neuro

Question 1

2 types of vertigo

Answer 1

benign paroxysmal vertigo
central vertigo

Question 2

s/s of cerebellum issue

Answer 2

vertigo
ataxia

Question 3

lack of coordination is called

Answer 3

ataxia

Question 4

unsteady walking is called

Answer 4

ataxic gait

Question 5

benign paroxysmal vertigo is dizziness related to an issue where

Answer 5

the ears

Question 6

central vertigo is associated with an issue with what

Answer 6

the cerebellum

Question 7

benign paroxysmal vertigo is triggered by?

Answer 7

changing position of head

Question 8

central vertigo is triggered by?

Answer 8

nothing can happen abruptly

Question 9

procedure where spinal needle is inserted through L3-L4 interspace into lumbar subarachnoid space

Answer 9

lumbar puncture

Question 10

how does patient have to be positioned during lumbar puncture procedure

Answer 10

lateral recumbent with knees to abdomen & chin to chest

Question 11

reasons lumbar puncture is performed

Answer 11

obtain CSF
measure CSF
install air, dye or medication

Question 12

s/p lumbar puncture interventions

Answer 12

-position pt flat for 3-4 hrs
-monitor vitals & neuro signs to check for CSF leakage
- monitor for headaches
- increase fluid intake

Question 13

lumbar puncture interventions during procedure

Answer 13

position pt lumbar recumbent w knees to abdomen & chin to chest

Question 14

what pt is lumbar puncture procedure contraindicated in

Answer 14

pt w/ increased intracranial pressure

Question 15

where should you avoid doing lumbar puncture to not injure spinal cord

Answer 15

L1 or thoracic area

Question 16

internal lining of CNS is called

Answer 16

meninges

Question 17

irritation of the the meninges is called

Answer 17

meningsm

Question 18

s/s off meningism

Answer 18

stiffness
severe headache

Question 19

what position should pt be placed in after lumbar puncture procedure

Answer 19

supine position

Question 20

what should pt be given after lumbar puncture procedure unless contraindicated

Answer 20

2-3 L of fluids

Question 21

what does normal CSF look like

Answer 21

clear

Question 22

known as the “food of the brain”

Answer 22

glucose

Question 23

what does cloudy CSF mean?

Answer 23

bacteria present

Question 24

what do bacteria/viruses eat

Answer 24

glucose

Question 25

low glucose in CSF means?

Answer 25

meningitis

Question 26

what do bacteria excrete

Answer 26

protein

Question 27

low glucose and high protein in CSF means which kind of meningitis

Answer 27

bacterial meningitis

Question 28

low glucose and low protein is a sign of what meningitis

Answer 28

viral meningitis

Question 29

how to differentiate between bacterial and viral meningitis

Answer 29

protein level

Question 30

what does the blood brain barrier do?

Answer 30

filter what can enter the brain

Question 31

what is the only thing that can cross the blood brain barrier without filter

Answer 31

glucose

Question 32

bloody/sangeous CSF is a sign of

Answer 32

brain aneurysm/brain bleeding

Question 33

excessive CSF can cause

Answer 33

increased intracranial pressure

Question 34

will intracranial pressure increase with brain bleeding?

Answer 34

yes

Question 35

what happens if lumbar puncture is performed on a pt w increased ICP?

Answer 35

too much leakage

Question 36

what happens to the meninges when lying down

Answer 36

relaxed

Question 37

imaging of blood vessels in the brain by injecting iodine contrast in artery

Answer 37

cerebral angiography

Question 38

what artery is mostly used in cerebral angiography

Answer 38

carotid artery

Question 39

why is carotid artery used in cerebral angiography

Answer 39

closest to the brain

Question 40

angio means

Answer 40

blood vessels

Question 41

what medication is contraindicated before angiography and just be stopped 48 hrs before procedure

Answer 41

metformin

Question 42

pre op cerebral angiography interventions

Answer 42

assess for iodine/shellfish allergy encourage hydration

Question 43

s/p cerebral angiography interventions

Answer 43

-monitor for neck swelling -monitor/report dyspnea/difficulty swallowing -keep bed flat if contrast was injected into femoral artery

Question 44

graphic recording of electrical activity of superficial layers of cerebral cortex

Answer 44

electroencephalography

Question 45

who are the only people able to interpret electrocephalography

Answer 45

neurologists

Question 46

s/p electroencepholography interventions

Answer 46

maintain side rails safety precautions if pt sedated

Question 47

bell’s palsy means what cranial nerve is damaged

Answer 47

cranial nerve 7

Question 48

what nervous system controls CNS

Answer 48

respiration

Question 49

bilateral dilated fixed pupils mean what part of the brain is damaged

Answer 49

midbrain damage

Question 50

pinpoint fixed pupils mean what part of the brain is damaged

Answer 50

pontine

Question 51

cheyne stokes respiration occurs when

Answer 51

CNS issue pt dying

Question 52

reflex assessed by stroking sole of foot

Answer 52

babinski reflex

Question 53

what will happen to toes if babinski reflex is positive

Answer 53

fan out and be hyperextended

Question 54

how will toes be when babinski is tested on babies that’s normal

Answer 54

hyperextended

Question 55

what is the best glasgow coma score

Answer 55

15