题库-颅脑损伤（Item bank craniocerebral injury）

1、题库-颅脑损伤（Item bank craniocerebral injury）03855220500000110888801, 02The early treatment of closed craniocerebral trauma is characterized byA. control the water intake and correct the imbalance of water and electrolyteB. prevention and treatment of cerebral edema and intracranial hematoma in timeC. pr

2、evention and treatment of epilepsyD. prevention and treatment of shockE. in time for tracheotomy03855B03856220500000110888801, 02Someone falls from the car, the left pillow to the ground, sexual consciousness disorder, and then the right pupil loose, surgery should beKey explorationA. right lateral

3、acute epidural hematomaB. right frontal and temporal pole contusion and acute subdural hematomaC. left parietal occipital contusionD. hypothalamus injuryE. left intracranial hematoma03856B03857220500000110888801, 02The fatal effect of traumatic intracranial hematoma isA. CSF circulation is blockedB.

4、 diffuse brain edemaC. acute brain compression, cerebral hernia, brain crisisD. subarachnoid hemorrhageE. respiratory tract infection03857C03858220400000110888802, 01After craniocerebral trauma, the best curative effect of acute brain compression isA. acute brain edemaB. intracerebral hematomaC. acu

5、te subdural hematomaD. composite hematomaE. acute extradural hematoma03858E03859220500000110888801, 02The most common disturbance of consciousness in patients with post-traumatic acute epidural hematoma isA. continued coma deepenedB. coma comaC. coma, wakefulness, comaD. early wakefulness to comaE.

6、occurs alternately between waking and twilight States03859C03860220500000210888801, 02Which of the following is rare in the clinical presentation of supratentorial supratentorial acute epidural hematomas?A. changes in consciousness are often preceded by changes in pupilsB. high blood pressure and sl

7、ow pulse can occur simultaneously with consciousness disorderC. irregular breathing, often before consciousness changesD. the blood pressure drops and the pulse count usually occurs after the mydriasis of the bilateral pupilsThe large side of the pupil of the pupil of E. is often ipsilateral to the

8、hematoma03860C03861220500000110888801, 01The typical clinical manifestation of acute epidural hematoma on tentorium cerebelli isA. carries on sexual consciousness obstacle: blood pressure rises, the pulse is slow, the pupil is not bigB. suffer from side lobe mydriasis, disturbance of consciousness,

9、slow breathing, rapid pulse, and rising blood pressureC. presented localization sign, pupil inequality, consciousness disorderD. bilateral mydriasis at the same time slowed heart rate and decreased blood pressureE. disturbance of consciousness - brain rigidity - apnea03861A03862220500000110888801, 0

10、2The latest method at home and abroad is to diagnose traumatic acute intracranial hematomaA. cranial X ray plain filmB. brain ultrasoundC. cerebral angiographyD. isotope brain scanE. cranial CT03862E03863220400000110888802, 03First aid should be done first aid to severe craniocerebral trauma patient

11、sA. checks the mind, the pupilB. uses dehydrating agentsC. tests breathing, pulse, blood pressureD. ensure airway patencyE. is given a hemostatic agent and an anti infective drug03863D03864220400000210888802, 02The patient irritability, after traumatic brain injury with low blood pressure, which of

12、the following drugs should not be usedA. chloral hydrateB. andingC. phenobarbitalD. pethidine (Mai Ding)E. hibernation spirit03864D03865220500000110888801, 02The most common cause of acute epidural hematoma isA. skull diploic vein hemorrhageB. middle cerebral artery hemorrhageC. ruptured middle meni

13、ngeal arteryD. venous sinus failureE. cerebrovascular damage in the cerebral cortex03865C03866220300000210888802, 02Which kind of patient is unsuitable for nasal feeding after craniocerebral trauma?A. long coma after contusion and laceration of brainB. brain stem injury, dysphagiaC. has a tracheotom

