Question 1

A patient develops a gait disorder and the patient's spouse reports noticing recent personality changes. The provider suspects a brain lesion. Which evaluation is especially important in the initial physical examination?

A) Assessment of peripheral reflexes
B) Evaluation of speech
C) Examination of the optic fundi
D) Testing for memory loss

C

Accepted Answer

Examination of the optic fundi is especially important in the initial physical examination when a brain lesion is suspected because it can reveal signs of increased intracranial pressure, such as papilledema, which is critical for diagnosing and managing conditions affecting the brain.

Question 2

Which is the preferred treatment for primary brain tumors?&#10;A) Chemotherapy&#10;B) Palliative care&#10;C) Radiation therapy&#10;D) Surgical resection

Accepted Answer

Surgical resection is the preferred treatment for primary brain tumors whenever possible, as it allows for removal of the tumor tissue and potentially improves outcomes. Chemotherapy and radiation therapy may be used in conjunction with surgery or as standalone treatments, but their effectiveness depends on the specific type and location of the tumor. Palliative care may be used to manage symptoms and improve quality of life, but is not a primary treatment option for brain tumors.

Deck 184: Intracranial Tumors