Froggy Aneurysms Quiz

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Test your knowledge about cerebral aneurysms with this fun quiz!

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Faye M

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Froggy Aneurysms Quiz


Froggy Jumps Froggy Aneurysms QuizOnline version Test your knowledge about cerebral aneurysms with this fun quiz! by Faye M 1 What is a cerebral aneurysm? a A lack of oxygen to the brain b A blood clot that traveled to the brain c A bulging or ballooning in a blood vessel in the brain due to a weakness in the vessel wall 2 Which lifestyle change is most effective in preventing development of cerebral aneurysms? a Drinking coffee b Wearing compression socks c Quitting smoking 3 Which of these locations has the highest incidences of cerebral aneurysms? a Anterior communicating arteries b Posterior communicating arteries c Middle cerebral artery 4 Which of these groups of people is at highest risk for cerebral aneurysms? a Children b Caucasian men c Older African American women 5 Which surgical approach is preferred for older cerebral aneurysm patients in poor health? a Surgical clipping b Endovascular coiling c Flow diversion stents 6 What is the most common technique to diagnose unruptured aneurysms a MRI and CT angiography b Ultrasound c Symptom based 7 What is the most common physical sign of unruptured cerebral aneurysm a Third-nerve palsy b Raynaud's phenomenon c Slurred speech 8 When is elective surgery recommended for cerebral aneurysm patients? a When the lifetime risk of rupture exceeds the risk of treatment b When they have severe headaches c Age 70 9 A ruptured cerebral aneurysm may present: a "worse headache of my life" "thunderclap" n/v, photophobia, seizures, altered LOC b Slow heart rate without other symptoms c Gradual onset of mild headache 10 What is triple H therapy for an emergent ruptured cerebral aneurysm? a Hypervolemia, hemodilution, hypertension b Hypotension, hypercapnia, hyperthermia c Hemostasis, hyperoxygenation, hypercalcemia 11 Goal blood pressures using oral nimodipine or IV nicardipine for emergent ruptured cerebral aneurysm to prevent vasospasm? a SBP 120-140 b SBP 140-160 c SBP 160-180 12 Which type of premedication is preferred for the emergent ruptured aneurysm patient? a Large doses of opioids to prevent patient movement and increased stress. b Small doses of midazolam to prevent over-sedation that may mask worsening aneurysm leak. c No changes to normal premedication procedures. 13 What are the risks of hypertension for the cerebral aneurysm patient? a Has no effect on cerebral aneurysms b Causes immediate aneurysm shrinkage c Aneurysm growth, rupture, intracranial hemorrhage, death 14 What are the risks of hypotension for the ruptured cerebral aneurysm patient? a Has no effect on cerebral aneurysms b Cerebral ischemia and infarct c Strengthens the aneurysm wall and prevents rupture 15 What EKG changes can occur with cerebral aneurysm rupture and SAH? a ST-segment depression, T-wave inversion, new PVCs b EKG changes only occur in heart attacks, not brain-related conditions c Atrial fibrillation 16 What is a good sedation plan for the duration of a cerebral aneurysm repair? a Brain block b Complete paralysis and sevo c Propofol + Remifentanyl 17 Intraop medications you would have on standby for a cerebral aneurysm case a Nicardipine, esmolol, adenosine, mannitol b Insulin, antibiotics, ofirmev c Diltiazem, dexamethasone, alteplase 18 Which type of crystalloids should be used intraop to have better outcomes and lower risk of complications? a D5W b Normal Saline c LR and Plasmalyte 19 What are the primary goals of emergence after cerebral aneurysm repair? a Slow & Awake: Ensure full neuro response before extubating, some coughing and struggling ok b Swift & Smooth: Reduce stimulating hemodynamic response, avoid coughing, avoid PONV c Practitioners choice. Emergence does not affect surgical outcomes. 20 Post-op care of the cerebral aneurysm patient. What are typical MAP goals: a MAP 70-90 b MAP 50-70 c MAP 90-110 21 What are the potential complications from aneurysm clipping include: a Perforating arteries injury or occlusion, premature aneurysm rupture, and cranial nerve injury b Improved cognitive function c Hearing voices, color blindness, and hair loss 22 Which picture shows cerebral aneurysm clipping a b c 23 How do you calculate CPP? a CPP = MAP + ICP b CPP = ICP - MAP c CPP = MAP - ICP 24 Recent studies show CPP-guided goals decrease the rate of cerebral ischemia during cerebral aneurysm clipping. What are those goals? a CPP > 70 b CPP 50 - 70 c CPP > 50 25 What is Cerebral Hyperperfusion Syndrome (CHS)? a A seizure disorder caused by electrolyte imbalances. b A normal physiological response to high altitude. c Temporarily occluded blood vessels experience rebound vasodilation when blood flow is restored. 26 What is nimodipine used for in cerebral aneurysms? a To dissolve the aneurysm. b Prevention of seizure activity post-clipping. c Prevention of vascular spasms.

Froggy Aneurysms Quiz

Froggy Jumps

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Froggy Aneurysms QuizOnline version

by Faye M

What is a cerebral aneurysm?

Which lifestyle change is most effective in preventing development of cerebral aneurysms?

Which of these locations has the highest incidences of cerebral aneurysms?

Which of these groups of people is at highest risk for cerebral aneurysms?

Which surgical approach is preferred for older cerebral aneurysm patients in poor health?

What is the most common technique to diagnose unruptured aneurysms

What is the most common physical sign of unruptured cerebral aneurysm

When is elective surgery recommended for cerebral aneurysm patients?

A ruptured cerebral aneurysm may present:

What is triple H therapy for an emergent ruptured cerebral aneurysm?

Goal blood pressures using oral nimodipine or IV nicardipine for emergent ruptured cerebral aneurysm to prevent vasospasm?

Which type of premedication is preferred for the emergent ruptured aneurysm patient?

What are the risks of hypertension for the cerebral aneurysm patient?

What are the risks of hypotension for the ruptured cerebral aneurysm patient?

What EKG changes can occur with cerebral aneurysm rupture and SAH?

What is a good sedation plan for the duration of a cerebral aneurysm repair?

Intraop medications you would have on standby for a cerebral aneurysm case

Which type of crystalloids should be used intraop to have better outcomes and lower risk of complications?

What are the primary goals of emergence after cerebral aneurysm repair?

Post-op care of the cerebral aneurysm patient. What are typical MAP goals:

What are the potential complications from aneurysm clipping include:

Which picture shows cerebral aneurysm clipping

How do you calculate CPP?

Recent studies show CPP-guided goals decrease the rate of cerebral ischemia during cerebral aneurysm clipping. What are those goals?

What is Cerebral Hyperperfusion Syndrome (CHS)?

What is nimodipine used for in cerebral aneurysms?