Lumbar Puncture Quiz
Lumbar Puncture Quiz
Lumbar Puncture Quiz
Please print, complete and hand in this quiz at the start of the Lumbar Puncture seminar
Name: _________________________________________
1. The imaginary line connecting the posterior superior iliac crests crosses what spinal interspace?
a) L1 -L2
b) L3-L4
c) L5-S1
d) L4-L5
2. The number and type of white blood cells in normal CSF is?
a) Uncorrected coagulopathy
b) Nuchal rigidity
c) Inability to visualize a patient’s fundi
d) A concussion two months ago
a) Subarachnoid hemorrhage
b) Cerebral abscess
c) Meningitis
d) Idiopathic intracranial hypertension
6. What needle type is best used for reducing the incidence of post lumbar puncture headache?
7. When advancing the lumbar puncture needle, it should be parallel to the bed and aimed towards the patient's
_______________
a) Sternum
b) Symphysis pubis
c) Umbilicus
d) Neck
9. Which of the following is not a way to reduce post lumbar puncture headaches?
10. Correctly orienting the bevel of a cutting type spinal needle can reduce the incidence of post lumbar puncture headache. In a
patient in the lateral decubitus position, the notch of the stylet should point ____________
a) Up at the ceiling
b) At the patient's right shoulder
c) Towards the patient's head
d) Towards the patient's feet
11. In an adult, the spinal cord may reach as low as what vertebral body?
a) L4
b) L2
c) L5
d) L3
12. Which of the following gives the correct order of tissues penetrated in a lumbar puncture?
13. The ‘pop’ that is often felt in performing a lumbar puncture is caused by the penetration of what tissue?
a) Ligamentum flavum
b) Subarachnoid space
c) Intraspinal ligament
d) Supraspinal ligament
14. If bony resistance is encountered while performing a lumbar puncture, bring the spinal needle back to the skin and direct it
more towards the ___________
a) Right
b) Feet
c) Parallel plane of the back
d) Head
a) Gram stain
b) Albumin
c) Glucose
d) Cell count
a) Creamy yellow
b) Slightly pink
c) Clear straw coloured
d) Crystal clear
a) Back arched out with hips and shoulders perpendicular to the bed
b) Back straight with hips and shoulders perpendicular to the bed
c) Back arched out with shoulders rolled towards the bed and hips perpendicular to the bed
d) Back straight with shoulders rolled towards the bed and hips perpendicular to the bed
20. A patient with fever, nuchal rigidity and a normal neurological exam requires a CT scan prior to lumbar puncture.
a) True
b) False