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Acceleration injuries

Total questions: 45

Worksheet time: 34mins

Name
Class
Date
1.

What are the two types of acceleration/deceleration injuries?

a)

Linear Injury

b)

Subdural Hematomas

c)

Rotational Injury

d)

Diffuse Axonal Injuries

2.

Impacting force to the head can produce?

a)

Your Mom

b)

Linear Acceleration

c)

Cranial Acceleration

d)

Rotational Acceleration

3.

In linear acceleration, the force passes through the (a)   of the head.

4.

In rotational acceleration, the force ____ ___ pass through the center of the head.

(a)  

5.

The subdural hematoma is the most ______ lethal injury associated with head ______.

(a)  

6.

What percentage of all subdural hematomas are due to falls and homicidal assaults?

a)

30%

b)

90%

c)

72%

d)

24%

7.

What percentage of all subdural hematomas are due to motor vehicle accidents?

a)

30%

b)

90%

c)

72%

d)

24%

8.

What percentage of all diffuse axonal injury are due to motor vehicle accidents?

a)

89%

b)

90%

c)

72%

d)

10%

9.

What percentage of all diffuse axonal injury are due to falls and homicidal assaults?

a)

30%

b)

10%

c)

72%

d)

24%

10.

How long does it take for a acute subdural hematomas to manifest?

a)

3 days and 2-3 weeks

b)

72 hrs

c)

more than 3 weeks

d)

48 hrs

11.

How long does it take for a subacute subdural hematomas to manifest?

a)

3 days and 2-3 weeks

b)

72 hrs

c)

more than 3 weeks

d)

24 hrs

12.

How long does it take for a chronic subdural hematomas to manifest?

a)

3 days and 2-3 weeks

b)

72 hrs

c)

more than 3 weeks

d)

54 hrs

13.

Subdural hematoma becomes life threatening when it reaches approximately (a)   mL in size.

14.

Who are the victims of chronic subdural hematoma?

a)

Infants 

b)

Young children 

c)

Elderly 

d)

Teens

15.

If some individuals so not develop significant symptoms of a subdural hematoma for weeks to months after head injury with result in....?

a)

Chronic subdural hematoma

b)

Acute subdural hematoma

c)

Subacute subdural hematoma

16.

In the case of infants, this is due to __________ ______of bony plates.

(a)  

17.

In case of elderly, increased _________ space due to brain ______.

(a)  

18.

In infants, chronic subdural hematomas may result in enlargement of the head.

a)

True

b)

False

19.

Adults with chronic subdural tend to be sober.

a)

True

b)

False

20.

What is the definition of diffuse axonal injury?

a)

an immediate prolonged coma unaccompanied by an intracranial mass lesion

b)

an accumulation of spinal fluid in the subdural space

c)

effusion of spinal fluid through the arachnoid

21.

Subdural hematomas are more common in the elderly and alcoholics.

a)

True

b)

False

22.

In mild concussion there is....

a)

Confusion

b)

No loss of consciousness

c)

Disorientation

d)

Posttraumic amnesia

23.

In cerebral concussion there is

a)

loss of consciousness

b)

retrograde amnesia

c)

confusion

d)

post-traumatic amnesia

24.

What is second-impact syndrome?

4 lines
25.

Post-traumatic apnea is due to a combination of ___________ and acute ________ intoxication

(a)  

26.

With concussion alone, however can produce post-traumatic apnea, that can cause death.

a)

True

b)

False

27.

Concussion in combination with alcohol produce apnea that can cause death.

a)

True

b)

False

28.

Subarachnoid hemorrhage is the most _______ _____ of trauma to the head.

(a)  

29.

Subarachnoid hemorrhage can be....?

a)

Focal

b)

Diffuse

c)

Minor

d)

Severe

30.

In some instances, subarachnoid hemorrhage may be the only visible sign of trauma to the brain.

a)

True

b)

False

31.

What types of trauma can result due to vertebral artery injury?

a)

Dissection in the vessel wall, with rupture into the subarachnoid space

b)

Your Mom

c)

Dissection with thrombosis of the lumen with infarction of the brain tissue

d)

Dissection of the base of the brain due to acceleration with ripping of the wall

32.

Traumatic injury of the carotid artery is uncommon.

a)

True

b)

False

33.

Traumatic injury of the carotid is associated with hyperextension injury or spinal fracture.

a)

True

b)

False

34.

The injury to the carotid arterial wall might be caused by...?

a)

An intimal laceration with the development of a thrombus

b)

An intimal laceration with subsequent dissection into the media in the presence of an intact adventitia, with the development of a true aneurysm

c)

Rupture of the wall of the artery

d)

Dissection of the vertural wall

35.

Dissection of intracranial arteries due to trauma is relatively common.

a)

True

b)

False

36.

A rapidly expanding intracranial mass or severe brain swelling can produce.....?

a)

Tonsillar herniation

b)

Transtentorial herniation

c)

YASSSS

d)

Subfalcial Herniation

37.

Tonsillar, transtentorial, and subfalcial herniation of brain can result in

a)

Duret hemorrhage

b)

Necrosis

c)

MMMMMMMMM

d)

Secondary infraction

38.

What can develop in boxers

a)

Second impact syndrome

b)

Not me syndrome

c)

Punch drunk syndrome

d)

Drunk syndrome

39.

Punch Drunk Syndrome is characterized by

a)

Slurred speech

b)

Impaired memory

c)

Ataxia

d)

Dementia

e)

Gait

40.

Most fractures of the lower cervical vertebrae can be divided different types

a)

Flexion-compression

b)

Extension-distraction

c)

Flexion-distraction

d)

Extension-compression

e)

Vertical compression

41.

Laceration of the brain steam can be ______ or _________.

(a)  

42.

Violent hyperextension of the head or neck can cause brain steam laceration at the junction of the _____ and ______.

(a)  

43.

Laceration of the brain steam are usually associated with....

a)

Fractures of the cervical spine

b)

Circular fracture

c)

Hinge fracture

d)

Ring fractures

44.

Traumatic intracranial aneurysm are relatively uncommon.

a)

True

b)

False

45.

Traumatic Intracranial Aneurysm occur in association with fracture of the (a)   of the skull and involve the extracranial portion of the internal carotid artery.