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multiple choice questions neurology

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https://www.readbyqxmd.com/read/28984431/what-do-we-know-about-alara-is-our-knowledge-sufficient-about-radiation-safety
#1
Ibrahim B Atci, Hakan Yilmaz, Veysel Antar, Nuriye G Ozdemir, Oguz Baran, Sila Sadillioglu, Mehmet Ozel, Okan Turk, Mehmet Yaman, Hakan Topacoglu
BACKGROUND: The aim of this study was to determine the knowledge of neurosurgeons and emergency physicians about ALARA (as low as reasonably achievable) and to gain awareness to them about this topic. METHODS: A multiple-choice survey comprising 17 questions was performed to 30 neurosurgeons and 70 emergency room doctors. RESULTS: Emergency medicine doctors, neurosurgeons, emergency medicine residents, neurosurgery residents and general practitioners participated in the survey...
December 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/28799435/sure-or-unsure-measuring-students-confidence-and-the-potential-impact-on-patient-safety-in-multiple-choice-questions
#2
Rafael Henrique Rangel, Leona Möller, Helmut Sitter, Tina Stibane, Adam Strzelczyk
BACKGROUND: Multiple-choice questions (MCQs) provide useful information about correct and incorrect answers, but they do not offer information about students' confidence. METHODS: Ninety and another 81 medical students participated each in a curricular neurology multiple-choice exam and indicated their confidence for every single MCQ. Each MCQ had a defined level of potential clinical impact on patient safety (uncritical, risky, harmful). Our first objective was to detect informed (IF), guessed (GU), misinformed (MI), and uninformed (UI) answers...
August 11, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28774963/integrating-palliative-care-into-neurology-services-what-do-the-professionals-say
#3
Nilay Hepgul, Wei Gao, Catherine J Evans, Diana Jackson, Liesbeth M van Vliet, Anthony Byrne, Vincent Crosby, Karen E Groves, Fiona Lindsay, Irene J Higginson
OBJECTIVES: Evaluations of new services for palliative care in non-cancer conditions are few. OPTCARE Neuro is a multicentre trial evaluating the effectiveness of short-term integrated palliative care (SIPC) for progressive long-term neurological conditions. Here, we present survey results describing the current levels of collaboration between neurology and palliative care services and exploring the views of professionals towards the new SIPC service. METHODS: Neurology and palliative care teams from six UK trial sites (London, Nottingham, Liverpool, Cardiff, Brighton and Chertsey) were approached via email to complete an online survey...
August 3, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28705246/effects-of-additional-team-based-learning-on-students-clinical-reasoning-skills-a-pilot-study
#4
Meike Jost, Peter Brüstle, Marianne Giesler, Michel Rijntjes, Jochen Brich
BACKGROUND: In the field of Neurology good clinical reasoning skills are essential for successful diagnosing and treatment. Team-based learning (TBL), an active learning and small group instructional strategy, is a promising method for fostering these skills. The aim of this pilot study was to examine the effects of a supplementary TBL-class on students' clinical decision-making skills. METHODS: Fourth- and fifth-year medical students participated in this pilot study (static-group comparison design)...
July 14, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28701497/teaching-neurology-to-medical-students-with-a-simplified-version-of-team-based-learning
#5
Jochen Brich, Meike Jost, Peter Brüstle, Marianne Giesler, Michel Rijntjes
OBJECTIVE: To compare the effect of a simplified version of team-based learning (sTBL), an active learning/small group instructional strategy, with that of the traditionally used small group interactive seminars on the acquisition of knowledge and clinical reasoning (CR) skills. METHODS: Third- and fourth-year medical students (n = 122) were randomly distributed into 2 groups. A crossover design was used in which 2 neurologic topics were taught by sTBL and 2 by small group interactive seminars...
August 8, 2017: Neurology
https://www.readbyqxmd.com/read/28455788/diagnosis-and-treatment-patterns-for-patients-with-leptomeningeal-metastasis-from-solid-tumors-across-europe
#6
Emilie Le Rhun, Roberta Rudà, Patrick Devos, Khê Hoang-Xuan, Dieta Brandsma, Pedro Pérez Segura, Riccardo Soffietti, Michael Weller
Leptomeningeal metastases are a late manifestation of systemic cancer which affects up to 10% of patients with solid tumors. Prognosis is poor, and overall survival at 1 year is only approximately 10%. Management depends mainly on general and neurological condition, primary tumor, and patterns of metastasis, notably absence or presence of concurrent systemic or solid brain metastases. Here we set out to characterize current practice patterns of diagnosis and treatment of patients with leptomeningeal metastasis in Europe...
June 2017: Journal of Neuro-oncology
https://www.readbyqxmd.com/read/28291956/physical-activity-motivation-and-benefits-in-people-with-multiple-sclerosis
#7
Kimberly S Fasczewski, Diane L Gill, Sara M Rothberger
PURPOSE: Multiple sclerosis is a degenerative neurological disease that affects 2.1 million people worldwide. There is no cure, but an expanding body of research supports the positive impact of physical activity and suggests physical activity has benefits for the individual's psychological and physical well-being. MATERIAL AND METHODS: Using Self-Determination Theory as a framework, mixed methods with a focus on qualitative interviews were used to explore physical activity motivation and benefits with a sample of highly active people with multiple sclerosis (n = 15)...
March 14, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27564423/does-breast-milk-affect-neonatal-abstinence-syndrome-severity-the-need-for-pharmacologic-therapy-and-length-of-stay-for-infants-of-mothers-on-opioid-maintenance-therapy-during-pregnancy
#8
Cheryl Cirillo, Kim Francis
BACKGROUND: The United States is in an opioid crisis with abuse among women on the rise over the past 10 years. Infants of opioid-dependent mothers are at risk for neonatal abstinence syndrome (NAS). Neonatal abstinence syndrome can affect multiple systems and disrupt normal growth and development. It is for this reason that strategies to promote health such as breastfeeding need to be explored. This brief evaluates current evidence regarding breast milk and the impact it has on NAS. PURPOSE: The question guiding this brief is: "Does provision of breast milk reduce NAS withdrawal symptoms, decrease length of stay, and decrease the need for pharmacologic therapy for infants whose mothers are maintained on methadone or buprenorphine?" SEARCH STRATEGY: CINHAL/MEDLINE Complete and PubMed databases were searched using key words-NAS and breastfeeding-and the search was limited to 10 years for English studies evaluating the effects of breast milk on severity of NAS, pharmacologic therapy, and length of stay whose mothers received methadone or buprenorphine during pregnancy...
October 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/26615373/the-optimal-surgical-approach-for-treatment-of-chronic-subdural-hematoma-questionnaire-assessment-of-practice-in-iran-and-review-of-literature
#9
REVIEW
Seyed Amir Hossein Javadi, Fereshteh Naderi, Amir Mohammad Javadi
Chronic subdural hematoma (CSDH) is a curable entity frequently encountered by neurosurgeons. The present study was conducted to explore expert opinion and common practice in Iran. Besides, a Review of randomized clinical trials in literature was performed. A questionnaire including six questions discussing major aspects of practice on CSDH, with multiple choices was designed. A pilot study was performed for reliability analysis of the questionnaire. A total of 100 neurosurgeons were selected randomly from the members of Iranian Association of Neurological Surgeons...
October 2015: Acta Medica Iranica
https://www.readbyqxmd.com/read/26560546/development-and-use-of-an-interactive-computerized-dog-model-to-evaluate-cranial-nerve-knowledge-in-veterinary-students
#10
K Bogert, Simon Platt, Allison Haley, Marc Kent, Gaylen Edwards, H Dookwah, Kyle Johnsen
In veterinary medicine, the cognitive skills necessary to interpret neurological disorders from text-based case descriptions may not translate into the diagnostic capabilities required for clinical neurological patients. As live animals exhibiting certain specific neurological disorders are infrequent during a student's exposure to clinics, students may graduate without the experience necessary to make an accurate diagnosis in the field. To address this, we have developed a computerized simulated dog head that can exhibit cranial nerve dysfunctions and respond to specific testing procedures in a clinically accurate manner...
