1. A newborn baby presents with a soft, compressible swelling on the side of the head. This is most likely due to:
A. Cephalohematoma
B. Caput succedaneum
C. Parietal osteomyelitis
D. Parietal bone fracture
2. A 35-year-old patient sustains a head injury after a fall. Imaging reveals a linear fracture of the parietal bone. Which of the following is the most appropriate initial management?
A. Anticonvulsant therapy
B. Surgical intervention
C. Neurological monitoring
D. Osmotic diuretics
3. A 60-year-old patient with metastatic cancer presents with a lytic lesion in the parietal bone. Which of the following is the most appropriate initial management?
A. Biopsy
B. Radiation therapy
C. Surgical resection
D. Chemotherapy
4. A 45-year-old patient with a history of migraines reports a new onset of severe parietal headaches. Which of the following cranial nerves is involved in the innervation of the parietal region?
A. Trigeminal nerve
B. Facial nerve
C. Glossopharyngeal nerve
D. Greater occipital nerve
5. A 50-year-old patient with rheumatoid arthritis presents with tenderness and swelling over the parietal region. This is most likely due to:
A. Parietal osteomyelitis
B. Parietal bone erosion
C. Parietal neuralgia
D. Parietal artery aneurysm
6. A 25-year-old patient sustains a gunshot wound to the parietal region. Which of the following structures is at highest risk of injury?
A. Parietal lobe
B. Lateral ventricles
C. Brainstem
D. Cerebellum
7. A 40-year-old patient with a history of intravenous drug use presents with a draining sinus over the parietal region. This is most suggestive of:
A. Parietal osteomyelitis
B. Parietal bone tumor
C. Parietal neuralgia
D. Parietal artery aneurysm
8. A 70-year-old patient with a history of falls presents with a closed head injury. Imaging reveals a comminuted fracture of the parietal bone. Which of the following is the most important initial management?
A. Anticonvulsant therapy
B. Surgical intervention
C. Neurological monitoring
D. Osmotic diuretics
9. A 30-year-old patient with a history of headaches reports tenderness over the parietal region. Which of the following diagnostic tests is most appropriate for evaluating parietal neuralgia?
A. Computed tomography (CT) scan
B. Magnetic resonance imaging (MRI)
C. Nerve conduction studies
D. Parietal nerve block
10. A 55-year-old patient with a history of cancer presents with a painful mass over the parietal region. Imaging reveals a lytic lesion in the parietal bone. Which of the following is the most appropriate next step in management?
A. Biopsy
B. Radiation therapy
C. Surgical resection
D. Chemotherapy
11. A 65-year-old patient with a history of osteoporosis presents with a closed head injury. Imaging reveals a linear fracture of the parietal bone. Which of the following is the most important consideration in managing this patient?
A. Risk of intracranial hemorrhage
B. Risk of cerebrospinal fluid leak
C. Risk of meningitis
D. Risk of parietal neuralgia
12. A 40-year-old patient with a history of migraines reports severe parietal headaches. Which of the following structures is involved in the innervation of the parietal region?
A. Trigeminal nerve
B. Facial nerve
C. Glossopharyngeal nerve
D. Greater occipital nerve
13. A 45-year-old patient with a history of rheumatoid arthritis presents with tenderness and swelling over the parietal region. Imaging reveals erosion of the parietal bone. Which of the following is the most appropriate initial management?
A. Antibiotic therapy
B. Steroid therapy
C. Surgical intervention
D. Radiation therapy
14. A 35-year-old patient sustains a head injury after a motor vehicle accident. Imaging reveals a depressed fracture of the parietal bone. Which of the following is the most appropriate initial management?
A. Anticonvulsant therapy
B. Surgical intervention
C. Neurological monitoring
D. Osmotic diuretics
15. A 60-year-old patient with a history of cancer presents with a painful mass over the parietal region. Imaging reveals a lytic lesion in the parietal bone. Which of the following is the most appropriate initial management?
A. Biopsy
B. Radiation therapy
C. Surgical resection
D. Chemotherapy
16. A 25-year-old patient sustains a gunshot wound to the parietal region. Imaging reveals injury to the parietal lobe. Which of the following is the most common presenting symptom of parietal lobe injury?
A. Hemiparesis
B. Aphasia
C. Hemianopia
D. Apraxia
17. A 50-year-old patient with a history of migraines reports severe parietal headaches. Which of the following diagnostic tests is most appropriate for evaluating parietal neuralgia?
A. Computed tomography (CT) scan
B. Magnetic resonance imaging (MRI)
C. Nerve conduction studies
D. Parietal nerve block
18. A 70-year-old patient with a history of intravenous drug use presents with a draining sinus over the parietal region. Imaging reveals osteomyelitis of the parietal bone. Which of the following is the most appropriate initial management?
A. Antibiotic therapy
B. Surgical debridement
C. Radiation therapy
D. Both A and B
19. A 30-year-old patient with a history of headaches reports tenderness over the parietal region. Which of the following structures is involved in the innervation of the parietal region?
A. Trigeminal nerve
B. Facial nerve
C. Glossopharyngeal nerve
D. Greater occipital nerve
20. A 45-year-old patient with a history of cancer presents with a painful mass over the parietal region. Imaging reveals a lytic lesion in the parietal bone. Which of the following is the most appropriate next step in management?
A. Biopsy
B. Radiation therapy
C. Surgical resection
D. Chemotherapy
21. A 55-year-old patient with a history of falls presents with a closed head injury. Imaging reveals a comminuted fracture of the parietal bone and an epidural hematoma. Which of the following is the most appropriate initial management?
A. Anticonvulsant therapy
B. Surgical intervention
C. Neurological monitoring
D. Osmotic diuretics
22. A 40-year-old patient with a history of rheumatoid arthritis presents with tenderness and swelling over the parietal region. Imaging reveals erosion of the parietal bone. Which of the following is the most appropriate next step in management?
A. Antibiotic therapy
B. Steroid therapy
C. Surgical intervention
D. Radiation therapy
23. A 35-year-old patient with a history of migraines reports severe parietal headaches. Which of the following diagnostic tests is most appropriate for evaluating parietal neuralgia?
A. Computed tomography (CT) scan
B. Magnetic resonance imaging (MRI)
C. Nerve conduction studies
D. Parietal nerve block
24. A 60-year-old patient with a history of falls presents with a closed head injury. Imaging reveals a linear fracture of the parietal bone and a subdural hematoma. Which of the following is the most appropriate initial management?
A. Anticonvulsant therapy
B. Surgical intervention
C. Neurological monitoring
D. Osmotic diuretics