Question 1

What is the most common symptom of cancer metastasis to the spinal column?

Accepted Answer

A)  decreased deep tendon reflexes 
B)  pain 
C)  loss of sensation below the level of the lesion 
D)  loss of motor innervation below the level of the lesion 
A)  decreased deep tendon reflexes 
B)  pain 
C)  loss of sensation below the level of the lesion 
D)  loss of motor innervation below the level of the lesion B

Question 2

A brain tumor in Broca's area will produce what signs or symptoms?

Accepted Answer

A)  receptive dysphasia 
B)  hydrocephalus 
C)  sixth cranial nerve involvement 
D)  motor dysphasia 
A)  receptive dysphasia 
B)  hydrocephalus 
C)  sixth cranial nerve involvement 
D)  motor dysphasia D

Question 3

What type of radiation therapy involves placing the radiation source within the tumor for a period of several days?

Accepted Answer

A)  stereotactic radiosurgery 
B)  linear accelerator based 
C)  synchrocyclotron proton beam therapy 
D)  brachytherapy 
A)  stereotactic radiosurgery 
B)  linear accelerator based 
C)  synchrocyclotron proton beam therapy 
D)  brachytherapy D

Question 4

The physician decides to use corticosteroids for emergency treatment of elevated intracranial pressure (ICP).When will the physician begin to see the results of this medication?

Accepted Answer

A)  seconds 
B)  minutes 
C)  hours 
D)  days 
A)  seconds 
B)  minutes 
C)  hours 
D)  days

Question 5

More than 60% of all CNS tumors are ______________.

Accepted Answer

A)  midline tumors 
B)  infratentorial 
C)  spinal cord tumors 
D)  supratentorial 
A)  midline tumors 
B)  infratentorial 
C)  spinal cord tumors 
D)  supratentorial

Question 6

A physical therapist assistant (PTA)is providing intervention for a client in the intensive care unit of a hospital.The patient has recently undergone surgical excision of a brain neoplasm.The PTA notes an ICP of 20 mm Hg.What should the PTA do upon learning this information?

Accepted Answer

A)  increase level of intervention 
B)  decrease level of intervention 
C)  continue at the same level of intervention 
D)  contact the nurse or physician 
A)  increase level of intervention 
B)  decrease level of intervention 
C)  continue at the same level of intervention 
D)  contact the nurse or physician

Question 7

What type of tumor in the CNS originates from myelin-producing cells?

Accepted Answer

A)  astrocytoma 
B)  meningioma 
C)  ependymoma 
D)  oligodendroglioma 
A)  astrocytoma 
B)  meningioma 
C)  ependymoma 
D)  oligodendroglioma

Question 8

Which of the following is not a common symptom of craniopharyngiomas?

Accepted Answer

A)  cerebellar hypotaxia 
B)  pituitary hypofunction 
C)  visual difficulties 
D)  severe headaches 
A)  cerebellar hypotaxia 
B)  pituitary hypofunction 
C)  visual difficulties 
D)  severe headaches

Question 9

Which of the following is a primary central nervous system (CNS)malignant tumor?

Accepted Answer

A)  astrocytoma 
B)  meningioma 
C)  neurinoma 
D)  hemangioblastoma 
A)  astrocytoma 
B)  meningioma 
C)  neurinoma 
D)  hemangioblastoma

Question 10

What is the most common malignant primary CNS tumor in children?

Accepted Answer

A)  ependymoma 
B)  medulloblastoma 
C)  astrocytoma 
D)  oligodendroglioma 
A)  ependymoma 
B)  medulloblastoma 
C)  astrocytoma 
D)  oligodendroglioma

Question 11

What is the typical frequency and duration of radiation therapy following a brain tumor?

Accepted Answer

A)  2 times a week for 23 to 25 weeks 
B)  5 times a week for 23 to 25 weeks 
C)  2 times a week for 34 to 36 weeks 
D)  5 times a week for 34 to 36 weeks 
A)  2 times a week for 23 to 25 weeks 
B)  5 times a week for 23 to 25 weeks 
C)  2 times a week for 34 to 36 weeks 
D)  5 times a week for 34 to 36 weeks

Question 12

Which type of tumor is most common in adults?

Accepted Answer

A)  meningioma 
B)  glioblastoma 
C)  astrocytoma 
D)  hemangioma 
A)  meningioma 
B)  glioblastoma 
C)  astrocytoma 
D)  hemangioma

Question 13

What type of tumor will provoke a local osteoblastic response?

Accepted Answer

A)  pituitary adenoma 
B)  neuroma 
C)  meningioma 
D)  astrocytoma 
A)  pituitary adenoma 
B)  neuroma 
C)  meningioma 
D)  astrocytoma

Question 14

The majority of pituitary adenomas _______________.

