Semester 2 Neuro, Week 2 - Fundamentals, Meninges, Ventricles And Csf

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  • 1/11 Questions

    A 3-month old child was treated for an ear infection, however her mother has noted that the child is irritable and prefers dim light. She brings her back to the hospital where she was admitted following physical examination. A lumbar puncture is done which revealed increased proteins, decreased glucose levels, increased WBCs with increased polymorphs. Based on the findings in this patient, she most likely has

    • Viral meningitis
    • Bacterial meningitis
    • Subarachnoid hemorrhage
    • Intracerebral hemorrhage
    • No infection
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About This Quiz

This quiz assesses knowledge on neurology, focusing on the fundamentals of meninges, ventricles, and cerebrospinal fluid (CSF). It covers conditions like anencephaly, subarachnoid hemorrhage, bacterial meningitis, and hydrocephalus, relevant for medical students and professionals.

Semester 2 Neuro, Week 2 - Fundamentals, Meninges, Ventricles And Csf - Quiz

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  • 2. 

    If the Foramen of Megendie is obstructed, which of the following would occur?

    • Non-communicating hydrocephalus

    • Communicating hydrocephalus

    • Subdural hematoma

    • Epidural hematoma

    • Subarachnoid hemorrhage

    Correct Answer
    A. Non-communicating hydrocephalus
    Explanation
    If the Foramen of Megendie is obstructed, it would result in non-communicating hydrocephalus. The Foramen of Megendie is a small opening in the brain that allows cerebrospinal fluid (CSF) to flow from the ventricles to the subarachnoid space. When this opening is blocked, CSF cannot properly drain, leading to an accumulation of fluid within the ventricles. This causes an increase in intracranial pressure and can result in symptoms such as headaches, nausea, and cognitive impairment.

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  • 3. 

    Cerebrospinal fluid is returned directly to the venous system by means of the:

    • Cerebral veins

    • Choroid plexus

    • Cerebral aqueduct

    • Arachnoid villi

    • Apertures in the third ventricle

    Correct Answer
    A. Arachnoid villi
    Explanation
    Arachnoid villi are small finger-like projections of the arachnoid membrane that extend into the venous sinuses of the brain. These villi act as one-way valves, allowing cerebrospinal fluid (CSF) to be absorbed from the subarachnoid space into the venous system. This process helps to maintain the balance of CSF production and absorption, preventing the buildup of excess fluid in the brain. Therefore, arachnoid villi are responsible for returning CSF directly to the venous system.

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  • 4. 

    A 25-year old woman suffers head injuries from an automobile accident. Her MRI reveals an epidural hematoma. Between which two structures has blood accumulated?

    • Between the arachnoid and the pia mater.

    • Between the dura and the pia mater.

    • Between the dura and the arachnoid layer.

    • Between the pia and sub arachnoid layer.

    • Between the skull and the dura.

    Correct Answer
    A. Between the skull and the dura.
    Explanation
    An epidural hematoma is a collection of blood that forms between the skull and the dura mater, which is the outermost layer of the meninges. This type of hematoma occurs when there is a tear in the middle meningeal artery or one of its branches, resulting in bleeding into the potential space between the skull and the dura. It is important to recognize and treat epidural hematomas promptly, as they can cause increased intracranial pressure and potentially life-threatening complications.

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  • 5. 

    A 2-year old child presents with hydrocephalus due to a tumor in her fourth ventricle. Under normal conditions the CSF flows from the 4th ventricle to the cistern magna via which foramen?

    • The left foramen of Luschka

    • The foramen of Megendie

    • The right foramen of Luschka

    • The foramen of Monroe

    • The left Interventricular foramen

    Correct Answer
    A. The foramen of Megendie
    Explanation
    The foramen of Magendie is the correct answer because it is the main opening through which cerebrospinal fluid (CSF) flows from the fourth ventricle into the cisterna magna. This opening is located in the midline of the fourth ventricle and allows CSF to exit the ventricular system and circulate around the brain and spinal cord. The other options mentioned are not involved in the flow of CSF from the fourth ventricle to the cisterna magna.

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  • 6. 

    A 52-year old female suddenly complained of experiencing her worst headache. She subsequently collapsed and was carried to the ER. A lumbar puncture was performed which suggested subarachnoid hemorrhage. Which of the following is most likely to be seen?

    • Decreased protein, decreased glucose and tumor cells

    • Decreased protein, decreased glucose and red blood cells

    • Increased protein, decreased glucose and white blood cells

    • Increased protein, normal glucose and red blood cells

    • Increased protein, increased glucose and white blood cells

    Correct Answer
    A. Increased protein, normal glucose and red blood cells
    Explanation
    In the case of a subarachnoid hemorrhage, blood is leaked into the space between the brain and the thin tissues that cover it, known as the subarachnoid space. This leakage of blood can be detected through a lumbar puncture, which involves taking a sample of cerebrospinal fluid (CSF) from the lower back. In a subarachnoid hemorrhage, the CSF sample would show increased protein levels due to the presence of blood, normal glucose levels as glucose is not typically affected by bleeding, and the presence of red blood cells. Therefore, the answer choice "Increased protein, normal glucose and red blood cells" is the most likely to be seen in this scenario.

