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1、27闭合性颅脑损伤练习题（27 closed head injury exercises）Exercises.Txt 27 closed craniocerebral injury, you are my devil, were closer to you, is far away from the buddha. Junior high school physical education teacher said: who dares to wear my skirt in class, just punish her upside down. Double click the space
2、in the answer bar to see the answerproblemoptionAnswer1. scalp hematoma treatment principle, the correct thing is thatA require incision and drainageB all need to puncture, remove, accumulate blood, pressure bandageC was treated with local proper pressure bandagingD huge scalp hematoma easy to cause
3、 midline shift, so dehydration treatmentE required intravenous blood transfusion to rescue shockC2. which one of the following is wrong about scalp laceration?A the wound has brain tissue overflow and must be sutured immediately to become closedB management focuses on the presence of skull and brain
4、 injuriesC debridement and suture as soon as possibleD debridement time limit to 24 hoursE even if the wound is not big, bleeding is moreAThe 3. is usually based on the diagnosis of cranial fractureA head radiographyB scalp woundsC local palpation and bone fricative smellD severe headache accompanie
5、d by vomitingE contralateral hemiplegiaA4. diagnosis of skull base fracture is usually based onA head radiographyB injury mechanismC severe headache accompanied by vomitingD clinical signsE disturbance of consciousnessD5. the most accurate basis of diagnosing skull base fracture isA suffered violent
6、 head and facial injuriesB eyelid cyanosisC X-ray showed linear fracture of frontal boneD nasal bleedingE cerebrospinal fluid rhinorrheaE6. which of the following is wrong with regard to skull base fractures?A is mostly linear fractureB can be divided into three types according to their locationC if
7、 it hurts the carotid artery, it will form a cavernous sinus fistulaD can be manifested as central facial paralysisE X-ray showed only 30 to 50% of the fracture lineD7. the most urgent treatment of the following brain injuries isA brain concussionB at the top of the depression fracture, depth of 1.5
8、cmC skull base fracture leads to external auditory canal bleedingD open craniocerebral injury, brain tissue overflowE intracranial hematoma with cerebral hernia formationE8. which of the following is not the basis for the diagnosis of concussion?A occurs immediately after traumaB retrograde amnesia
9、after injuryC can be characterized by pale skin, low blood pressure, and shallow breathing during a disturbance of consciousnessD headache, nausea and vomiting after waking upE CSF positive red blood cellE9. which of the following is wrong about diffuse axonal injury?A had a long coma at the time of
10、 the injuryB is mentally conscious and may become comatose again after secondary brain damageC causes extensive cortical damageD coma is mainly caused by the loss of contact between the cortex and subcortical centersE C T showed multiple punctate hemorrhages in areas such as the cortex, medulla junc
11、tion, corpus callosum, and so onC10. on the hypothalamus following traumatic injury, which is wrongA early consciousness disorderB early pyramidal signC high fever or low temperatureD digestive tract bleeding or perforationE diabetes insipidusB11. acute supratentorial epidural hematoma is the most c
12、ommon source of bleedingA meningeal veinB meningeal arteryC venous sinusD fracture diploic veinE cerebral superficial bridging veinB12. after traumatic intracranial hematoma formation, its severity lies inA is caused by extensive brain injury with extensive frontotemporal involvementB hematoma is lo
13、cated deep in the white matterC the middle meningeal artery is damaged and the bleeding rate is fastD causes intracranial hypertension and leads to brain herniaE associated with cerebral edemaD13., the most basic measures to rescue the patients with intracranial hematoma areA 20% mannitol 250ml quic
14、k static pointB tracheotomy to reduce brain edemaC clears hematomaD artificial hibernation and physical coolingE decompressive craniectomyCThe 14. cranial fossa fracture is the most easily damaged cranial nerveA olfactory nerveFacial nerve of BC trigeminal nerveD abduct nerveTrochlear nerve of EAThe
15、 15. cranial fossa fracture is the most easily damaged cranial nerveA olfactory nerveB abduct nerveC oculomotor nerveD vagus nerveFacial nerve of EESixteenWhich of the following is inconsistent with the clinical manifestation of contusion and laceration of the brain?A coma lasts several hours to sev
