On Final Test

Question 0

How does CNS and PNS relate to treatment of epilepsy ?

Answer 0

Central nervous system disease treated in the periphery

Question 1

What is epilepsy a disease of?

Answer 1

Epilepsy is a disease of central nervous system

Question 2

What type of affects do seizures produce?

Answer 2

Seizures may produce both autonomic and somatic affects

Question 3

What number cranial nerve does VNS stimulate

Answer 3

10 wandering nerve

Question 4

What types of fibers does vagus nerve mainly consist of and how much of that type?

Answer 4

80% Afferent

Question 5

Where does VNS stimulate on nerve - between what and what?

Answer 5

Above laryngeal

Below cardiac branches

Question 6

What are neurons made of?

Answer 6

Cell body
Dendrites
Axon
Synapse

Question 7

Goal of VNS with regard to nerve fibers?

Answer 7

Stimulate and saturate myelinated A fibers

Question 8

Are most synapses in body chemical or electrical?

Answer 8

Majority chemical

Very few electrical

Question 9

What makes partial seizures important ?

Answer 9

Partial seizures usually begin with symptoms that reflect site of origin

Question 10

Seizures can be what 2 main varieties?

Answer 10

Partial and Generalized

Question 11

What is the purpose of dosing?

Answer 11

Maximize therapeutic effect

Minimize side effects

Question 12

With 103 and 104 generators systems diagnostic and normal mode diagnostic run simultaneously. TRUE or FALSE

Answer 12

TRUE

Question 13

Case study question:

The output is okay & the delivery is that 1.0 milliamp. The impedance value is 4138 ohms. So basically nothing is wrong. What do you do?

Answer 13

Interrogate and you’re done

Question 14

There is a potential of a lead fracture in this question. With multiple choice all over the place that all work so it is all of the above

Answer 14

All of the above

Question 15

How do you know you have a short circuit?

Answer 15

Low impedance less than 600

Question 16

Purpose of strain relief loop and bend

Answer 16

To allow greater mobility of the head and neck

For longer durability of the lead

And to take off additional tensioning on the lead

Question 17

Case study:

The output current is low and the 2.5 impedance is high - how do you troubleshoot?

Answer 17

Check the pin
Make sure nerve hasn’t dried out
Check lead

Question 18

What must you remember with the compatibility matrix between generators and leads

Answer 18

Everything is compatible except the 300 lead only goes with the 102 are and the 104 generators

Question 19

Select the correct answer about what is true about focal point seizures

Answer 19

Start in one place of brain

Question 20

On time is defined as the amount of time including ramp up and ramp down

Answer 20

False

Question 21

What is not in the patient essentials kit

Answer 21

Does not contain a magnet brochure

Question 22

There is a question about what the following can be said about the EMU

Answer 22

It’s all of the above

It includes things like
several reasons
measures electrical activity in the brain

Question 23

Medication with a novel mechanism of action

Answer 23

Fycompa

Question 24

There will be a question that has a list of medications and which one is for refractory epilepsy

Answer 24

Vimpat

Question 25

What are the different partial/focal seizure types?

Answer 25

Simple partial complex partial focal on set with secondary generalized

Question 26

What are the five types of generalized seizures?

Answer 26

``` Tonic clonic absence atonic myoclonic ```

Question 27

What does RNS stand for?

Answer 27

Responsive nerve stimulation

Question 28

What does glutamate and GABA do in relation to seizures

Answer 28

Glutamate excites and GABA brings it back to normal

Question 29

Action potential starts at what part of the lead

Answer 29

Negative electrode