2016: Journal of Veterinary Medical Education
https://www.readbyqxmd.com/read/25949852/meningiomatosis-restricted-to-the-left-cerebral-hemisphere-with-acute-clinical-deterioration-case-presentation-and-discussion-of-treatment-options
#11
Victoria Ohla, Christian Scheiwe
BACKGROUND: True multiple meningiomas are defined as meningiomas occurring at several intracranial locations simultaneously without the presence of neurofibromatosis. Though the prognosis does not differ from benign solitary meningiomas, the simultaneous occurrence of different grades of malignancy has been reported in one-third of patients with multiple meningiomas. Due to its rarity, unclear etiology, and questions related to proper management, we are presenting our case of meningiomatosis and discuss possible pathophysiological mechanisms...
2015: Surgical Neurology International
https://www.readbyqxmd.com/read/25398312/pattern-recognition-as-a-concept-for-multiple-choice-questions-in-a-national-licensing-exam
#12
Tilo Freiwald, Madjid Salimi, Ehsan Khaljani, Sigrid Harendza
BACKGROUND: Multiple-choice questions (MCQ) are still widely used in high stakes medical exams. We wanted to examine whether and to what extent a national licensing exam uses the concept of pattern recognition to test applied clinical knowledge. METHODS: We categorized all 4,134 German National medical licensing exam questions between October 2006 and October 2012 by discipline, year, and type. We analyzed questions from the four largest disciplines: internal medicine (n = 931), neurology (n = 305), pediatrics (n = 281), and surgery (n = 233), with respect to the following question types: knowledge questions (KQ), pattern recognition questions (PRQ), inverse PRQ (IPRQ), and pseudo PRQ (PPRQ)...
2014: BMC Medical Education
https://www.readbyqxmd.com/read/25034239/the-importance-of-microsurgery-in-childhood-meningioma-a-case-report
#13
L E Kwee, M L C van Veelen-Vincent, E M C Michiels, J M Kros, R Dammers
INTRODUCTION: Although meningiomas are frequently diagnosed in adults, it is a rare (intracranial) tumor in the pediatric population, with an incidence of 0.06/100,000. The pathology and treatment of meningiomas in adulthood has been a topic of increasing investigation. So far, the treatment of pediatric meningiomas has been extrapolated from these results. The question remains, however, whether translation of adult meningioma data into the childhood population is legitimate. METHODS: We present the case of a 3-year-old girl diagnosed with an intraventricular malignant meningioma and type 2 neurofibromatosis...
January 2015: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/24977993/management-of-pediatric-patients-with-concussion-by-emergency-medicine-physicians
#14
Karen A Kinnaman, Rebekah C Mannix, R Dawn Comstock, William P Meehan
OBJECTIVE: Despite an increase in concussion diagnoses among pediatric patients, little is known about the management of pediatric patients with concussion in emergency departments (EDs). The objective of this study was to assess strategies used by emergency medicine physicians when treating pediatric patients with concussions. METHODS: A 17-item questionnaire was e-mailed to members of the American Academy of Pediatrics Section on Emergency Medicine. Two serial e-mails were distributed at 2-week intervals to nonresponders...
July 2014: Pediatric Emergency Care
https://www.readbyqxmd.com/read/23686634/intradural-extramedullary-benign-spinal-lesions-radiosurgery-medium-to-long-term-results-from-a-single-institution-experience
#15
Marcello Marchetti, Elena De Martin, Ida Milanesi, Laura Fariselli
BACKGROUND: Surgery represents the first-choice treatment for spinal intradural tumours. On the other hand, whether it is most appropriate in the setting of recurrences, residual or multiple lesions remains an open question. Moreover, some patients are less than ideal candidates for surgery. In this study we report about our own radiosurgery experience in the treatment of benign intradural extramedullary tumours of the spine. METHODS: In our study we analyzed the outcomes for 18 patients (21 lesions) treated for benign intradural extramedullary lesions, with a minimum follow-up period of 32 months...
