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Quiz

1. The most probable profile of an ependymoma patient would be:

selecta. 1-2 years old, male
selectb. 1-2 years old, female
selectc. 3-4 years old, female
selectd. 6-7 years old, female

2. The most frequent infratentorial location is (are):

selecta. the lateral ventricles
selectb. the midline ventricular floor
selectc. the lateral ventricular floor
selectd. the ependymal lining of lateral and third ventricle

3. Ependymomas of supratentorial location:

selecta. are of ependymal origin
selectb. account for the majority of pediatric brain tumours
selectc. commonly grow in the frontal lobe
selectd. often occlude the fourth ventricle

4. Identify all of the following that are characteristic of ependymoma histology:

selecta. perivascular pseudorosettes
selectb. polygonal cells
selectc. calcifications
selectd. macroscopic heterogeneity
selecte. neurofibrils
selectf. GFAP-positive staining

5. A patient presenting with vomiting, nystagmus, and neck stiffness for nine months prior to diagnosis would most likely have a tumour in the following location:

selecta. the posterior fossa
selectb. a focal area of the temporal lobe
selectc. a supratentorial area
selectd. the pons

6. Identify all of the following properties which are associated with a worse prognosis:

selecta. supratentorial location
selectb. subarachnoid seeding
selectc. age of less than five years
selectd. radiation prescription greater than 4500cGY
selecte. ependymyoblastoma histology

7. A recommended approach to radiation therapy for an ependymoma that has not yet metastasized out of the posterior fossa would include:

selecta. focal radiation; >5000cGy
selectb. craniospinal irradiation; >5000cGy
selectc. focal radiation; <5000cGy
selectd. craniospinal irradiation; <5000cGy

8. Dosages used for local control are usually in the range of:

selecta. 30-35Gy
selectb. 45-50Gy
selectc. 65-70Gy
selectd. 20-25GY