Quiz: Head Injuries

2-A contused wound of the scalp is characterized by the following, except

A Irregular edges B Rapid sepsis C Profuse bleeding. D Crushed hair tips

3- Contre-coup injury occur in

A Non of the above B At site of trauma C Midway between site of trauma and opposite site D At opposite site

4-Delayed death in cut throat may be due :to

A Venous air embolism B Hemorrhage C Edema of the glottis D Neurogenic shock

5-Signs of lateralization occur due to

A Concussion B Meningitis C Compression D Scalp injury

6-Rupture of aneurysm cause

A Subdural hemorrhage B Subarachnoid hemorrhage C Intracerebral hemorrhage D Extradural hemorrhage

7-Subdural hematoma is mostly

A Venous B Capillary and venous C Arterial D Capillary

8-Bleeding disorder can occur in major wound due to

A Damage of the vessels B Thromboplastin initiated coagulopathy C Consumption of platelets and fibrin D All of the above

9-Spider web or mosaic fracture.

A Fissured fracture B Fracture base C Special type of comminuted fracture D Special type of depressed fracture

10-Compression include all of the following except

A Rapid week pulse B High temperature C Slow deep respiration D Increase blood pressure

11- In lucid interval the hemorrhage is

A a) Intracerebral B b) Subarachnoid C c) Subdural D d) Extradural

12-Scalp injury can cause meningitis through

A a) Middle ear disease B b) Emissary vein C c) Crossing vein D d) Fissure veins

13- Hemorrhagic shock is due to

A b) Vasodilatation B c) Massive loss of blood C d) Reflex vagal inhibition D a) Non of the above

14- A 30 years old man was hit by stick. The victim suffer from comatosed for minutes he victim was transmitted to hospital in conscious state. X ray was done and revealed linear fracture. CT was done and revealed extradural hemorrhage. Few hours later the m patient become comatose. On examination of hand of the victim some hair found under nail of the finger. In such trauma if the head was supported the fracture produced is

A a. Spider web fracture B b. Diastatic fracture C c. Pond fracture D d. Polar fracture

The source of extradural hemorrhage commonly

A a) Venous B b) Aneurysm C d) Arterial D c) Non of the above

15- Battle sign is seen in

A a) Fracture posterior fossa B b) Fracture middle fossa C c) Fracture anterior fossa D d) Fracture valut

16- Signs of lateralization include all of the following except

A a) lass of consciousness B b) Paralysis of muscle C c) Unequal pupils D d) Deviation of the eyes

17- Pachy-meningitis hemorrhagica is found in Pachy-meningitis hemorrhagica is found in

A a) Subdural hemorrhage B b) Intracerebral hemorrhage C c) Subarachnoid hemorrhage D d) Extradural hemorrhage

18- venous air embolism occurs after

A a) Criminal abortion B b) Barotrauma C c) Gas gangrene D d) Artificial

19- Postmortem picture of the parasympathetic shock is characterized by

A a) Empty heart and big vessels B b) Sub endocardial hemorrhage C c) Edema of the brain D d) Petechial hemorrhage

20- Pneumothorax Fat embolism occurs after

A a) . Fracture humerus B c) L.V. injection or oily solution. C d) 3" degree burn D b) Any of the above

21-A 30 years old man was hit by stick. The victim suffer from comatosed for minutes the victim was transmitted to hospital in conscious state. X ray was done and revealed linear fracture. CT was done and revealed extradural hemorrhage. Few hours later the patient become comatose. On examination of hand of the victim some hair found under nail of the finger. In such case contre

A a. Occur in same side B b. Can not orcur C c. Occur in ipsilateral side D d. Occur in opposite side

.Significance of hair under nail of the victim

A a. Can we know form any part of the body was taken B b. a and c C c. Help in the identification of assailant D d. -Has no significance

.Medicolegal importance of the period between two coma

A b. The doctor can discharge the patient from the hospital because the patient is well B c. The assailant can claim the cause of coma is not the trauma C d. The victim can tell the name of assailant D a. All of the above

.Clinical picture of patient during second coma is

A a) High temperature B b) High blood pressure C c) Projectile vomiting D d) All of the above

22-Vagal shock is

A a) Non fatal B b) Highly fatal C c) Rarely fatal D d) Non fetal

23- Power of speech is preserved in

A a) Lucid interval B b) Depressed fracture C c) Cut fracture D d) comminuted fracture.

24-All of the following are fissured fracture except

A a) Hinge B b) Polar C c) Diastatic D d) Radiating

25- Extradural hematoma is mostly

A a) Arterial B b) Venous C c) Capillary and venous D d) Capillary

26-Aympathetic shock may occur as a result of trauma to

A d) Scrotum B c) Epigastrium C b) Larynx D a) None of the above

27-In venous air embolism one of the following can occur

A a) Air is collected in pulmonary artery B b) Few cc is fatal C c) in postmortem examination coronary artery is occluded D d) Can occur in stab wound connecting bronchus with pulmonary vein

28-Ring fracture is

A a) Fracture base B b) Comminuted fracture C c) Cut fracture D d) Depressed fracture

29- The commonest complication after crush injury is

A a) Renal failure. B b) Any of the above C c) Gas gangrene. D d) Sympathetic shock.

30- Disseminated intravascular coagulation (DIC) occurs in cases of

A a) Multiple infarctions B b) Bleeding diathesis C d) Massive trauma D c) All of the above

31- Hesitation marks are characterized by being

A a) Lacerated B b) Deep C c) Single D d) Related to suicidal wounds

32-Concussion include all of the following except

A a) Slow deep respiration B b) Low blood pressure C c) Sub temperature D d) Rapid week pulse

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