The re-entry days behind you, four days that all turn on reading something correctly before acting: an image, a herniation route, a closing loop, and a patient who has to be able to lie still and talk.
01
What this is
no new material
**No new material. Harder questions.**
Day 01 said the scan holds safety facts the report does not. Day 02 gave four herniation routes, each compressing something different, and one absolute procedural prohibition. Day 03 gave a loop that closes in a brain with no reserve, and a second catastrophe twenty minutes later when the clot comes out. Day 04 said the technique argument in awake craniotomy is largely settled and largely unimportant next to patient selection.
Two of these days are about a decision made before the patient is anaesthetised — what the imaging shows, and whether this person can do what the operation requires. The other two are about the moment the physiology turns on you.
Answer first, then read. Checking the day before answering turns retrieval
practice into rereading, and the two feel identical while you are doing them.
03
The questions
9 of 10 application or analysis
Item 1Application Neuro 2 · Week 1
A patient with an aneurysm clip placed in 1985 needs an MRI. What determines whether it can proceed?
Item 2Analysis Neuro 2 · Week 1
Why is most pathology better seen on T2 and most anatomy on T1?
Item 3Analysis Neuro 2 · Week 1
A patient has descending transtentorial herniation. Which structure is compressed, and what deficit follows?
Item 4Application Neuro 2 · Week 1
Which imaging finding carries an absolute prohibition on lumbar puncture?
Item 5Analysis Neuro 2 · Week 1
Explain why a modest fall in blood pressure at induction can become a herniation in a patient with a large acute haematoma.
Item 6Application Neuro 2 · Week 1
Why should a vasopressor be drawn up before the bone flap comes off?
Item 7Analysis Neuro 2 · Week 1
What did the meta-analysis of 47 awake craniotomy studies find, and what does it imply about the technique debate?
Item 8Application Neuro 2 · Week 1
Which consideration is genuinely not interchangeable in planning an awake craniotomy?
Item 9Recall Neuro 2 · Week 1
What is the neurological complication rate of diagnostic cerebral angiography, and why is it worth knowing?
Item 10Analysis Neuro 2 · Week 1
What links day 01's approach to imaging with day 04's approach to technique?