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Question 1
A 24-year-old male is brought to the emergency department after a motor vehicle crash. He had an initial brief loss of consciousness, followed by a 2-hour lucid interval. On arrival, his GCS drops from 14 to 7, and he develops an ipsilateral dilated, fixed right pupil and contralateral left hemiparesis. Urgent non-contrast head CT demonstrates a biconvex, hyperdense extra-axial collection in the right temporoparietal region. What is the most likely injured vascular structure and definitive management?
Correct Answer:
Middle meningeal artery; emergent right pterional or temporal craniotomy with hematoma evacuation
Question 2
A 78-year-old female on therapeutic warfarin for atrial fibrillation presents comatose (GCS 6) following a fall. Urgent CT head demonstrates a 16-mm thick hyperdense crescentic extra-axial collection over the left cerebral convexity with 9 mm of midline shift and effacement of the ipsilateral lateral ventricle. Her INR is 3.4. What is the immediate first-line medical intervention prior to transferring the patient to the operating room for emergency craniotomy?
Correct Answer:
Administration of 4-factor prothrombin complex concentrate (4F-PCC) and intravenous vitamin K
Question 3
A 32-year-old male with severe traumatic brain injury (post-resuscitation GCS 6) has an intracranial pressure (ICP) monitor inserted. The ICP monitor displays an ICP of 26 mmHg, and his arterial line shows a mean arterial pressure (MAP) of 80 mmHg. What is the patient's cerebral perfusion pressure (CPP), and what is the target CPP range recommended by Brain Trauma Foundation (BTF) guidelines?
Correct Answer:
CPP is 54 mmHg; target CPP range is 60 to 70 mmHg
Question 4
A 45-year-old male with severe traumatic brain injury develops refractory intracranial hypertension with ICP persistently exceeding 28 mmHg despite head elevation, sedation, neuromuscular blockade, CSF drainage via an external ventricular drain, and hyperosmolar therapy (serum osmolarity 316 mOsm/L). Brain CT demonstrates diffuse hemispheric swelling with effaced basal cisterns. According to the RESCUEicp trial, what is the next appropriate surgical intervention?
Correct Answer:
Decompressive hemicraniectomy with expansile duraplasty
Question 5
An 82-year-old male presents with a 3-week history of progressive confusion, right-sided pronator drift, and gait ataxia. Brain CT shows a large hypodense crescentic extra-axial collection overlying the left frontoparietal cortex measuring 22 mm in depth with 8 mm of midline shift. What is the surgical procedure of choice with the best balance of low recurrence and minimal morbidity?
Correct Answer:
Single or double burr hole craniostomy with closed-system subdural drain placement
Question 1
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Prepare with the Arab Board Neurosurgery Final Clinical & Oral Practice Questions - Arab Board of Health Specializations (ABHS) Neurosurgery Final Clinical and Oral Examination Exam practice quiz. This question bank includes 100 questions covering year-old, presents, male, brain, and reveals. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board Neurosurgery Final Clinical & Oral Practice Questions - Arab Board of Health Specializations (ABHS) Neurosurgery Final Clinical and Oral Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, male, brain, and reveals. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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