16、eral weeks after injuryB delayed mydriasis and no cerebral herniaC often has signs of life changesD may have paralysis, aphasia, etcE lumbar puncture, cerebrospinal fluid has bloodB17., the most characteristic manifestation of acute epidural hematoma isA intermediate wakefulnessB bilateral pupil asy
17、mmetryC skull fracture line crosses the middle meningeal artery sulcusD carries on sexual consciousness obstacleE contralateral limb paralysis or pyramidal tract sign is positiveA18. which of the following statements is wrong with regard to chronic subdural hematoma?A can have mental symptomsB can h
18、ave hemiplegiaC must have a history of traumaD is more common in middle-aged and elderly peopleE may have increased intracranial pressureC19. traumatic acute brain compression is the most reliable early clinical manifestationA blood pressure rises, breathing slows downB headache, vomiting, optic dis
19、c edemaC headache, vomiting, progressive sexual disturbanceD, C, ushing reactionE pupils vary from normal to unequalC20. the fatal factor of traumatic intracranial hematoma isA acute brain compression cerebral herniaB cerebrospinal fluid circulatory obstructionC diffuse brain edemaD subarachnoid hem
20、orrhageE coma - lung infectionA21. about scalp laceration, the mistake isA blunt impact does not occur lacerationB should be bandaged immediately to stop bleedingC laceration after 24 hours can be sutured at first stageAfter D debridement, it is better to use stratified sutureE scalp defects should
21、be repairedA22., the most wound Changqing scalp wound time isA 4 hoursB 8 hoursC 12 hoursD 24 hoursE can be extended to 72 hours with antibioticsE23. in the debridement of open craniocerebral trauma, the most important treatment principle isA removal of contaminants and foreign bodiesB fully trimmed
22、 wound skinC tight suture or repair dura materD timely use of broad-spectrum antibioticsE subcutaneous placement drainageA24. men, 50 years old. 2 hours ago, the stick injuries to the left temporal region, headache and vomiting after injury, unconsciousness 1 hours ago, moderate coma in the examinat
23、ion, left mydriasis, and pathological sign of the right limb (+)A skull depressed fracture with brain herniaB subdural hematoma with cerebral herniaC epidural hematoma with cerebral herniaD brain injury with cerebral herniaE primary brain stem injuryC25., one patient who has consciousness and headac
24、he for 6 hours after brain injury. Which of the following treatment principles is inadvisable?A consciousness clear, so go home to observeB observed changes in consciousness, pupil, life sign, etc.C for cranial C T examinationD symptomatic treatmentE explained to the family that delayed intracranial
25、 hematoma may be presentA26., there is a traumatic intracranial hematoma patients, the right pupil loose, emergency treatment first choiceA head C T scan, the location of hematomaB quick static point mannitolC drill and explore the hematoma as soon as possibleD tracheotomy prevents brain hypoxiaE in
26、traventricular puncture and drainage of cerebrospinal fluidB27. there is a patient, skull fracture, combined with cerebrospinal fluid rhinorrhea, the wrong treatment isA adrenaline gauze stuffed nasal cavityB antibiotic therapyC stay in bed quietlyD prevents constipation and upper respiratory tract
27、infectionsE ban on lumbar punctureA28., there is a right top pillow to the ground to fall patients, 2 hours after injury, the left pupil scattered, the hematoma site isA right upper occipital partB right frontotemporalC left upper occipital partD left frontotemporalPosterior fossa of ED29. is there
28、a skull fracture patient? Which one is right?A bloody cerebrospinal fluid patients with lumbar paracentesisB cerebrospinal fluid leakage, should as soon as possible to repair the dura leakageC reduces visual acuity after injury and can be decompressed more than one monthD skull base fractures requir
29、e surgical treatment for nerve decompressionE focuses on whether there is brain damage, and treatment of cerebrospinal fluid leakage, nerve damage and so onE30., 4 hours after a trauma, the patient had headache or vomiting. Which hematoma was definitely present?A temporal trauma, local hematoma of t
30、he scalpB occipital injury,3 hours later, there was a disturbance of consciousness. The right lateral skull showed a fracture of the right temporal line. The fracture line crossed the middle meningeal artery sulcus. The C T showed the right temporal spindle shaped, high density, and the midline of t
31、he ventricles displaced. The right pupil was dilated at the time of admission. The fundamental measure of treatment isA, 0.4g, hemostasis, aromatic acid, quiet pointB 20% mannitol 250ml static pointC hibernation, physical coolingD tracheotomyE evacuation of hematomaE54. is a 60 year old female patie
