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nbme - interndoc
#1
6 month born with lumbosacral myelmeningocele with was successuffuly repaired at 2 days of age. anterior frontanelle is 6x8cm and bulging, posterior frontanelle is 3x4cm and bulging. she has severe motor and sensory deficits involving both lower extremities.

age head circum
birth 34.2
1mon 36.6
2mon 38
4mon 44
6mon 47

a. acute cerebral edema
b. dec absorption of CSF
c. dilation of cerebral arteries
d. intracranial mass lesion
e. obstruction of lateral sinus
f. obst of SVC
g. obst of CSF flow
h. overproduction of CSF
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#2
anser is g, he has a arnold chiari sx. is hydrocephalus and myelomeningocele
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#3
Answer is G. Arnold Chiari Malformation-2
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