14、y patientThe patient and cerebrospinal fluid rhinorrhea D. after fracture of skull baseE. restless and less cooperative patient03866D03867220300000210888802, 02Craniocerebral injury patients were observed,Which of the following is a guide to the decision to operate on the side?A. bilateral mydriasis

15、B. remain unconsciousC. has hemiplegia in the early stageD.s sign is positiveThe pupil of one side of E. was dilated and the light response disappeared03867E03868220500000110888801, 02The most important measures to rescue the patients with intracranial hematoma areA. puncture the ventricles and rele

16、ase cerebrospinal fluidB. rapid blood transfusionC. intravenous rapid infusion mannitolD. immediately tracheotomyE. performs the operation promptly to clear the hematoma and stop bleeding03868E03869220500000110888801, 02Acute traumatic intracranial hematoma, the right pupil has been scattered, the r

17、escue process should be the firstA. head CT scan, the location of hematomaB.20% mannitol 250ml rapid intravenous infusionC. drilling exploration, looking for hematomaD. emergency decompression of right temporalis muscleE. quick puncture right ventricle forehead, ventricular fluid drainage03869B03870

18、220600000110888802, 01Open craniocerebral injury refers toA. rupture of scalp and linear fracture of skullB. rupture of scalp and comminuted fracture of skullC. scalp fracture and depressed skull fractureD. skull fracture and rupture of dura materE. the scalp, skull and dura mater were ruptured03870

19、E03871220600000110888802, 02A brief loss of consciousness, complete with scalp after head trauma, cerebrospinal fluid rhinorrhea, which of the following most correct opinionsA. does not suffer from acute brain compressionB. should be operated on immediately to repair the missing channelC. belongs to

20、 open brain traumaD. doesnt have concussionsE. cranial X ray film can confirm the diagnosis03871C03872220600000210888802, 02Which of the following does not belong to the clinical features of open head injury?A. primary disturbance of consciousness is slightB. went to the brain for rigidityC. local b

21、rain damage is more serious, intracranial pressure increased mild symptomsD. is prone to intracranial infectionE. has a high incidence of long-term epilepsy03872B03873220600000110888802, 01The most important principle of treating open craniocerebral injury isA. if there is no special conditions, imm

22、ediately transferredB. transfusion and infusionC. calm and relieve painD. protects brain tissue by injecting TATE. hemostasis, debridement, open, closed brain trauma03873E03874220600000110888802, 01The most important treatment principle in debridement of open craniocerebral trauma isRemoval of intra

23、cranial metallic foreign body by A.B. fully trimmed wound skinC. tightly suture or repair dura materD. applies broad-spectrum antibiotics in timeE. subcutaneous drainage strips are placed subcutaneously03874C03875220600000210888802, 02Which is incorrect about the surgical treatment of open craniocer

24、ebral injury?A. debridement for 6 hours after injuryB. treated with antibiotics can be delayed to 72 hours after injuryThe C. must be tightly sutured or repaired duraD. if there is a skull defect, it should be repaired at debridementE. stratified suture scalp03875D03876220600000110888802, 01Under th

25、e antibiotic treatment, debridement can be delayed to the latest time at the latestA.12 hoursB.24 hoursC.36 hoursD.48 hoursE.72 hours03876E03877220600000110888802, 03The key measures to prevent wound and intracranial infection are open craniocerebral traumaA. closely observed changes in the conditio

26、nB. applies broad-spectrum antibioticsC. physiotherapy improves local blood circulationD. early debridementE. strengthens nutrition and increases wound healing ability03877D03878220200000210888802, 02Which of the following is wrong with scalp laceration?A. blunt impact does not occur lacerationB. fi

27、rst aid should be bandaged immediately to stop bleedingC. scalp defects should be repairedAfter D. debridement, the use of stratified suture is betterThe laceration should be sutured in a period of E.24 hours after debridement03878A03879220200000210888802, 01What is the most common treatment for sca

