Er Neurology
.
- 1.
Emergencies of the nervous system affect the CNS, which consists of...
- A.
Brain and spinal cord
- B.
Spinal cord
- C.
Brain
- D.
Diencephalon
Correct Answer
A. Brain and spinal cord -
- 2.
Seizures can have metabolic causes.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Ex: GlycemiaRate this question:
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- 3.
Neurological head injuries include...(Check all that apply)
- A.
Superficial lacerations
- B.
Concussions
- C.
Fractures
- D.
Intracranial and extracranial hemorrhage
- E.
Intracranial and extracranial pressure
- F.
Hydrocephalus
- G.
Broken jaw
Correct Answer(s)
A. Superficial lacerations
B. Concussions
C. Fractures
D. Intracranial and extracranial hemorrhage
E. Intracranial and extracranial pressure -
- 4.
Postural reactions include...
- A.
Proprioceptive positioning, hopping, placing
- B.
Propprioceptive positioning, walking, placing
- C.
Proprioceptive positioning, reflexes, placing
- D.
Proprioceptive positioning, hopping, walking
Correct Answer
A. Proprioceptive positioning, hopping, placing -
- 5.
Check all the elements of a neurological exam.
- A.
Assessing mentation, gait and posture
- B.
Postural reactions
- C.
Cranial nerve exam
- D.
Palpation (skin, muscles, skeleton)
- E.
Spinal reflexes
- F.
Sensation (Superficial and deep pain)
- G.
Alertness
- H.
Behavior
Correct Answer(s)
A. Assessing mentation, gait and posture
B. Postural reactions
C. Cranial nerve exam
D. Palpation (skin, muscles, skeleton)
E. Spinal reflexes
F. Sensation (Superficial and deep pain) -
- 6.
How many cranial nerve pairs are there ?
- A.
12
- B.
11
- C.
10
- D.
14
Correct Answer
A. 12 -
- 7.
What are the different state of consciousness levels?
- A.
Alertness, depression, confusion, delirium, semicoma, coma
- B.
Alertness, confusion, delirium, semicoma, coma
- C.
Alertness, lethargy, depression, confusion, semicoma, coma
- D.
Alertness, depression, confusion, delirium, semicoma, coma
Correct Answer
A. Alertness, depression, confusion, delirium, semicoma, coma -
- 8.
DAMNIT ! Yelled the angry vet tech while assessing that golden retriever a car just ran over an hour ago. How unprofessional of her....
- A.
Degenerative type diseases, Anomalies, Metabolic diseases, Neoplasia/Nutrition, Inflammatory/Infection/Infarctions/Idiopathic, Trauma
- B.
Degenerative type diseases, Abnormalities, Metabolic diseases, Nausea, Inflammatory/Infection/Infarctions/Idiopathic, Trauma
- C.
Degenerative type diseases, Anomalies, Myopathy, Neonatal, Inflammatory/Infection/Infarctions/Idiopathic, Trauma
- D.
Differential type diseases, Abnormalities, Metabolic diseases, Neoplasia/Nutrition, Inflammatory/Infection/Infarctions/Idiopathic, Thoracic injury
Correct Answer
A. Degenerative type diseases, Anomalies, Metabolic diseases, Neoplasia/Nutrition, Inflammatory/Infection/Infarctions/Idiopathic, TraumaExplanation
Overkill.....?Rate this question:
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- 9.
Signs of head injuries: External injuries to the _____.
- A.
Face and skull
- B.
Neck and skull
- C.
Face and neck
- D.
Eyes
Correct Answer
A. Face and skull -
- 10.
Signs of head injuries: Muscular
- A.
Neck rigidity and pain
- B.
Neck rigidity
- C.
Neck and shoulder rigidity
- D.
Face immobile
Correct Answer
A. Neck rigidity and pain -
- 11.
Signs of head injuries: Eyes.
- A.
Anisocoria and PLR
- B.
Mydriasis and PLR
- C.
Just PLR
- D.
Palpebral reflex and PLR
Correct Answer
A. Anisocoria and PLR -
- 12.
What is the Modified Glascow Scale?
- A.
Tool to predict the outcome or prognosis in head trauma patients.
- B.
Tool to predict how long the patient will be in a coma.
- C.
Scale that determines the patient's level of consciousness.
- D.
Review based on worldwide statistics detailing how much fun visiting Glascow would be on a scale of 1 to 10.
Correct Answer
A. Tool to predict the outcome or prognosis in head trauma patients. -
- 13.
What is the suggested prognosis for a score of I on the Modified Glascow Scale?
- A.
Grave
- B.
Guarded
- C.
Good
- D.
Sleeping Beauty
Correct Answer
A. GraveExplanation
Where's prince charming when you need him?Rate this question:
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- 14.
What is the suggested prognosis for a score of II on the Modified Glascow Scale?
- A.
Guarded
- B.