Accepted Answer

A)  are nonsecreting 
B)  are usually found in children 
C)  are usually fatal 
D)  are functional 
A)  are nonsecreting 
B)  are usually found in children 
C)  are usually fatal 
D)  are functional

Question 15

Mitoses are very rare in what type of astrocytoma?

Accepted Answer

A)  grade I 
B)  grade II 
C)  grade III 
D)  grade IV 
A)  grade I 
B)  grade II 
C)  grade III 
D)  grade IV

Question 16

At what point on the Karnofsky performance status scale is a patient considered disabled?

Accepted Answer

A)  80% 
B)  70% 
C)  40% 
D)  20% 
A)  80% 
B)  70% 
C)  40% 
D)  20%

Question 17

Which type of neoplasm is associated with infection by the Epstein-Barr virus?

Accepted Answer

A)  dermoid tumors 
B)  hemangioblastoma 
C)  primary central nervous system lymphoma (PCNSL) 
D)  pinealoma 
A)  dermoid tumors 
B)  hemangioblastoma 
C)  primary central nervous system lymphoma (PCNSL) 
D)  pinealoma

Question 18

Primitive neuroectodermal tumors are frequent in which of the following patient populations?

Accepted Answer

A)  children 
B)  middled-age men 
C)  middled-age women 
D)  elderly 
A)  children 
B)  middled-age men 
C)  middled-age women 
D)  elderly

Question 19

Which of the following is considered the most effective brain imaging tool?

Accepted Answer

A)  magnetic resonance imaging (MRI) 
B)  computed tomography (CT) scan 
C)  Plain film radiograph 
D)  positron emission tomography (PET) scan 
A)  magnetic resonance imaging (MRI) 
B)  computed tomography (CT) scan 
C)  Plain film radiograph 
D)  positron emission tomography (PET) scan

Question 20

Astrocytomas in children often present with which of the following symptoms first?

Accepted Answer

A)  expressive dysphasia 
B)  lack of concentration 
C)  unilateral ataxia 
D)  nausea and vomiting 
A)  expressive dysphasia 
B)  lack of concentration 
C)  unilateral ataxia 
D)  nausea and vomiting

Exam 31: Central Nervous System Neoplasms

What is the most common symptom of cancer metastasis to the spinal column?

A brain tumor in Broca's area will produce what signs or symptoms?

What type of radiation therapy involves placing the radiation source within the tumor for a period of several days?

The physician decides to use corticosteroids for emergency treatment of elevated intracranial pressure (ICP).When will the physician begin to see the results of this medication?

More than 60% of all CNS tumors are ______________.

A physical therapist assistant (PTA)is providing intervention for a client in the intensive care unit of a hospital.The patient has recently undergone surgical excision of a brain neoplasm.The PTA notes an ICP of 20 mm Hg.What should the PTA do upon learning this information?

What type of tumor in the CNS originates from myelin-producing cells?

Which of the following is not a common symptom of craniopharyngiomas?

Which of the following is a primary central nervous system (CNS)malignant tumor?

What is the most common malignant primary CNS tumor in children?

What is the typical frequency and duration of radiation therapy following a brain tumor?

Which type of tumor is most common in adults?

What type of tumor will provoke a local osteoblastic response?

The majority of pituitary adenomas _______________.

Mitoses are very rare in what type of astrocytoma?

At what point on the Karnofsky performance status scale is a patient considered disabled?

Which type of neoplasm is associated with infection by the Epstein-Barr virus?

Primitive neuroectodermal tumors are frequent in which of the following patient populations?

Which of the following is considered the most effective brain imaging tool?

Astrocytomas in children often present with which of the following symptoms first?

Introduction to Concepts of Pathology

Problems Affecting Multiple Systems

Injury, Inflammation, and Healing

The Immune System

Infectious Disease

Oncology

The Integumentary System

The Endocrine and Metabolic Systems

The Cardiovascular System

The Hematologic System

The Respiratory System

The Hepatic, Pancreatic, and Biliary Systems

Introduction to Pathology of the Musculoskeletal System

Genetic and Developmental Disorders

Infectious Diseases of the Musculoskeletal System

Musculoskeletal Neoplasms

Bone, Joint, and Soft Tissue Diseases and Disorders

Introduction to Central Nervous System Disorders

Infectious Disorders of the Central Nervous System

Degenerative Diseases of the Central Nervous System

Stroke

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Cerebral Palsy

The Peripheral Nervous System

Behavioral, Social, and Environmental Factors Contributing to Disease and Dysfunction

The Psychosocial-Spiritual Impact on Health Care

Environmental and Occupational Medicine

The Gastrointestinal System

The Renal and Urologic Systems

Epilepsy

Headache

The Male Genital or Reproductive System

The Female Genital or Reproductive System

Vestibular Disorders

Laboratory Tests and Values

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