July 2013: Acta Neurochirurgica
https://www.readbyqxmd.com/read/23426247/current-practice-patterns-regarding-diagnostic-investigations-and-empiric-use-of-acyclovir-by-canadian-pediatric-emergency-physicians-in-febrile-neonates
#16
Andréanne Benidir, Rodrick Lim, Marina Salvadori, Gurinder Sangha, Naveen Poonai
OBJECTIVE: The aim of this study was to assess current attitudes and approaches to the febrile neonate in terms of diagnostic investigations and empiric treatment of suspected herpes simplex virus (HSV) infection. METHODS: Between March 2010 and November 2010, a survey describing a hypothetical case of a febrile neonate presenting to the ED without clear signs of an HSV infection was sent to tertiary care pediatric emergency physicians across Canada. Participants were asked multiple choice and open-ended questions to obtain information about their choice of investigations, empiric treatment, and impression of the likelihood of HSV in the case...
March 2013: Pediatric Emergency Care
https://www.readbyqxmd.com/read/23242175/a-quantitative-evaluation-of-cell-migration-by-the-phagokinetic-track-motility-assay
#17
Maciej T Nogalski, Gary C T Chan, Emily V Stevenson, Donna K Collins-McMillen, Andrew D Yurochko
Cellular motility is an important biological process for both unicellular and multicellular organisms. It is essential for movement of unicellular organisms towards a source of nutrients or away from unsuitable conditions, as well as in multicellular organisms for tissue development, immune surveillance and wound healing, just to mention a few roles(1,2,3). Deregulation of this process can lead to serious neurological, cardiovascular and immunological diseases, as well as exacerbated tumor formation and spread(4,5)...
2012: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/23031446/improving-neuro-oncological-patients-care-basic-and-practical-concepts-for-nurse-specialist-in-neuro-rehabilitation
#18
Michelangelo Bartolo, Chiara Zucchella, Andrea Pace, Alessandro Marco De Nunzio, Mariano Serrao, Giorgio Sandrini, Francesco Pierelli
BACKGROUND: Neuro-oncological population well expresses the complexity of neurological disability due to the multiple neurological deficits that affect these patients. Moreover, due to the therapeutical opportunities survival times for patients with brain tumor have increased and more of these patients require rehabilitation care. The figure of nurse in the interdisciplinary specialty of neurorehabilitation is not clearly defined, even if their role in this setting is recognized as being critical and is expanding...
2012: Journal of Experimental & Clinical Cancer Research: CR
https://www.readbyqxmd.com/read/23019785/complications-of-vertebroplasty-and-kyphoplasty-in-the-treatment-of-vertebral-fractures-results-of-a-questionnaire-study
#19
Kourosh Zarghooni, Jan Siewe, Thomas Kaulhausen, Rolf Sobottke, Peer Eysel, Marc Röllinghoff
Percutaneous vertebroplasty (VP) and balloon kyphoplasty (BKP) are minimally invasive procedures performed to stabilize vertebral fractures. With continuing expansion in clinical use, a broad spectrum of complications has been reported for both interventions. The goal of the current study was to compare the safety of these procedures using a questionnaire completed by practitioners. A questionnaire was developed with multiple choice and open questions. General data as well as information regarding complications which occurred during the year 2007 were requested...
August 2012: Acta Orthopaedica Belgica
https://www.readbyqxmd.com/read/22695631/-physicians-and-medical-students-knowledge-on-rehabilitation
#20
Zoltán Dénes, Gábor Fazekas, Katalin Zsiga, Orsolya Péter
UNLABELLED: There are few data on the rehabilitation knowledge of medical specialists and medical students. AIM: Assessment of the rehabilitation knowledge of medical specialists working in general hospitals and of final year medical students. METHODS: A paper form survey was performed using a questionnaire containing seven multiple choice questions and three definitions. Questionnaires were filled in independently on the spot. The three answering groups were physicians (specialized in orthopedic surgery, neurology or neurosurgery) working in a general hospital that had a rehabilitation ward, final year medical students from Semmelweis University, and trainees in rehabilitation medicine...
June 17, 2012: Orvosi Hetilap
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