Neuro

Question 1

The three meninges of the CNS

Answer 1

1. Pia Mater
2. Arachnoid Membrane
3. Dura Mater

Question 2

CSF is found in ________

Answer 2

Subarachnoid Space

Question 3

Subdural and Epidural space are both _______ spaces

Answer 3

potential

Question 4

CSF is synthesized and reabsorbed approx ________

Answer 4

3 times a day

Question 5

Normal ICP

Answer 5

0-10 mmHg

Question 6

Normal CCP

Answer 6

70-90 mmHg

Question 7

CPP calculation

Answer 7

MAP-ICP

Question 8

MAP Calculation

Answer 8

MAP= DBP +1/3(pulse pressure)

Question 9

Cushing Triad

Answer 9

1. HTN
2. Bradycardia
3. Resp Changes

Question 10

A subdural hematoma is typically _______ in nature

Answer 10

Venous

Question 11

A subdural bleed lies between the ________

Answer 11

dura mater and arachnoid membrane

Question 12

Acute Subdural Hematomas become symptomatic at ______

Answer 12

24 hours

Question 13

Subacute Subdural Hematomas become symptomatic at ______

Answer 13

2-10 days

Question 14

Chroinic Subdural Hematomas become symptomatic after ______

Answer 14

2 weeks

Question 15

The chronic subdural will commonly demonstrate a ______ pattern on CT

Answer 15

Granulated or ‘salt and pepper’

Question 16

What patient population will mostly likely demonstrate an acute subdural

Answer 16

Peds

Question 17

The most common cause of subarachnoid bleed is _______

Answer 17

Trauma

Question 18

Triple H-Therapy consist of:

Answer 18

1. Hypertension
2. Hypervolemia
3. Hemodilution

Question 19

Three classifications of CVA

Answer 19

1. Embolic
2. Hemorrhagic
3. Thrombotic

Question 20

______ fracture typically has a focal depression with fractures radiating outward. Similar to a ‘starred window’ pattern.

Answer 20

Linear Stellate

Question 21

_______ fractures are a simple fracture forming a single line across the scull.

Answer 21

Linear

Question 22

_______ fractures involve large sections of the skull being fractured from the main structure and becoming altered in their planar relationship to one another.

Answer 22

Diastatic

Question 23

LeForte ___ results in a loose maxillary region or upper lip movement.

Answer 23

I

Question 24

LeForte ___ results in a nasal section that is loose from the face itself.

Answer 24

II

Question 25

LeForte ___ the entire face appears to be detached and mobile from the rest of the skull

Answer 25

III

Question 26

The treatment of neurogenic shock includes the following:

Answer 26

1. Oxygenate 2. Perfuse 3. Fill the Tank 4. Limit further injury

Question 27

Nipple Line Dermatome ____

Answer 27

T4

Question 28

Xiphoid Dermatome ____

Answer 28

T6

Question 29

Umbilical Dermatome ______

Answer 29

T10

Question 30

Pubis Dermatome _____

Answer 30

T12

Question 31

Pulse Pressure Calc

Answer 31

SBP-DBP

Question 32

Decorticate Posturing indicates

Answer 32

Damage above the cerebellum and brainstem (supra-tentorial)

Question 33

Decerebrate Posturing indicates

Answer 33

Damage to the brainstem or compression of the thalamus and brainstem

Question 34

Treatment of increased ICP

Answer 34

1. Position Position 2. Limit Noxious Stimuli 3. Maintain Euvolemia, Normothermia, Normal Electrolytes

Question 35

In Head Injury Hyperventilate to keep PaCO2 between ______

Answer 35

32-35 | If healthy then you can say ETCO2 is 3-5 below the this

Question 36

Subdural is usually _______ in nature

Answer 36

venous

Question 37

Subdural have a ______ mortality and morbidity

Answer 37

High

Question 38

With Subdural bleeds in less 18 months look for ______

Answer 38

Bulging Fontanelle | Retinal Hemorrhages

Question 39

Epidural Hematoma is bleeding between the ____ and the ______

Answer 39

Skull | Dura Mater

Question 40

Epidural Hematoma are usually ______ in nature

Answer 40

arterial

Question 41

With Epidural Hematoma you will see ____ pupil dilation and _______ hemiplagiea

Answer 41

ipsilateral | contalateral (opposite of hematoma)

Question 42

Subarachnoid bleed is blood between the ____ and ______

Answer 42

Arachnoid Membraine | Pia Mater

Question 43

_____ is the most common cause of subarchanoid and the second is ______

Answer 43

1. Trauma | 2. Berri Aneurysm

Question 44

Common Chief Complaint of Subarachnoid _____

Answer 44

Worst Headache of my life

Question 45

Subarachnoid Bleed CC

Answer 45

N/V Stiff Neck Visual Disturbance Altered LOC

Question 46

With Subarachnoid Bleed DO NOT _______

Answer 46

do a lumbar puncture

Question 47

Intracerebral hemorrhage is blood in the _______

Answer 47

Brain Parenchyma

Question 48

Intracerebral hemorrhage is caused by

Answer 48

Shearing and Tensile Force

Question 49

Intracerebral hemorrhage is usually found in the _________

Answer 49

White Matter

Question 50

Intraventricular bleed is bleeding into the ______

Answer 50

ventricles

Question 51

With a mild concussion there is NO ______

Answer 51

LOC

Question 52

Basilar Skull Fx S/S

Answer 52

Battle Signs Periorbital Ecchymosis Otorrhea Rhinorrhea

Question 53

Classic Signs of Neurogenic Shock

Answer 53

1. Hypotension 2. Warm Red Skin below the injury 3. Absence of tachycardia