INSTRUCTIONS READ EACH QUESTION GIVE IT YOUR BEST SHOT THEN, GO ON TO THE NEXT SLIDE FOR THE CORRECT...
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Transcript of INSTRUCTIONS READ EACH QUESTION GIVE IT YOUR BEST SHOT THEN, GO ON TO THE NEXT SLIDE FOR THE CORRECT...
INSTRUCTIONS
READ EACH QUESTION
GIVE IT YOUR BEST SHOT
THEN, GO ON TO THE NEXT SLIDE FOR THE CORRECT ANSWER
GO TO THE NEXT SLIDE OR SLIDES FOR CLUES
GOOD LUCK!
Israel Alfonso, MD
1. WHAT PERCENT OF BRAIN ABSCESSES ARE MULTIPLE?
A. 30%
B. 50%
C. 75%
D. 100%
SHOW ME THE QUESTION AGAIN
GO TO THE NEXT QUESTION
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
BRAIN ABSCESS
SINGLE
MULTIPLE
1. WHAT PERCENT OF BRAIN ABSCESSES ARE MULTIPLE?
A. 30%
B. 50%
C. 75%
D. 100%
2. FRONTAL ABSCESS IS USUALLY DUE TO:
A. MASTOIDITIS
B. HEAD TRAUMA
C. ORBITAL SINUSITIS
D. PENETRATING HEAD INJURY
SHOW ME THE QUESTION AGAIN
GO TO THE NEXT QUESTION
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
FRONTAL SINUSITIS
LOCATION OF BRAIN ABSCESS
FRONTAL BRAIN ABSCESS
SINUSITIS
ABSCESS (CEREBRITIS)
