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Kaplan Qbank USMLE



Author7 Posts
  #1


A 37-year-old woman is in a serious automobile accident and sustains a closed head injury. She does not immediately seek medical attention, but is brought to the emergency room two hours later by her brother. On physical examination, there is mydriasis and loss of the pupillary light reflex. Several hours later, she is unable to follow a flashlight with her eyes. Which of the following types of herniation is most likely occurring in this patient?

A. Cerebellar tonsils into the foramen magnum

B. Cerebellum upward past the tentorium

C. Cingulate gyrus under the falx

D. Medulla into the foramen magnum

E. Temporal lobe under the tentorium


___________________
"Deh Shiva Var Mohe Ahey ,Shubh Karman Te Kabhun Na Tarun ,Na Darun Arson Jab Jaye Laroon, Nischey Kar Apni Jeet Karoon"

  #2

A

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mediocricity aint my style

  #3

Uncal Herniation now i cant figure out the place C. Cingulate gyrus under the falx ??

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #4

yes NNL u r rt at diagnosis

Uncal herniation:
When mass effects within or adjacent to the
temporal lobe occur, the medial portion of the temporal
lobe (uncus) is forced medially and downward over the
tentorium. There is ipsilateral or bilateral pupillary dilation. The
uncus is pushed medially into the suprasellar cistern

answer is E,The uncus may herniate over the tentorium !!


___________________
"Deh Shiva Var Mohe Ahey ,Shubh Karman Te Kabhun Na Tarun ,Na Darun Arson Jab Jaye Laroon, Nischey Kar Apni Jeet Karoon"

  #5

Knock knock.

Who is there?

Your uncle.

Uncle who?

Uncle herniation grin

___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #6

lol thats funny jack grin

___________________
"Deh Shiva Var Mohe Ahey ,Shubh Karman Te Kabhun Na Tarun ,Na Darun Arson Jab Jaye Laroon, Nischey Kar Apni Jeet Karoon"

  #7

Yes, E is correct.
I saw this Q in score 95.







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