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Physical Injury Discussion by Dr. Abo Yazid

This document discusses various types of physical injuries to the head, including different types of skull fractures, brain injuries such as concussions and hematomas, and their clinical presentations and treatments. It provides 25 multiple choice questions to test understanding of topics like distinguishing between types of fractures, signs of brain compression, causes of different injuries, and management principles. Key areas covered include characteristics of fissure fractures, depressed fractures, and comminuted fractures; signs of concussion, subdural hematomas, and intracerebral hemorrhage; and factors that can indicate the location and severity of brain injuries.

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0% found this document useful (0 votes)
25 views6 pages

Physical Injury Discussion by Dr. Abo Yazid

This document discusses various types of physical injuries to the head, including different types of skull fractures, brain injuries such as concussions and hematomas, and their clinical presentations and treatments. It provides 25 multiple choice questions to test understanding of topics like distinguishing between types of fractures, signs of brain compression, causes of different injuries, and management principles. Key areas covered include characteristics of fissure fractures, depressed fractures, and comminuted fractures; signs of concussion, subdural hematomas, and intracerebral hemorrhage; and factors that can indicate the location and severity of brain injuries.

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Group Discussion Of Physical Inj By Dr Abo Yazid

Choose only one answer


1 - The following scalp wound posses a great MLS
A - Scalp avulsion.
B - Scalp laceration
C - Firearm injuries
D - Cut wounds
2 - Which is lot true about traumatic meningitis : -
A - Presence of contused wound at the scalp.
B - Pus is collected underlying the wound.
C - Meningococci are the causative organic:
d - Fissure fracture may be present.
3-D.D CONTUSED SCALP wound from cut wound by:
A – Edges
B - Bleeding
C – Hair
D - Tissue bridges
4 - Rspid healing occur in :
-A-Fissure racture
B - Cut fr cture
C — Local ised depressed fracture
D- Comminuted fracture
5 - The head of an axe may produce :
-A - Fissure fracture
B - Localised depressed fracture
C - Localised depressed comminuted fraciuie
D - Both A&B
E - Both B&C

6 - In fissure fracture the followings are true except: -


Group Discussion Of Physical Inj By Dr Abo Yazid

A — It is caused by a blunt instrument


B — May occur alone or with oilier fractures
C - Take the shape of the causer Instrument
D - Diastitic fracture is a subtype of fissure fracture
7 — Which is not true about ring fracture : -
A - It is caused by a blunt instrument
B - May occur alone or with other fractures
C - Always occur at the base
D - It is a fissure fracture
8 — Permanent infirmity may follow : -
A - Fissure fracture
B — Comminuted fracture
C — Diastatic fracture
D - Chipped fracture
9 — All skull fractures heal by fibrous tissue except :
-A - Fissure fracture
B - Cut fracture
C — Cut comminuted fracture
D — Comminuted fracture
10 — Ring fracture of the skull base : -
A - It is a depressed fracttire
B - It occur around orbital plates
C — It caused by falling on the vault
D - It cased by falling on the breach
11 - Smoothening of the edges of fissure fracture occur after : -
A — 1 week
B - 2 weeks
C - 3 months
D — 3 — 6 months
Group Discussion Of Physical Inj By Dr Abo Yazid

12 - which of the following is not applied to fracture middle Ibssa


A - otorrhea & ear bleeding may occur
B - May cased by upper cut in boxmg
C — Nuchal stiffness may occur
D - May caused by a bullet injury
13 - Depress localized fracture caused by : -/
A — b1unt instrument, localized S.S.A with low momentum
B- Blunt instrument, localized S.S.A with high momentum
C - Blunt instrument, wide S.S.A with low momentum
D - Blunt instrument, wide S.S.A with high momentum
14 - Lion forceps is used in the treatment of:
-A - Fissure fracture
B - Diastatic fracture
C — Depressed localized fracture
D — Depressed comminuted fracture
15 - Which of the following is not true in chipped fracture :
-A - Caused by sharp instrument pass tangential
B — May occur on the mastoid process
C - Brain compression may occur
D - Affecting only the outer skull layer
16 - Concussion may show :-
A - Projectile vomiting
B - Muscles rigidity
C - Slow pulse
D - Non of the above.
17 - Arterial extradural hematoma usually originate from :
-A - Middle meningeal artery.
B - Diploic vessels
C - Venous sinus
Group Discussion Of Physical Inj By Dr Abo Yazid

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D - Middle cerebral artery


18 - In concussion, the putse is :
-A - Slow & week
B - Slow, full
C-Irregular
D - Weak & rapid
19 - Chronic traumatic subdural haematoma : -
A - May be extension of subarachnoid haematoma
B - Medullary herniation may occur.
C - Atherosclerosis is a predesing factor
D - Non of the above
20- During lucid interval : -
A - Reflexes are exaggerated
B - Blood pressure rises
C - Pupils are unequal
D - Pupils are constricted
21 - Which of the following is true in pathological intracerebral haemorrhage
/

A - Never occur in elderly


B - Ltaemorrhage is more at surface than inward
C - Skull fractures may be present
D - Hypertension is an important predising factor
22 - Rupture aneurysm is an important factor in : -
A - Extradural haematonui
B - Acute stibdural naematoma
C - Subarachnoid haernak ma
D - Chronic subdural haematoma
23 -In compression, which of the following is true : -
A - Pupils are wqual bilateral
Group Discussion Of Physical Inj By Dr Abo Yazid

B - Pulse is weak & rapid


C - Reflexes are exaggerated on contralateral side
D - Treatment is conservative
24— Concussion may be followed by
A - Compression
B — Complete recovery
C - Death
D - Any of the above
25- Exaggerated reflexes at left side of side of the body may indicate
A - Early compression at left side of the brain
B - Early compression at right side of the brain
C - Brain concussion
D - Retrograde amnesia
26 - Post - concussion automatism is : -
A - Amnesia toeard the old events
B — Amnesia towaed the recent events
C - Abnormal violent tendency
D - Headache, neurosis & vertigo 27- Which of the following denote
cerebral irritation : -
A - Fever
B - Mydriasis
C - Hypertension
D - Syncope

28 - Which is affected first in brain compression : -A - Veins B


- Arteries C- Medulla D - Non of the above
29 - Muscle paralysis after brain trauma may denote : -A — Brain
concussion B - Brain compression
C - Syncope
Group Discussion Of Physical Inj By Dr Abo Yazid

i
D - Medullary herniation
ID- Regarding contra - coup lesions, which is true : -
A — Brain injury occur on contra — lateral site of extermal trauma
B — Not occur in brain laceration
C — Stretching of the blood vessels may be trie cause in linear head movement
D - Suction of the brain may be the eause in rotatory head movement

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