, gradually improve gradually, most likely is A concussion B brain contusion C acute epidural hematoma D acute subdural hematoma edema B 46. There is a 45-year-old female patient, 3 hours before the accident, a head injury immediately coma after injury, be admitted to hospital after C T, was admitted to moderate coma, right eye loose big, light reflex disappears, upper left lower limb muscle tension increased, pathologic sign (+), top left under the pillow has a diameter of 4.0 cm scalp hematoma, C T right frontal temporal high-density crescent images. Diagnosis is A right temporal brain contusion, cerebral hernia B right temporal acute subdural hematoma, cerebral hernia The right temporal acute epidural hematoma, cerebral hernia D right temporal acute dural fluid, cerebral hernia E to the right of the prefrontal temporal brain hematoma, cerebral hernia B 47. There is a 45-year-old female patient, 3 hours before the accident, a head injury immediately coma after injury, be admitted to hospital after C T, was admitted to moderate coma, right eye loose big, light reflex disappears, upper left lower limb muscle tension increased, pathologic sign (+), top left under the pillow has a diameter of 4.0 cm scalp hematoma, C T right frontal temporal high-density crescent images. Bleeding source for A cerebral artery B brain surface bruises the small artery C bridge vein D sagittal sinus E arachnoid particle B 48. There is a 45-year-old female patient, 3 hours before the accident, a head injury immediately coma after injury, be admitted to hospital after C T, was admitted to moderate coma, right eye loose big, light reflex disappears, upper left lower limb muscle tension increased, pathologic sign (+), top left under the pillow has a diameter of 4.0 cm scalp hematoma, C T right frontal temporal high-density crescent images. The most important treatment is A hibernation physics cools down B tracheotomy C dehydration treatment D stop the bleeding and prevent infection edema E 49. There is a 6 year old boy, 3 days ago right frontal collision on the table cape, can cry at that time, now the right frontal temporal scalp uplift, local touch with 12 cm x 12 cm fluctuation area, no positioning of nervous system symptoms, head C T piece in right frontal temporal scalp swelling. Diagnosis is A scalp bruise Subcutaneous hematoma Under C periosteum hematoma The D cap is hematomas under the fascia E under the scalp D 50. There is a 6 year old boy, 3 days ago right frontal collision on the table cape, can cry at that time, now the right frontal temporal scalp uplift, local touch with 12 cm x 12 cm fluctuation area, no positioning of nervous system symptoms, head C T piece in right frontal temporal scalp swelling. Disposal should be A pressure bandage Part B shall not be disposed of C physiotherapeutic, to promote absorption D piercing blood + pressurized bandage E cut the drainage and add the pressurized bandage D 51. There is a 30 - year - old male patient, a car accident right frontal temporal touchdown, unconsciousness after injury, awake after about half an hour, woke up, have a headache, vomiting, consciousness, 3 hours later appeared positive side cranium slice in right temporal linear fracture, fracture line across the middle meningeal artery sulcus, C T right temporal spindle in high density, compression of ventricle midline shift, pupil loose big right on admission. Diagnosis is A right temporal subdural hematoma, cerebral hernia B right temporal epidural hematoma, cerebral hernia C right temporal brain contusion, cerebral hernia D right temporal brain hematoma, cerebral hernia E subarachnoid hemorrhage, cerebral hernia B 52. There is a 30 - year - old male patient, a car accident right frontal temporal touchdown, unconsciousness after injury, awake after about half an hour, woke up, have a headache, vomiting, 3 hours later and appear disturbance of consciousness, the positive side of the cranium slice in right temporal linear fracture, fracture line across the middle meningeal artery sulcus, C T right temporal spindle in high density, compression of ventricle midline shift, pupil loose big right on admission. The first step is to do something A 0.4 g stops the blood aromatic acid B 20% mandeol (250ml) C hibernation physics cools down tracheotomy edema B 53. There is a 30 - year - old male patient, a car accident right frontal temporal touchdown, unconsciousness after injury, awake after about half an hour, woke up, have a headache, vomiting, 3 hours later and appear disturbance of consciousness, the positive side of the cranium slice in right temporal linear fracture, fracture line across the middle meningeal artery sulcus, C T right temporal spindle in high density, compression of ventricle midline shift, pupil loose big right on admission. The basic measure of treatment is A 0.4 g stops the blood aromatic acid B 20% gandeol 250ml still C hibernation physics cools down tracheotomy edema E 54. There is a 60 - year - old female patient, has a history of head injury two and a half months ago, at that time, a transient disturbance of consciousness, headache after injury, gradually improve, appear have a headache again for nearly half a month, more and more heavy, head C T shown right frontotemporal crescent low density image, ventricular compression of midline shift. Diagnosis is A right temporomere acute subdural hematoma B: the right superior temporalis subdural hematoma The right superior temporal of the upper temporalis is an acute epidural hematoma D the right superior temporomatic epidural hematoma E to the right superior temporal dura B 55. Have a 60-year-old female patients, two and a half months ago has a history of head injury, a transient disturbance of consciousness at that time, a headache after injury, gradually improve, appear have a headache again for nearly half a month, more and more heavy, head C T shown right frontotemporal crescent low density image, ventricular compression of midline shift. Fundamental treatment is A hibernation physics cools down B hemotherapy C prevention of infection D drilling drainage drainage edema D 56. There is a 60 - year - old female patient, two and a half months ago has a history of head injury, at that time, a transient disturbance of consciousness, headache after injury, gradually improve, appear have a headache again for nearly half a month, more and more heavy, head C T shown right frontotemporal crescent low density image, ventricular compression of midline shift. Which treatment is wrong after the operation A 0.4 g stops the blood aromatic acid B 20% gandeol 250ml still C gives antibiotics to prevent infection D support therapy E headache can be given painkillers B 57. There was a 30-year-old female patients, 2 hours before the car accident left occipital touchdown, at that time, about 10 minutes unconsciousness, headache after wake up, the left ear bloody cerebrospinal fluid, limbs activity, pathological character (-), head C T shown left occipital process Skin soft tissue swelling. Diagnosis is A concussion B brain contusion, cerebrospinal fluid C skull fracture, cerebrospinal fluid D skull fracture, cerebrospinal fluid E brain stem injury C 58. Have a 30 - year - old female patients, 2 hours before the car accident left occipital touchdown, at that time, about 10 minutes unconsciousness, headache after wake up, the left ear bloody cerebrospinal fluid, limbs activity well, pathological character (-), head C T shown left occipital process Skin soft tissue swelling. Which of the following is wrong A bed rest B watch disease C gives hemostatic medicines D gives broad spectrum antibiotics E to the left ear canal E 59. There is a 16 year old boy, 2 hours before a flower pot wounded left at the top of the 3rd floor drops, there was a brief disturbance of consciousness, and left at the top is 1.5 cm long incomplete scalp laceration, partial scalp swelling, positive side cut cranial piece left in the top 1.0 cm depressed fracture, head C T left top depressed fracture, partial scalp swelling. Diagnosis is A concussion B scalp cleft C open hollow cranial fracture D closed hollow cranial fracture edema D 60. There is a 16 year old boy, 2 hours before a flower pot wounded left at the top of the 3rd floor drops, there was a brief disturbance of consciousness, and left at the top is 1.5 cm long incomplete scalp laceration, partial scalp swelling, positive side cut cranial piece left in the top 1.0 cm depressed fracture, head C T left top depressed fracture, partial scalp swelling. Diagnosis is A not fully cracked scalp has active bleeding to stop bleeding B should have a broken fracture C gives antibiotics D observed no intracranial hematoma formation E pressure bandage E 61. There is a 16 year old boy, 2 hours before a flower pot wounded left at the top of the 3rd floor drops, there was a brief disturbance of consciousness, and left at the top is 1.5 cm long incomplete scalp laceration, partial scalp swelling, positive side cut cranial piece left in the top 1.0 cm depressed fracture, head C T left top depressed fracture, partial scalp swelling. Diagnosis is A forehead is 0.6 cm deep B to the left is 0.7 cm The top of C is 0.6 cm deep The top of D is 1.0 cm deep E to the left top is 1.0 cm deep C 62. A concussion A has no coma after A injury, and three hours later he is conscious B) after the injury, he cried and convulsed He immediately went into a coma after the injury D wounded and then coma after a moment E is a shallow coma and cerebrospinal fluid D Primary brain stem damage A has no coma after A injury, and three hours later he is conscious B) after the injury, he cried and convulsed He immediately went into a coma after the injury D wounded and then coma after a moment E is a shallow coma and cerebrospinal fluid C 64. The brain contusion A has no coma after A injury, and three hours later he is conscious B) after the injury, he cried and convulsed He immediately went into a coma after the injury D wounded and then coma after a moment E is a shallow coma and cerebrospinal fluid E Acute epidural hematoma A has no coma after A injury, and three hours later he is conscious B) after the injury, he cried and convulsed He immediately went into a coma after the injury D wounded and then coma after a moment E is a shallow coma and cerebrospinal fluid a. The anterior cranial fracture A nose bleed B double eyelid subcutaneous purple, gradually increase The blood stasis under the mucosa under the mucosa of C D brain fluid The etotemporal scalp is swollen and stasis B Cranial concave fractures A nose bleed B double eyelid subcutaneous purple, gradually increase The blood stasis under the mucosa under the mucosa of C D brain fluid The etotemporal scalp is swollen and stasis D The posterior cranial fracture A nose bleed B double eyelid subcutaneous purple, gradually increase The blood stasis under the mucosa under the mucosa of C D brain fluid The etotemporal scalp is swollen and stasis C There is no skull fracture A X-ray cranium slice B electroencephalography (eeg) C brain angiography D C T E magnetic resonance imaging (MRI) a. Diagnosis of the etiology of subarachnoid hemorrhage A X-ray cranium slice B electroencephalography (eeg) C brain angiography D C T E magnetic resonance imaging (MRI) C Diagnosis of intracranial tumor A X-ray cranium slice B electroencephalography (eeg) C brain angiography D C T E magnetic resonance imaging (MRI) D