Neurology Quiz #38: Childhood Brain Tumors

1. A 7-year-old boy presents to the pediatric neurologist with headaches, nausea, and episodes of early morning vomiting. His mother mentions that he has been stumbling frequently and seems more clumsy than usual. An MRI of the brain reveals a mass in the posterior fossa with a cystic appearance and a mural nodule. Which of the following is the most likely diagnosis? 

Question 1 of 5

2. A 4-year-old girl is brought to the emergency department by her parents who are concerned about her unsteady gait, frequent falling, and difficulty with fine motor skills. Over the past month, she has also become increasingly irritable. A brain MRI reveals a mass in the cerebellum. Which of the following is the most aggressive and common malignant brain tumor in children? 

Question 2 of 5

3. A 10-year-old boy presents with headaches, double vision, and a recent history of academic difficulties. On examination, papilledema is noted. An MRI of the brain shows a tumor located at the cerebellopontine angle. Which of the following tumors is most commonly associated with this presentation in children? 

Question 3 of 5

4. A 6-year-old boy is brought to the pediatrician because of a 2-month history of worsening headaches, nausea, and double vision. His parents also report that he seems to be tilting his head to one side. Brain MRI reveals a mass in the fourth ventricle. Which of the following tumors is most consistent with this presentation?

Question 4 of 5

5. An 8-year-old girl presents to the pediatric clinic with complaints of headaches, visual disturbances, and excessive thirst and urination. Her mother also reports that her daughter has had a recent growth spurt and seems much taller than her peers. Brain MRI shows a suprasellar mass. Which of the following is the most likely diagnosis? 

Question 5 of 5


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