Postoperative Care in Neurosurgical Patients — MCQs

A comatose 28-year-old woman sustained a depressed skull fracture in an automobile collision. She has been unconscious for 6 weeks. Her vital signs are stable and she breathes room air. Following her initial decompressive craniotomy, she has returned to the operating room twice due to intracranial bleeding. Select the best method of physiologic monitoring necessary for the patient.

Which of the following should be considered as the cause of generalized convulsions 20 minutes postoperatively?

Shivering observed in the early part of the postoperative period is due to

Five days after an uneventful cholecystectomy, an asymptomatic middle-aged woman is found to have a serum sodium level of 125 mEq/L. Which of the following is the most appropriate management strategy for this patient?

Increased ICP is shown by

Which of the following drugs is contraindicated in a patient with raised intracranial pressure ?

Most common complication of skull injury is:

All are used in the management of head injury patient except?

A comatose patient after sustaining severe head injury has been admitted to the neurosurgical ICU. Which of the following parameters should ideally be maintained in this patient? 1. pCO2 = 4.5 - 5.0 kPa (33-38 mm Hg) 2. MAP = 80 - 90 mm of Hg 3. pO2 > 11 kPa (> 80 mm Hg) 4. Na+ < 130 meq/L

When a doctor shows gross absence of skill and care during treatment resulting in death of the patient is called: