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Arab Board Neurosurgery Final Clinical & Oral Practice Questions - Arab Board of Health Specializations (ABHS) Neurosurgery Final Clinical and Oral Examination Exam

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About this Exam

Prepare with the Arab Board Neurosurgery Final Clinical & Oral Practice Questions - Arab Board of Health Specializations (ABHS) Neurosurgery Final Clinical and Oral Examination Exam practice quiz. This question bank includes 100 questions covering year-old, presents, male, brain, and reveals. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

Sample Questions

Question 1
A 24-year-old male is brought to the emergency department after a motor vehicle crash. He had an initial brief loss of consciousness, followed by a 2-hour lucid interval. On arrival, his GCS drops from 14 to 7, and he develops an ipsilateral dilated, fixed right pupil and contralateral left hemiparesis. Urgent non-contrast head CT demonstrates a biconvex, hyperdense extra-axial collection in the right temporoparietal region. What is the most likely injured vascular structure and definitive management?
Bridging cortical veins; emergent decompressive hemicraniectomy with duraplasty
Middle meningeal artery; emergent right pterional or temporal craniotomy with hematoma evacuation
Superior sagittal sinus; conservative management with intracranial pressure monitoring
Internal carotid artery laceration; emergent balloon occlusion and endovascular stenting
Question 2
A 78-year-old female on therapeutic warfarin for atrial fibrillation presents comatose (GCS 6) following a fall. Urgent CT head demonstrates a 16-mm thick hyperdense crescentic extra-axial collection over the left cerebral convexity with 9 mm of midline shift and effacement of the ipsilateral lateral ventricle. Her INR is 3.4. What is the immediate first-line medical intervention prior to transferring the patient to the operating room for emergency craniotomy?
Transfusion of 4 units of fresh frozen plasma (FFP) over 4 hours
Administration of 4-factor prothrombin complex concentrate (4F-PCC) and intravenous vitamin K
Platelet transfusion and intravenous desmopressin (DDAVP)
Intravenous tranexamic acid infusion alone
Question 3
A 32-year-old male with severe traumatic brain injury (post-resuscitation GCS 6) has an intracranial pressure (ICP) monitor inserted. The ICP monitor displays an ICP of 26 mmHg, and his arterial line shows a mean arterial pressure (MAP) of 80 mmHg. What is the patient's cerebral perfusion pressure (CPP), and what is the target CPP range recommended by Brain Trauma Foundation (BTF) guidelines?
CPP is 106 mmHg; target CPP range is 100 to 120 mmHg
CPP is 54 mmHg; target CPP range is 60 to 70 mmHg
CPP is 54 mmHg; target CPP range is 30 to 50 mmHg
CPP is 26 mmHg; target CPP range is 40 to 60 mmHg
Question 4
A 45-year-old male with severe traumatic brain injury develops refractory intracranial hypertension with ICP persistently exceeding 28 mmHg despite head elevation, sedation, neuromuscular blockade, CSF drainage via an external ventricular drain, and hyperosmolar therapy (serum osmolarity 316 mOsm/L). Brain CT demonstrates diffuse hemispheric swelling with effaced basal cisterns. According to the RESCUEicp trial, what is the next appropriate surgical intervention?
Bilateral subtemporal burr holes without dural opening
Decompressive hemicraniectomy with expansile duraplasty
Lumbar drain placement for continuous CSF drainage
Endoscopic fenestration of the lamina terminalis
Question 5
An 82-year-old male presents with a 3-week history of progressive confusion, right-sided pronator drift, and gait ataxia. Brain CT shows a large hypodense crescentic extra-axial collection overlying the left frontoparietal cortex measuring 22 mm in depth with 8 mm of midline shift. What is the surgical procedure of choice with the best balance of low recurrence and minimal morbidity?
Single or double burr hole craniostomy with closed-system subdural drain placement
Wide osteoplastic craniotomy with radical membranectomy under general anesthesia
Percutaneous needle aspiration at the bedside without continuous drainage
Immediate middle meningeal artery embolization as monotherapy without drainage

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Additional Information

Arab Board Neurosurgery Final Clinical & Oral Practice Questions - Arab Board of Health Specializations (ABHS) Neurosurgery Final Clinical and Oral Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, male, brain, and reveals. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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