Raised Intracranial Pressure MCQ Quiz | Neurology

Welcome, future medical professionals! This quiz is specifically designed to test your understanding of Raised Intracranial Pressure (ICP), a critical topic in Neurology for the MBBS curriculum. The questions cover the core concepts, from the fundamental Monro-Kellie doctrine and pathophysiology to clinical manifestations like Cushing’s triad, diagnostic approaches, and essential management strategies. This interactive quiz will help you consolidate your knowledge and prepare for your examinations. After completing all 25 questions, submit your answers to see your score and a detailed review of the correct and incorrect responses. You can also download a complete PDF of all the questions with their correct answers for your offline study and revision. Good luck!

1. The Monro-Kellie doctrine describes the pressure-volume relationship between which three intracranial components?

2. What is considered the normal range for intracranial pressure (ICP) in a supine adult?

3. Cushing’s triad, a late sign of severely raised ICP, consists of:

4. Papilledema in the context of raised ICP is caused by:

5. Which of the following headache characteristics is most typical of raised ICP?

6. Uncal herniation characteristically causes compression of which cranial nerve?

7. Cerebellar tonsillar herniation through the foramen magnum can lead to a life-threatening complication by compressing the:

8. A lumbar puncture is generally contraindicated in patients with suspected raised ICP due to a focal mass because of the risk of:

9. What is the most appropriate initial imaging modality for a patient presenting to the emergency department with acute signs of raised ICP?

10. The primary mechanism of action of mannitol in reducing ICP is:

11. How does therapeutic hyperventilation temporarily lower ICP?

12. In the management of raised ICP, the target PaCO2 during controlled hyperventilation is typically:

13. Which of the following is considered the “gold standard” for monitoring intracranial pressure?

14. Idiopathic Intracranial Hypertension (IIH) is most commonly seen in which patient demographic?

15. The first-line medical treatment for Idiopathic Intracranial Hypertension (IIH) is:

16. Subfalcine herniation, the most common type of brain herniation, can lead to compression of which artery?

17. Cerebral Perfusion Pressure (CPP) is calculated using which formula?

18. What is the target Cerebral Perfusion Pressure (CPP) to prevent secondary brain injury in adults?

19. Projectile vomiting without preceding nausea is a classic sign of raised ICP, believed to be caused by direct pressure on the:

20. A unilateral palsy of the abducens nerve (CN VI) can be a “false localizing” sign in raised ICP because:

21. In uncal herniation, what is the typical progression of pupillary signs?

22. ICP monitoring is generally indicated in a patient with a severe traumatic brain injury (TBI) and an abnormal CT scan if their Glasgow Coma Scale (GCS) is:

23. In addition to osmotic therapy, which class of drugs can be used to decrease cerebral metabolic rate and thereby reduce ICP?

24. A decompressive craniectomy is a surgical procedure that involves:

25. In a patient with hydrocephalus causing raised ICP, the definitive surgical management is typically: