After answering this question, the Honorlock proctoring serv…

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Many patients with spina bifida develop hydrocephalus second…

Many patients with spina bifida develop hydrocephalus secondary to the defect.  In most cases, the hydrocephalus requires a shunt.  One complication of a shunt is that it can fail some time after it is put in place.  Therefore, it is important to watch for signs of shunt failure in someone with spina bifida.  Which of the following combinations are the most likely signs that would indicate shunt failure?