1. What is the primary goal of treating TBI? How preventing secondary brain
injury. This
is this done? is done by maintaining blood pressure
and providing adequate
profusion.
2. After managing ABCDEs of TBI what MUST be mass lesion that requires
surgical
identified if present? How is this done? evacuation is critical! this is done with CT.
NOTE: obtaining a CT should not
delay patient transfer to trauma
center.
3. Which brain lobes do the following
hold: 1. anterior fossa: frontal lobes
1. anterior fossa: 2. middle fossa: temporal lobes
2. middle fossa: 3. posterior fossa: lower
3. posterior fossa: brainstem and cerebellum
4. What are the 3 layers of the meninges? dura mater, arachnoid mater, pia
mater
5. What does the dura mater adhere firmly to? the skull. it is tough and
fibrous
6. What layer of the meninges splits into two dura mater.
leaves as specific sites to enclose large venous these sinuses provide major
venous
sinuses? What do these sinuses do? bilateral
transverse
7. What is the midline sinus of of the
brain that splits into two sinuses:
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, ATLS Written Review Practice Test.
drainage from the brain. superior sagital
The main sinus enclosed by the dura major is the midline
and sigmoid sinus? What side are these bigger sinus. This splits into the
sigmoid and
on? bilateral transverse sinuses which
are larger on the right side.
8. meningeal arteries.
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What are the arteries that lie between
the skull and the dura mater
(epidural space)?
middle meningeal artery. Located
9. What is the most commonly over the temporal fossa
injured meningeal artery and where
is it located? FALSE: not attached. This produces a
potential space for a subdural
10. T/F: the arachnoid mater is fused to the hematoma
dura mater?
11. In a subdural hematoma, what is the cause? injury to bridging veins
that extend
from brain surface to the sinuses
with- in the dura.
12. fills the space between the CSF. this cushions the brain and
arachnoid and pia mater? spinal cord.
13. What location of brain hemorrhage subarachnoid.
is fre- quently seen in brain
contusion or injury to major blood
vessels at base of brain?
14. The and contain the reticular activat- midbrain and upper pons
ing system which is responsible for . state of alertness
15. What important function resides in the medul- cardiorespiratory
centers.
la?
16. What important functions are in the following 1. left hemisphere:
language center
brain segments: 1. left hemisphere:
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2. frontal lobe: 2. frontal lobe: executive
3. parietal lobe: function, emotions, motor
4. temporal: 3. parietal lobe: sensory
function/spa- tial orientation
4. temporal: memory functions
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