32、nt, 2 and a half months ago, an accident has a head injury history, there was a transient disturbance of consciousness, gradually improved after injury, headache, headache and nearly half a month, more and more heavy, head C T showed right frontal parietal and temporal crescent shaped low density im
33、ages, compression and displacement of the midline ventricle. Diagnosis isA right fronto temporal top acute subdural hematomaB chronic subdural hematoma of right frontal temporal roofC right fronto temporal top acute epidural hematomaD chronic subdural hematoma of right frontal temporal roofE right f
34、rontal temporal subdural effusionB55. is a 60 year old female patient, 2 and a half months ago, an accident has a head injury history, there was a transient disturbance of consciousness, gradually improved after injury, headache, headache and nearly half a month, more and more heavy, head C T showed
35、 right frontal parietal and temporal crescent shaped low density images, compression and displacement of the midline ventricle. Basic treatment isA hibernation, physical coolingB hemostatic therapyC prevention of infectionD drilling and drainageE evacuation of hematomaD56. is a 60 year old female pa
36、tient, 2 and a half months ago, an accident has a head injury history, there was a transient disturbance of consciousness, gradually improved after injury, headache, headache and nearly half a month, more and more heavy, head C T showed right frontal parietal and temporal crescent shaped low density
37、 images, compression and displacement of the midline ventricle. Which procedure is wrong after the operation?A, 0.4g, hemostasis, aromatic acid, quiet pointB 20% mannitol 250ml static pointC is given antibiotics to prevent infectionD support therapyE headache can be used to relieve painB57. is a 30
38、year old female patient, 2 hours before the accident left occipitoparietal ground, at that time, about 10 minutes after waking, unconsciousness, headache, left ear blood cerebrospinal fluid, limbs, pathological syndrome (-), head C T showed left parietal occipital scalp soft tissue swelling. Diagnos
39、is isA brain concussionB brain contusion, cerebrospinal fluid leakageC skull base fracture, cerebrospinal fluid leakageD skull fracture, cerebrospinal fluid leakageE brain stem injuryC58. is a 30 year old female patient, 2 hours before the accident left occipitoparietal ground, at that time, about 1
40、0 minutes after waking, unconsciousness, headache, left ear blood cerebrospinal fluid, limbs, pathological syndrome (-), head C T showed left parietal occipital scalp soft tissue swelling. Which of the following is a mistake?A bed restB observed the conditionC is given hemostatic drugsD is given bro
41、ad-spectrum antibioticsE left external auditory canal irrigationE59. is a 16 year old boy, 2 hours before the 3 storey window in the top left was wounded basin, transient disturbance of consciousness, left at the top of a 1.5cm long incomplete scalp laceration, partial scalp swelling, is a left side
42、 cutting cranial flap top sag fracture 1.0cm, head C T left top sag fracture, local head skin swelling. Diagnosis isA brain concussionB scalp lacerationC open depressed skull fractureD closed depressed skull fractureE scalp hematomaD60. is a 16 year old boy, 2 hours before the 3 storey window in the
43、 top left was wounded basin, transient disturbance of consciousness, left at the top of a 1.5cm long incomplete scalp laceration, partial scalp swelling, is a left side cutting cranial flap top sag fracture 1.0cm, head C T left top sag fracture, local head skin swelling. Diagnosis isA incomplete lac
44、eration of the scalp, active bleeding should be hemostaticB should be treated with depressed fracture reductionC gives antibioticsNo intracranial hematoma occurred after D observationE pressure bandagingE61. is a 16 year old boy, 2 hours before the 3 storey window in the top left was wounded basin,
45、transient disturbance of consciousness, left at the top of a 1.5cm long incomplete scalp laceration, partial scalp swelling, is a left side cutting cranial flap top sag fracture 1.0cm, head C T left top sag fracture, local head skin swelling. Diagnosis isA deep 0.6cm on foreheadB left, posterior, de
46、ep 0.7cmC left, top deep 0.6cmD deep 1.0cm at the top rightE left, top deep 1.0cmC62. concussionA no coma after injury and unconsciousness after 3 hoursB cries and twitches after the injuryC immediately coma after injury, accompanied by a tonic attackD coma after a coma, a moment soberE after coma, coma, cerebrospinal fluidD63. primary brain stem injuryA