2. FRONTAL ABSCESS IS USUALLY DUE TO:
A. MASTOIDITIS
B. HEAD TRAUMA
C. ORBITAL SINUSITIS
D. PENETRATING HEAD INJURY
3. THE FOLLOWING CONDITIONS ARE PREDISPOSING FACTORS FOR BRAIN ABSCESS:
A. DENTAL INFECTIONS
B. VENTRICULOPERITONEAL SHUNTS
C. SCALP INFECTIONS
D. ALL OF THE ABOVE
SHOW ME THE QUESTION AGAIN
GO TO THE NEXT QUESTION
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
PREDISPOSING FACTORS FOR BRAIN ABSCESS
ANY FOCAL INFECTIONS AROUND THE CRANIUM
RIGHT-TO-LEFT CARDIAC SHUNTS
VENTRICULOPERITONEAL SHUNTS
IMMUNODEFICIENT STATES
3. THE FOLLOWING CONDITIONS ARE PREDISPOSING FACTORS FOR BRAIN ABSCESS:
A. DENTAL INFECTIONS
B. VENTRICULOPERITONEAL SHUNTS
C. SCALP INFECTIONS
D. ALL OF THE ABOVE
4. HEMIPARESIS IN A CHILD OLDER THAN 4 YEARS OF AGE WITH CYANOTIC CONGENITAL HEART DISEASE IS USUALLY ASSOCIATED WITH:
A. INTERNAL CAROTID THROMBOSIS
B. MIDDLE CEREBRAL ARTERY THROMBOSIS
C. BRAIN ABSCESS
D. RENAL STROKE
SHOW ME THE QUESTION AGAIN
GO TO THE NEXT QUESTION
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
CHILDREN YOUNGER THAN 2 YEARS
MIDDLE CEREBRAL ARTERY THROMBOSIS
CHILDREN OLDER THAN 2 YEARS
BRAIN ABSCESS
4. HEMIPARESIS IN A CHILD OLDER THAN 4 YEARS OF AGE WITH CYANOTIC CONGENITAL HEART DISEASE IS USUALLY ASSOCIATED WITH:
A. INTERNAL CAROTID THROMBOSIS
B. MIDDLE CEREBRAL ARTERY THROMBOSIS
C. BRAIN ABSCESS
D. RENAL STROKE
5. ALL OF THE FOLLOWING ARE EARLY SIGNS OF BRAIN ABSCESS IN CHILDREN, EXCEPT:
A. LOW-GRADE FEVER
B. VOMITING
C. LETHARGY
D. HEADACHE
SHOW ME THE QUESTION AGAIN
GO TO THE NEXT QUESTION
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
LOW-GRADE FEVER
HEADACHE
LETHARGY
EARLY SIGNS OF BRAIN ABSCESS
5. ALL OF THE FOLLOWING ARE EARLY SIGNS OF BRAIN ABSCESS IN CHILDREN , EXCEPT:
A. LOW-GRADE FEVER
B. VOMITING
C. LETHARGY
D. HEADACHE
6. WHICH OF THE FOLLOWING IS TRUE REGARDING BRAIN ABSCESS?
A. BLOOD CULTURES ARE OFTEN POSITIVE
B. CSF CULTURES ARE USUALLY POSITIVE
C. IF YOU SUSPECT BRAIN ABSCESS, TAP
D. MRI IS MOST SENSITIVE
SHOW ME THE QUESTION AGAIN
GO TO THE NEXT QUESTION
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
BRAIN ABSCESS
DO NOT TRUST NEGATIVE BLOOD OR CSF CULTURES
DO NOT TAP
6. WHICH OF THE FOLLOWING IS TRUE REGARDING BRAIN ABSCESS?
A. BLOOD CULTURES ARE OFTEN POSITIVE
B. CSF CULTURES ARE USUALLY POSITIVE
C. IF YOU SUSPECT BRAIN ABSCESS TAP
D. MRI IS MOST SENSITIVE
7. IN A CHILD WITH AN ABSCESS AND A HISTORY OF HEAD TRAUMA OR NEUROSURGICAL PROCEDURE, USE:
A. VANCOMYCIN
B. THIRD GENERATION CEPHALOSPORIN
C. METRONIDAZOLE
D. ALL OF THE ABOVE
SHOW ME THE QUESTION AGAIN
GO TO THE NEXT QUESTION
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
THIRD GENERATION CEPHALOSPORIN
METRONIDAZOLE
PENICILLIN
METRONIDAZOLE
THIRD GENERATION CEPHALOSPORIN
VANCOMYCIN
THIRD GENERATION CEPHALOSPORIN
METRONIDAZOLE
VANCOMYCIN OR NAFCILLIN
THIRD GENERATION CEPHALOSPORIN
METRONIDAZOLE
VANCOMYCIN OR NAFCILLIN
AMPHOTERICIN
WHEN TREATING CONFIRMED OR SUSPECTED ABSCESS IN THE BRAIN WITH ANTIBIOTICS: MORE IS BETTER
THAN LESS, LONGER IS BETTER THAN SHORTER
7. IN A CHILD WITH AN ABSCESS AND A HISTORY OF HEAD TRAUMA OR NEUROSURGICAL PROCEDURE, USE:
A. VANCOMYCIN
B. THIRD GENERATION CEPHALOSPORIN
C. METRONIDAZOLE
D. ALL OF THE ABOVE
8. THE FOLLOWING ARE INDICATIONS FOR SURGERY IN PATIENTS WITH INTRACRANIAL ABSCESS, EXCEPT:
A. GAS IN THE ABSCESS
B. MULTILOCULATED ABSCESS
C. POSTERIOR FOSSA LOCATION
D. MASTOIDITIS
SHOW ME THE QUESTION AGAIN
GO TO THE NEXT QUESTION
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
SURGICAL INDICATIONS ARE:
GAS IN THE ABSCESS
MULTILOCULATED ABSCESS
FUNGAL ABSCESS
POSTERIOR FOSSA LOCATION
NELSON’S 16th EDITION
PATIENTS WITH MASTOIDITIS, SINUSITIS OR PERIORBITAL ABSCESS MAY NEED SURGERY FOR THE PRIMARY CONDITION, BUT DO NOT AUTOMATICALLY NEED SURGERY FOR THE ABSCESS
8. THE FOLLOWING ARE INDICATIONS FOR SURGERY IN PATIENTS WITH INTRACRANIAL ABSCESS, EXCEPT:
A. GAS IN THE ABSCESS
B. MULTILOCULATED ABSCESS
C. POSTERIOR FOSSA LOCATION
D. MASTOIDITIS
9. LONG-TERM SEQUELAE, INCLUDING SEIZURES AND LEARNING DISABILITY OCCUR IN AT LEAST ____ OF CASES.
A. 25%
B. 50%
C. 70%
D. 90%
SHOW ME THE QUESTION AGAIN
I WANT TO SEE A CLUE, ANYWAY
I WANT TO TRY AGAIN
JUST GIVE ME THE ANSWER
GIVE ME A CLUE
MORTALITY IS 5% TO 10%MORTALITY IS 5% TO 10%
SEQUELAE OCCUR IN AT LEAST 50% OF
CASES
SEQUELAE OCCUR IN AT LEAST 50% OF
CASES
9. LONG-TERM SEQUELAE, INCLUDING SEIZURES AND LEARNING DISABILITY OCCUR IN AT LEAST ____ OF CASES.
A. 25%
B. 50%
C. 70%
D. 90%
THE END
I HOPE YOU LEARNED SOMETHING!
Israel Alfonso, MD