Neuro

Question 1

Febrile seizures are caused by a sudden spike in body temperature with fevers ________ and generally occur in what age group?

Accepted Answer

- >38° C or 100.4° F - 6 m.o- 5 y.o

Question 2

Guillain-Barre syndrome may present after a ____ illness, most often caused by what bacteria?

Accepted Answer

- Diarrheal - Campylobacter jejuni

Question 3

Guillain barre is associated with which viruses? It can also occur after an _________

Accepted Answer

- influenza virus, Epstein Barr virus, and Cytomegalovirus - upper respiratory infection

Question 4

The two most common areas of countercoup injuries are the ______ and _______ lobes.

Accepted Answer

- frontal - temporal

Question 5

An impact to the top of the head would cause a coupe-countercoup injury to the...

Accepted Answer

hippocampus and corpus callosum.

Question 6

The most common brain injury with countercoup trauma is

Accepted Answer

brain contusion.

Question 7

The age of onset for childhood absence epilepsy is typically between ___________, with a peak between ages _______

Accepted Answer

- 4 and 10 years - 5 and 7 years

Question 8

Episodes of childhood absence epilepsy occur frequently, often ___ to more than ___ times throughout the day

Accepted Answer

- 10 - 30

Question 9

The best initial management for a pt with DKA who becomes comatose after 12 hours of aggressive treatment is _______ bc it ______

Accepted Answer

- Hyperventilation - Reduces the blood flow through the brain by causing cerebral vasoconstriction

Question 10

Papilledema is only seen in ______

Accepted Answer

- Chronic cerebral edema; not acute

Question 11

Infants with cerebral edema typically present with

Accepted Answer

lethargy, irritability, poor feeding, vomiting

Question 12

Classic symptoms of Guillain-Barre syndrome

Accepted Answer

- Ascending paralysis - Recent viral illness TBIs are classified as mild, moderate or severe using the GCS: Mild= GCS of _____ Moderate= GCS of ____

Question 13

Severe= GCS of _____

Accepted Answer

Mild= GCS of 13-15 Moderate= GCS of 9-12 Severe= GCS of 3-8

Question 14

Myoclonic seizures are characterized by ________ , typically for a brief period, with _________ and _________

Accepted Answer

- jerky involuntary movements - trunk flexion - spasmodic limb movements

Question 15

Grand mal or tonic-clonic seizures have a ________ , often with ________

Accepted Answer

- loss of consciousness - rigidity of extensor muscles

Question 16

Petit mal seizures are characterized by

Accepted Answer

a loss of awareness for 10 to 20 seconds

Question 17

Focal onset seizures cause symptoms without

Accepted Answer

alteration in consciousness or awareness

Question 18

Which diuretic is the drug of choice for managing traumatic cerebral edema?

Accepted Answer

Mannitol

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