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multiple choice questions neurology

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...
August 25, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
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
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
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
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
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
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
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
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
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
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
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
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
M L Calleja Gero, M Rus Palacios, R Martino Alba, M Monleón Luque, D Conejo Moreno, M L Ruiz-Falcó Rojas
INTRODUCTION: Up to 70% of children currently treated by Palliative Care Units in Europe are neurological patients. Our objective is to assess the knowledge, interest and involvement in Paediatric Palliative Care (PPC) among Spanish paediatric neurologists. MATERIAL AND METHODS: We contacted 297 Neuropaediatricians by and attached a 10-question multiple choice test. This questionnaire was related to the level of knowledge of PPC, identification of patients requiring this specific care, involvement of a paediatric neurologist, use of local palliative resources, and formal training in this subject...
June 2012: Neurología: Publicación Oficial de la Sociedad Española de Neurología
Joshua Levy, Elizabeth Hoover, Gloria Waters, Swathi Kiran, David Caplan, Alex Berardino, Chaleece Sandberg
PURPOSE: Prior studies of discourse comprehension have concluded that the deficits of persons with aphasia (PWA) in syntactically based comprehension of sentences in isolation are not predictive of deficits in comprehension of sentences in discourse (Brookshire & Nicholas, 1984; Caplan & Evans, 1990). However, these studies used semantically constrained sentences in discourse, which do not require syntactic analysis to be understood. A discourse task was developed to assess the effect of syntactic complexity, among other factors, on discourse comprehension in PWA...
May 2012: American Journal of Speech-language Pathology
Virginia M Miller, Priscilla M Flynn, Keith D Lindor
BACKGROUND: Sex and gender differences exist in the manifestation and prevalence of many conditions and diseases. Yet many clinician training programs neglect to integrate this information across their curricula. OBJECTIVE: This study aimed to measure the sex and gender medical knowledge of medical students enrolled in a program without an explicit directive to integrate sex and gender differences across a block system of core subjects. METHODS: A forced-choice instrument consisting of 35 multiple-choice and true or false questions was adapted from an evaluation tool used in the European Curriculum in Gender Medicine held at Charité Hospital, Berlin, in September 2010...
June 2012: Gender Medicine
Matthew D Grilli, Craig P McFarland
Recent research has demonstrated that "self-imagination" - a mnemonic strategy developed by Grilli and Glisky (2010) - enhances episodic memory in memory-impaired individuals with neurological damage more than traditional cognitive strategies, including semantic elaboration and visual imagery. The present study investigated the effect of self-imagination on prospective memory in individuals with neurologically based memory deficits. In two separate sessions, 12 patients with memory impairment took part in a computerised general knowledge test that required them to answer multiple choice questions (i...
December 2011: Neuropsychological Rehabilitation
Vadas Gintautas, Michael I Ham, Benjamin Kunsberg, Shawn Barr, Steven P Brumby, Craig Rasmussen, John S George, Ilya Nemenman, Luís M A Bettencourt, Garrett T Kenyon, Garret T Kenyon
Can lateral connectivity in the primary visual cortex account for the time dependence and intrinsic task difficulty of human contour detection? To answer this question, we created a synthetic image set that prevents sole reliance on either low-level visual features or high-level context for the detection of target objects. Rendered images consist of smoothly varying, globally aligned contour fragments (amoebas) distributed among groups of randomly rotated fragments (clutter). The time course and accuracy of amoeba detection by humans was measured using a two-alternative forced choice protocol with self-reported confidence and variable image presentation time (20-200 ms), followed by an image mask optimized so as to interrupt visual processing...
October 2011: PLoS Computational Biology
Subha Ramani, Brandi N Ring, Robert Lowe, David Hunter
BACKGROUND: Physical exam skills of medical trainees are declining, but most residencies do not offer systematic clinical skills teaching or assessment. OBJECTIVE: To assess knowledge of clinical signs and physical exam performance among incoming internal medicine residents. METHOD: For this study, 45 incoming residents completed a multiple choice question test to assess knowledge of clinical signs. A random selection of 20 underwent a faculty-observed objective structured clinical examination (OSCE) using patients with abnormal physical findings...
June 2010: Journal of Graduate Medical Education
Evan Cole Lewis, Melanie Strike, Asif Doja, Andy Ni, Jonathan Weber, Nadine Wiper-Bergeron, Erick Sell
OBJECTIVE: To evaluate the educational effectiveness of a novel, web-based neuroanatomical localization application. METHODS: A prototype version of a neuroanatomical localization application was developed, limited to lesions involving Cranial Nerve (CN) VII. Second year medical students at the University of Ottawa were recruited to participate in the study. Participants were exposed to a didactic teaching session on CN VII anatomy. They were subsequently randomized to two groups - one group was granted access to the localization application (the "intervention group"), while the other group was given a booklet of standard textbook resources (the "control group")...
March 2011: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
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