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  • 7. 

    During examination at clinic, it was noted that the size of an infant's head was larger than normal expected for her age. Radiological examination indicated that there is obstruction of the medial foramen draining the fourth ventricle. What is the name of this foramen?

    • Cerebral aqueduct

    • Interventricular foramen

    • Foramen of Megendie

    • Foramen of Monro

    • Foramen of Luschka

    Correct Answer
    A. Foramen of Megendie
    Explanation
    The correct answer is Foramen of Megendie. The question describes a condition where there is obstruction of the medial foramen draining the fourth ventricle. The foramen of Megendie, also known as the median aperture, is one of the three openings through which cerebrospinal fluid (CSF) flows out of the fourth ventricle and into the subarachnoid space. When this foramen is obstructed, it can lead to an accumulation of CSF in the ventricles, causing hydrocephalus.

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  • 8. 

    A 42-year old woman is suffering from chronic headaches. A CT reveals a tumor in her 4"-' ventricle and enlargement of all ventricles. Under normal conditions which of the following is characteristic of CSF flow?

    • The CSF flows from the 4ch ventricle to the cistern magna via the median aperture

    • The CSF flows from the lateral ventricles to the 3rd ventricle via the cerebral aqueduct.

    • The CSF flows from the 3rd to 4th ventricle via the foramen of Monroe

    • The CSF flows from the lateral ventricles to the 4th via the foramen of Luschka

    • The CSF flows from the ducal sinuses to the subarachnoid space via the arachnoid

    Correct Answer
    A. The CSF flows from the 4ch ventricle to the cistern magna via the median aperture
    Explanation
    The CSF flows from the 4th ventricle to the cistern magna via the median aperture. This is the correct answer because the question states that the woman has a tumor in her 4th ventricle, which suggests that there may be obstruction or blockage of CSF flow in this area. The CSF normally flows from the lateral ventricles to the 3rd ventricle via the cerebral aqueduct, then from the 3rd ventricle to the 4th ventricle via the foramen of Monroe. From the 4th ventricle, it then flows to the cistern magna via the median aperture. The other options mentioned in the question are not characteristic of CSF flow under normal conditions.

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  • 9. 

    Which of the following statements are correct about neurons whose cell bodies are located in dorsal root ganglia?

    • They are cranial nerve cells

    • They are multipolar neurons

    • They have both peripheral and central nervous system components

    • They are pseudo-unipolar neurons

    • They are derived from the neural tube

    • More than one above

    • None of the above

    Correct Answer
    A. More than one above
    Explanation
    The correct answer is "More than one above." This is because neurons whose cell bodies are located in dorsal root ganglia have both peripheral and central nervous system components, and they are pseudo-unipolar neurons. They are not cranial nerve cells, as they are part of the spinal nerves. They are also not derived from the neural tube, as they originate from neural crest cells.

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  • 10. 

    A pregnant mother has a routine ultrasound to determine the sex of her baby. The doctor informs her that the baby is anencephalic. Which of the following statements are most characteristic of anencephaly?

    • Results from failure of caudal neural tube closure

    • Can often be treated successfully with surgery

    • Associated with no change in alpha-fetoprotein

    • Newborns with this condition may still display reflex activity

    • Results from neural tube closure deficits in the second trimester

    Correct Answer
    A. Newborns with this condition may still display reflex activity
    Explanation
    Newborns with anencephaly may still display reflex activity. Anencephaly is a neural tube defect that occurs when the upper part of the neural tube fails to close during fetal development. This results in the absence of a major portion of the brain, skull, and scalp. Despite the severe brain abnormalities, some reflex activities such as grasping, sucking, and swallowing may still be observed in newborns with anencephaly.

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  • 11. 

    A 75-year old man develops a tumor in his cerebral aqueduct, leading to a non- communicating hydrocephalus. Which finding below is most likely in this man?

    • A shift of the cranial contents in a superior and lateral direction

    • The development of an unusually large head circumference

    • An enlargement of the subarachnoid space

    • The development of an unusually small head circumference

    • A shift of the cranial contents in an inferior and medial direction

    Correct Answer
    A. A shift of the cranial contents in an inferior and medial direction
    Explanation
    A tumor in the cerebral aqueduct can cause obstruction of cerebrospinal fluid (CSF) flow, leading to non-communicating hydrocephalus. In this condition, CSF accumulates within the ventricles of the brain, causing an increase in intracranial pressure. This increased pressure can cause a shift of the cranial contents in an inferior and medial direction, as the brain is compressed against the skull. This displacement can be seen on imaging studies such as CT or MRI. The other options are not typically associated with non-communicating hydrocephalus.

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  • Mar 22, 2023
    Quiz Edited by
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  • Jan 15, 2012
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    BLACKMD
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