Discussion: Central nervous system injury
Discussion: Central nervous system injury
1 Patients with central nervous system injury may commonly have a specific type of gastric ulcer known as (select the best answer):
Curling’s ulcer
Duodenal ulcer
H. pylori ulcer
Barrett’s ulcer
Question Points: 1.0 / 1.0
2 How do you differentiate a cholinergic crisis from a myasthenia crisis? Select the best answer.
Perform a Tensilon (edrophonium) test.
Order a stat plasmapheresis trial.
Obtain a stat cortisol stimulation test.
Administer rapid immunomodulating therapies (IVIG).
Question Points: 1.0 / 1.0
3 Complications of giant cell arteritis include:
Uveitis
Arthritis
Blindness
Hemiparesis
Question Points: 1.0 / 1.0
4 On the Folstein Mini-Mental State Exam, the maximum score is 30, but a score of 23 or less indicates _____.
Cognitive impairment
Mental retardation
Alzheimer’s dementia
Parkinson’s dementia
Question Points: 1.0 / 1.0
5 Atypical antipsychotics like Seroquel, Zyprexa, and Risperdol are the preferred treatments for dementia-related aggression.
True False
Question Points: 1.0 / 1.0
6 A 67-year-old male with a past medical history significant for lung cancer is admitted with sepsis. On assessment, you notice petechiae and bruising. Which of the following statements about DIC is not true?
Results from activation of the clotting cascade and results in clotting factor consumption.
Diffuse clothing occurs simultaneously with bleeding.
Heparin may improve lab parameters, but may aggravate bleeding.
Lab results indicate increased platelet, increased fibrinogen, and prolonged PT/INR. Discussion: Central nervous system injury
Question Points: 0.0 / 1.0
7 Rickettsial infections include which of the following:
Rocky Mountain spotted fever and Q fever
Malaria and toxoplasmosis
Histoplasmosis and cryptococcosis
Epstein-Barr virus and cytomegalovirus
Question Points: 1.0 / 1.0
8 A 20-year-old female has periodic episodes that begin with decreased vision that lasts for about 30 minutes and is followed by a throbbing occipital headache. Which of the following is the most likely diagnosis?
Migraine
Vertebral-basilar insufficiency
Tension headache
Panic attack
Question Points: 1.0 / 1.0
9 Conductive hearing loss and sensorineural hearing loss are common in the elderly. What are three differential diagnoses for sensorineural hearing loss to include the most common pattern?
Barotraumas, viral cochleitis, osteoma
Acoustic neuroma, ototoxic drugs, presbycusis
Exostosis, meningioma, vascular disease
Presbycusis, trauma, Paget’s disease
Question Points: 1.0 / 1.0
10 Fever of unknown origin, by definition, is a fever of 101 Fahrenheit or greater rectally persisting over at least how many weeks?
2 weeks
3 weeks
1 week
6 weeks
Question Points: 1.0 / 1.0
11 Brain death criteria vary from state to state and involve the absence of breathing, absence of spontaneous movement, and several other neurological findings. Ancillary tests to prove brain death include all of the following except:
Transcranial Doppler
Electroencephalography
Cerebral blood flow study
Nerve conduction studies
Question Points: 1.0 / 1.0
12 The classic triad of Parkinson’s includes all of the following except:
Resting tremor
Rigidity arms, legs, and neck stiffness
Bradykinesia
Severe cognitive deficits
Question Points: 1.0 / 1.0
13 Focal seizures are often accompanied by automatisms, which are behaviors that include all of the following except:
Lip smacking
Picking at clothes
Chewing
Scratching
Question Points: 1.0 / 1.0
14 Loss of central vision is a hallmark of:
Macular degeneration
Glaucoma
Retinal detachment
Cataracts
Question Points: 1.0 / 1.0
15 Which of the following diseases cause degeneration or loss of nerve cells in the brain?
Alzheimer’s, Parkinson’s, and Huntington’s
Sepsis, chronic kidney disease, and scleroderma
Rheumatoid Arthritis, Alzheimer’s, and Scleroderma
Parkinson’s, B12 deficiency, and Myasthenia Gravis
Question Points: 1.0 / 1.0
16 Immunologic mediators that play a role in the pathophysiology of fever include all of the following except:
Interleukin 1 – primary
Interleukin 2
Interleukin 6
Tumor necrosis factor
Question Points: 1.0 / 1.0
17 The most common causes of fever in a geriatric patient include all of the following except: Discussion: Central nervous system injury
Malignancies
Medication effect
Connective tissue disorders (rheumatoid arthritis, sarcoidosis, temporal arteritis)
Sexually transmitted infections (chlamydia, herpes)
Question Points: 1.0 / 1.0
18 Anemia is the reduction of one or more of the following major red blood cell measurements:
Hemoglobin, hematocrit, RBC count
B12, folic acid, hemoglobin
Hemoglobin, folic acid, fibrinogen
Hemoglobin, RBC, and B12
