Brain Metastasis
Neurocognitive Testing
Anatomy
Name that lesion
St. Louis Potpourri
100
According to RTOG 9005, name the appropriate dose constraints for lesions:
<2cm, 2.1 to 3cm, and >3cm
<2cm: 24Gy
2.1 to 3cm: 18Gy
>3cm: 15Gy
100
Fine motor test that requires patients to align / rotate pegs.
Grooved peg board (N0574)
100
Name the structure in red
Central sulcus
100
Name the area and the associated abnormalities
Paracentral lobule
Weakness and loss of sensation in left leg / foot
100
This frozen treat was introduced at the 1904 World's Fair
Ice cream
200
Risk of non-brain metastasis finding at time of biopsy or surgery in Patchel I
11%
200
Describe the controlled oral word association test (COWA)
Given a letter, the subject repeats words that begin with that letter for 1 minute (No names or places). (CC001 Appendix II)
“For example, if I say ‘s,’ you could say ‘son’, ‘sit,’ ‘shoe,’ or ‘slow.’ Can you think of other words beginning with the letter ‘s’?”
200
Name the structure in red
Trigeminal Nerve
200
Describe result of lesion here
Bitemporal hemianopsia
200
He designed this house once owned by a Washington University in St. Louis graduate
Frank Lloyd Wright
300
D100% and Dmax to the hippocampi structure on CC001
D100% <9Gy, variation acceptable 9 to 10Gy
Dmax <16Gy
300
Name this test and describe how its taken
Trail Making A
300
Name the structure in red and its contents
Cavernous sinus
CN 3, IV, VI, V2-3, ICA
300
Name these two areas and associated aphasia
Broca area - expressive aphasia
Wernicke area - receptive aphasia
300
Robert Rayford died of this infectious disease in 1969. He was the first known case in North America
HIV/AIDS
400
Memantine titration and duration of use according to RTOG 0614
Week 1: 5mg am
Week 2: 5mg am, 5mg pm
Week 3: 10mg am, 5mg pm
Week 4: 10mg am, 10mg pm
Duration: 24 weeks
400
Name the 3 parts of the HVLT-R
Free recall, delayed recall, and delayed recognition (CC001 Appendix II)
400
Name the structure in blue
Middle cerebral artery
400
Describe result of lesions at C and D
C: Right nasal hemianopsia
D: Left homonymous hemianopsia
400
This downtown St. Louis building was the worlds first skyscraper
Wainwright building
500
Single fraction SRS constraints for optic apparatus and brainstem
Optic apparatus 0.03cc < 8-10Gy
Brainstem 0.03cc < 10-14Gy
500
Name this test and describe how its taken
Trail making B
500
Name structure in red
Meckel's cave (trigeminal cave, cavity)
500
Name associated muscle and nerve
Superior oblique muscle, trochlear nerve (IV)
500
In 1983, the EPA relocated all residents of this St. Louis suburb due to Dioxin contamination.
Times Beach, Missouri