Unit 4 Neuro in class cumulative quiz

Question 1

Area responsible for motor aspects of speech

Answer 1

Broca

Question 2

72-year old with L-sided weakness of upper and lower extremities. Symptoms lasted less than 1hr and resolved with no evidence of infarction. This is _____

Answer 2

transient ischemic attack

Question 3

Pt with DBI is at increased risk for which complication

Answer 3

acute brain swelling

Question 4

Cushing and Addison disease can manifest with elevated levels of…

Answer 4

ACTH

Question 5

Manifests with chorea, abnormal movement that begins in face and arms and eventually affects entire body. There’s a progressive dysfxn of intellectual and thought processes.

Answer 5

Huntington disease

Question 6

Refers to a herniation/protrusion of the brain and meninges through a defect in the occipital region of the skull, resulting in a saclike structure

Answer 6

encephalocele

Question 7

Most common cause of bacterial meningitis in children under 4

Answer 7

Neisseria meningitidis

Question 8

Normal ICP is ____ @ 24mm Hg, it’d be considered?

Answer 8

1-15mmHg. Higher than normal.

Question 9

injury at sight of impact

Answer 9

coup

Question 10

injury from brain rebounding and hitting opp side of skull

Answer 10

contrecoup

Question 11

Prostaglandin production is related to the sensation of

Answer 11

pain

Question 12

_____ will interrupt the prostaglandin pathway and inhibit pain sensations

Answer 12

aspirin

Question 13

________ are one of the more potent mediators that cause increased blood flow, chemotaxis, and subsequent dysfxn of tissues and organs

Answer 13

prostaglandins

Question 14

What change in the EXC matrix would support the diagnosis of metastatic cancer?

Answer 14

decreased fibronectin, as this allows some cancer cells to metastasize

Question 15

Bacterial meningitis can occur secondary to _______ and is manifested by fever, tachy, chills, and petechial rash with a severe throbbing headache, severe photophobia, and nuchal rigidity.

Answer 15

sinusitis

Question 16

11-year old with newly diagnosed type 1 DM, which classic symptoms should nurse assess?

Answer 16

3P’s and weight loss

Question 17

Dehydration is a risk factor for _______ stroke because it increases blood viscosity and decreases cerebral perfusion

Answer 17

thrombotic

Question 18

Which conditions can lead to hypokalemia?

Answer 18

diarrhea, renal disorders, laxative overuse, surgical tubes implanted from GI tract.

Question 19

Earliest manifestation of diabetes-induced kidney dysfxn?

Answer 19

microalbuminuria

Question 20

depletion of dopamine is related to

Answer 20

Parkinson disease

Question 21

Pt in ER for tx of injuries received in a motor vehicle accident. An MRI reveals spinal cord injury, and his body temp fluctuates. Explanation:

Answer 21

his sympathetic nervous system has been damaged

Question 22

a condition of deep sleep/unresponsiveness from which a person may be aroused or caused to open his/her eyes only by vigorous and repeated stimulation

Answer 22

Stupor

Question 23

Pt diagnosed with spinal cord injury experienced spinal shock lasting 15 days. Pt now had an uncompensated CV response to sympathetic stimulation. What may have caused it?

Answer 23

autonomic hyperreflexia d/t Istended bladder/rectum

Question 24

Which grade would a subarachnoid hemorrhage be at if the pt experiences drowsiness and confusion with or without focal neurologic deficits and pronounced meningeal signs?

Answer 24

Stage III

Question 25

In this posture, all 4 extremities are in rigid extension, forearms are hyperpronated, and the legs are in plantar extension

Answer 25

decerebrate

Question 26

In _________ diffuse axonal injury, the score on the GCS is 4-8 initially and 6-8 by 24hrs, and the person is confused and suffers a long period of posttraumatic anterograde and retrograde amnesia

Answer 26

moderate

Question 27

What are causes of SIADH?

Answer 27

brain injury, secretion of ADH by tumor cells, and medications

Question 28

sensorimotor disorder that produces prickling, tingling, and crawling sensations that make the person feel a compulsion to move the extremities, esp when tired

Answer 28

RLS

Question 29

hernial protrusion of a saclike cyst through a defect in the posterior arch of the vertebra

Answer 29

myelomeningocle

Question 30

____ is responsible for the regulation of ADH secretion

Answer 30

hypothalamus

Question 31

3mos old bby brought to ER due to a seizure that’s caused m. rigidity. If both parents are Jew, which genetic disease would bby be screened for?

Answer 31

Tay-Sachs

Question 32

berry aneurysm that occurs frequently and likely result from congenital abnormalities in media of arterial wall and degenerative changes

Answer 32

saccular aneurysm