28、lp avulsion?A. will tear off the scalp and suture it backB. is made of full thickness skin and replantedC. made of medium thick skin and re implantedD.Replantation of small vascular anastomosis of scalpE. after granulation growth, skin grafting03879C03880220200000110888802, 01The hematoma of the cap

29、 is oftenA. is rather limitedB. is broad and hardC. around soft, central hardD. is broad and dynamicE. confined to a skull range03880D03881220200000110888802, 01The first choice of treatment for head cap hematoma is the first treatmentA. pressure bandaging, intravenous infusion of hemostatic drugsB.

30、 puncture blood, intravenous drip of hemostatic drugsC. incision, drainage and compression bandagingD. puncture, blood drawing and pressure bandagingE. to be absorbed by itself, intravenous drip of hemostatic drugs03881D03882220500000110888801, 01The manifestation of traumatic hematoma of cranial bo

31、ne clothing isA. hematomas are usually small or largeB. hematoma is located in the lower layer of cap and aponeurosisC. the blood in the hematoma comes from the venous sinusD. haematoma is hard, and medium face is sunkenE. hematoma is often confined within the skull03882E03883220300000110888802, 01C

32、losed skull fracture diagnosis mainly depends on theA. has swelling of the scalpB. showed signs of nerve compressionC. palpation has local depressionD. X-ray plain filmE. palpable bone fricative03883D03884220200000110888802, 01The principle of treatment with closed fracture is linear calvariaA. surg

33、ical reductionB. clear the broken bonesC. surgical wire fixationD. is for external fixation onlyE. does not need special treatment03884D03885220400000110888802, 03After the head falls immediately scattered on the side of the pupil, ptosis, the patient was always clear, suspectedA. optic nerve injuri

34、esB. midbrain injuryC. oculomotor nerve injuryD. sympathetic nerve injuryE. fundus damage03885C03886220400000110888802, 03Which cranial nerve is most easily damaged in the middle cranial fossa fracture?A. oculomotor nerveB. optic nerveC. vagus nerveFacial nerve of D.E. olfactory nerve03886D038872204

35、00000110888802, 03After trauma, when the blood and cerebrospinal fluid flow out of the nasal cavity, the treatment measures should be takenA. nasal packing compression hemostasisB. nasal irrigationC. is treated with antibioticsD. head low for drainageE. lumbar puncture releases hemorrhagic cerebrosp

36、inal fluid03887D03888220400000110888802, 01An important basis for the diagnosis of concussion isA. scalp contusionB. skull fractureC. headache, dizziness, nausea and vomitingD. vital signs changeE. transient coma and reverse amnesia03888C03889220400000210888802, 02Which of the following statements i

37、s wrong with the Glasgow coma scale?A. has a maximum score of 15B. minimum is divided into 3 pointsC. scores below 8 points for comaD. each casualtys score is constantE. this method is to open eyes, speech and movement of three aspects of the examination results are expressed by scoring03889D0389022

38、0400000210888802, 02Which of the following is wrong in the presentation of a contusion or laceration of the brain?A. coma lasts several hours to several weeks after injuryB. delayed mydriasis and no cerebral herniaC. often has changes in breathing, pulse, blood pressure, and body temperatureD. may h

39、ave paralysis, aphasia, etcE. lumbar puncture, cerebrospinal fluid can be mixed with blood03890B03891220400000110888802, 02In patients with traumatic brain injury, the removal of bloody cerebrospinal fluid from the lumbar puncture should first be consideredA. calvarial bone fractureB. brain edemaC.

