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Kaplan Qbank USMLE



Author6 Posts
  #1

An old Qs....

After nearly drowning an 80 year old man suffers from severe hypoxia with severe brain edema. This edema leads to increased intracranial pressure. When pressure exceeds 200mmHg , the temporal lobe begins to be compressed against the tentorium cerebelli .

What is typically the first sign of such compression ?


1. Anisocoria contralateral to compression

2. anisocoria ipsilateral to compression

3. both pupils 5-6mm dilated and fixed

4. external ocular ophthalmoplegia



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  #2

Both the Pupils dilate. But not very sure about this. I suck in Anatomy. I want to improve my anatomy skills.

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B+

  #3

3. both pupils 5-6mm dilated and fixed

parasym. most superficial fibers, so gets afected first


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  #4

Ya, ssrpk, choice 3 is supposed to be a late finding.

The question says which is the first finding.

I think it should be no. 2.


  #5

agree, did'nt realize that, thanks for pointing out! grin

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  #6

Answer was given as B.....any explanation????

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