CNS Board Study

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Author:
chardy
ID:
267239
Filename:
CNS Board Study
Updated:
2014-03-20 12:24:52
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Candice CNS Board Study
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Description:
CNS Board Study
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  1. Where are CNS tumors located
    in the brain and spinal cord
  2. Which CNA tumor is one of the only that spreads
    Medulloblastoma
  3. Primary brain tumors are rare, brain mets usually come from what organ
    lung
  4. Primary spinal axis tumors are ____ and Metastatic spinal axis tumors are ____
    • intradural
    • extradural
  5. What is the most primary brain tumor
    glioma
  6. Primary brain tumor dose is ___ and metastatic/whole brain is
    60-70GY

    45GY
  7. What is the # 1 symptom if occipital lobe tumor
    vision changes
  8. What is the # 1 symptom if temporal lobe tumor
    Hearing
  9. What is the # 1 symptom if parietal
    sensation
  10. What is the # 1 symptom if frontal
    intracranial pressure and swelling/seizures
  11. #1 brain symptom
    headaches (usually in the am)
  12. What medication do we typically see in a brain pt on tx
    Decadron which is a steroid to reduce the swelling
  13. Which brain tumor is one of the worst but the most common primary brain tumor
    Astrocytoma(children)/glioblastoma mutliforme (glioma)in adults
  14. Ependymoma is a ___ ventricle tumor
    • 4th
    • This tumor can seed down the spinal cord so you would have to treat the spine and the brain
  15. List 5 benign brain tumors
    • Meningioma-mostly benign
    • acoustic neroma
    • pituitary tumors
    • craniopharyngiomas
    • chordomas
    • **Trick** most anything that ends in just oma is benign. if sarcoma or carcinoma etc, those are usually malignant
  16. Pituitary tumors, although benign, can cause what damage
    vision problems because the optic chiasm is right there with it. it is a benign tumor but locally very invasive
  17. The lateral ventricles are located in
    cerebral hemispher
  18. A glioma spreads via
    local invasion
  19. Tx of choice for brain tumors is
    surgery
  20. A primary spinal cord tumor located in the lumbosacral region may demonstrate by
    • incontinence
    • impotence
    • radiation pain down the leg
  21. Can benign tumors be life threatning
    yes
  22. What % of CNS tumors occur in the brain? What % occur in the spinal cord
    • 80
    • 20
  23. Why do we typically not use chemo when treating the brain
    blood brain barrier
  24. How often should we change the skin gaps when treating CNS
    3-5 fx
  25. Doses above ____ lead to permanent hair lose
    60GY
  26. The pituitary produces
    LH, FSH, TSH, GH, PRL, ACTH, ADH, OXYTOCIN
  27. How do you treat a pituitary tumor
    flex the chin down to avoid eyes and do 2 lats and a vertx
  28. Optic chiasm sits___ to the pituitary
    superior
  29. The spinal cord starts in the ____ and ends at
    • medulla (brain)
    • L2 cauda equina
  30. ADult brain tumors are more common above the _____ and children's are more common below it
    tentorium which is an extension of the dura mater and divides the cerebrum from the cerbellum

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