40、contusion and laceration of brainD. brain concussionE. subdural hematoma03891C03892220400000110888802, 01The most common site of head injury isA. parietal lobeB. occipital lobeC. top occipital partD. frontotemporalE. cerebellum03892D03893220400000110888802, 01The most common complication in patients

41、 with moderate or severe craniocerebral injuries isA. bedsoreB. pneumoniaC. urinary tract infectionD. digestive tract bleedingE. corneal ulcer03893B03894220400000110888802, 01Hibernation cooling therapy applies toA. open craniocerebral injuryB. intracranial hematomaC. severe brain contusion and brai

42、n stem injuryD. traumatic epilepsyE. skull base fracture03894C03895220400000110888802, 01The best treatment for traumatic brain injury with respiratory obstruction and dyspnea isA. oxygen inhalationB. respiratory stimulantC. tracheal intubationD. intracranial pressure lowering drugE. tracheotomy0389

43、5E03896220400000210888802, 02Which of the following is wrong in the symptomatic treatment of closed brain injury?A. restlessness can be given to sedativesB. fever can give antipyreticC. intracranial hypertension is feasible for lumbar punctureD. should limit water intake in the acute phaseE. urinary

44、 retention should be indwelling catheter03896C03897220400000210888802, 02Patients with acute craniocerebral injury following treatment of restless anxiety, which is not appropriateA. injection, valium and sedationB. is bound to protectC. looking for reasons for restlessnessD. injection morphine anal

45、gesiaE. input water reducer03897D03898220400000110888802, 01The characteristic features of brain stem injuries areA. deep comaB. pupils differ in their pupilsC. central hyperthermiaD. dysfunction of lifeE. went to the brain for rigidity03898D03899220400000110888802, 02After the head injury, immediat

46、ely appear the coma, the pupil extremely shrinks, goes to the brain rigidity attack, the vital sign is chaotic, the skull pressureNot high, may be diagnosed asA. contusion and laceration of brainB. brain concussionC. brain stem injuryD. intracerebral hematomaE. acute subdural hematoma03899C039002204

47、00000110888802, 02A seizure of rigidity is due toA. extensive damage to the cerebral cortexThe damage of B.C. midbrain damageD. cerebellar lesionE. medullary damage03900C03901220400000210888802, 02The main points for the diagnosis of supratentorial epidural hematoma are the following, exceptA. inter

48、mediate wakefulnessB. early brain rigidityThe ipsilateral pupil of the C. fracture line is largeD. fracture line contralateral limb paralysisThe E. fracture line spans the middle meningeal artery sulcus03901B03902220500000110888801, 02The main cause of secondary coma in supratentorial epidural hemat

49、oma isA. diffuse brain edemaB. foramen magnum herniaC. cerebral vasospasm or occlusionD. tentorium cerebelli Kong ShanE. ventricular system obstruction03902D03903220500000110888801, 02Which of the following blood vessels bleeds usually does not cause subdural hematomas?A. venous sinus bleedingB. cer

50、ebral vascular hemorrhageC. bridge vein bleedingD. meningeal arteryE. cerebral cortical arterial and venous bleeding03903D03904220500000110888801, 01When subdural hematoma occurs, the bleeding mainly comes from the subdural hematomaA. meningeal arteryB. diploic veinSuperficial temporal artery, C.D.

51、cerebral veinsE. contusion and laceration of the brain vascular wound03904E03905220500000110888801, 02Chronic subdural hematoma occurs mostly after traumaWithin A.3 daysWithin B.1 weeksC.3 weeks to monthsD.3 days to 3 weeksE.1 years later03905C03906220500000210888801, 02Which of the following statem

52、ents is true about chronic subdural hematomas?A. can have mental symptomsB. can have hemiplegiaC. must have a history of traumaD. is more common in the elderlyE. may have increased intracranial pressure03906C03907220500000110888801, 02One patient had slight head trauma, no history of coma, no skull

53、fracture, and increased intracranial pressure 2 months laterProbably forA. chronic epidural hematomaB. intracerebral hematomaC. multiple intracranial hematomaD. severe contusion and laceration of brainE. chronic subdural hematoma03907E03908220500000210888801, 02Which of the following is not true when i