Grave
- C.
Good
- D.
Call the dwarves we need a glass coffin.
Correct Answer
A. Guarded -
- 15.
What is the suggested prognosis for a score of III on the Modified Glascow Scale?
- A.
Good
- B.
Grave
- C.
Guarded
- D.
I told you not to eat the goddamn apple!
Correct Answer
A. Good -
- 16.
What is the FIRST thing you address in head trauma patients?
- A.
Hypoxia
- B.
Stabilizing the patient's spinal cord
- C.
Administering fluids and treating shock
- D.
Controling the bleeding
Correct Answer
A. HypoxiaExplanation
You'd think that maybe we could address both hypoxia and the blood spurting all over the place at the same time....Rate this question:
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- 17.
After addressing hypoxia, what are the most important things to treat in head trauma patients? (Check all that apply)
- A.
Control any bleeding
- B.
Treat shock
- C.
Frequently check vital signs
- D.
Frequently check neurological signs
- E.
Treat pain
- F.
Treat neurological symptoms
Correct Answer(s)
A. Control any bleeding
B. Treat shock
C. Frequently check vital signs
D. Frequently check neurological signs -
- 18.
A patient's forelimbs and hindlimbs are rigid, with the head and neck arched backward. What's this condition called?
- A.
Opisthononic position
- B.
Autochtonic position
- C.
Opisthomic position
- D.
Opisthotonic position
Correct Answer
A. Opisthononic positionExplanation
And now to figure out how you actually pronounce this lovely word.Rate this question:
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- 19.
ICP stands for...
- A.
Intracranial Pressure
- B.
Intracephalic Pressure
- C.
Intracardiac Pressure
- D.
Intracorneal Pressure
Correct Answer
A. Intracranial Pressure -
- 20.
Opisthononic position is most commonly seen with a dramatic increase of ____, leading to brain stem _______.
- A.
ICP, herniation
- B.
ICP, inflammation
- C.
CIP, herniation
- D.
CIP, inflammation
Correct Answer
A. ICP, herniation -
- 21.
ICP: Treating the ________ and not the brain specifically often results in _____ ICP.
- A.
Systemic injury, reduced
- B.
Systemic injury, increased
- C.
Trauma, reduced
- D.
Trauma, increased
Correct Answer
A. Systemic injury, reduced -
- 22.
Hypotension is the cause of ongoing secondary brain trauma, causing _____ and _____.
- A.
Ischemia, hypoxia
- B.
ICP, hypoxia
- C.
Ischemia, nerve damage
- D.
Hypoxia, nerve damage
Correct Answer
A. Ischemia, hypoxia -
- 23.
Hypotension must be treated in cases of increased ICP.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
It should be treated WITHOUT increasing ICP.Rate this question:
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- 24.
Cerebral Perfusion =.......?
- A.
MAP-ICP
- B.
MAP+ICP
- C.
ICP-MAP
- D.
ICP+MAP
Correct Answer
A. MAP-ICP -
- 25.
Maintaining normal MAP decreases chances of ischemic injury.
- A.
True
- B.
False
Correct Answer
A. True -
- 26.
Which drug reduces ICP and blood viscosity, increasing cerebral profusion?
- A.
Mannitol
- B.
Furosemide
- C.
Diazepam
- D.
Dexamethasone
Correct Answer
A. Mannitol -
- 27.
___ may help to reduce ICP further and is usually given after ___.
- A.
Furosemide, Mannitol
- B.
Mannitol, Furosemide
- C.
Diazepam, Mannitol
- D.
Dexamethasone, Mannitol
Correct Answer
A. Furosemide, Mannitol -
- 28.
Check the drugs used to control seizures.
- A.
Diazepam (IV boluses, +/- CRI)
- B.
Phenobarbital CRI
- C.
Propofol CRI
- D.
Pentobarbital CRI
- E.
Atropine (IV)
- F.
Dexamethasone (IV q24h)
Correct Answer(s)
A. Diazepam (IV boluses, +/- CRI)
B. Phenobarbital CRI
C. Propofol CRI -
- 29.
This nerve supplies the distal, cranial, and lateral surface of the forearm and the dorsal surface of the forepaw. It also supports weight. If this nerve is damaged, inability to bear weight on a leg or righting the displaced paw may be observed.
- A.
Radial nerve
- B.
Brachial plexus
- C.
Sciatic nerve
- D.
Ulnar nerve
Correct Answer
A. Radial nerve -
- 30.
This nerve extends from C6 to T2. If damaged, it exhibits signs such as the inability to bear weight on a leg, righting a displaced paw, and dysfunction in the forearm and forepaw.
- A.
Brachial plexus
- B.
Radial nerve
- C.
Sciatic nerve
- D.
Femoral nerve
Correct Answer
A. Brachial plexus -
- 31.
This nerve extends from L6 to T2. It is responsible for the action of withdrawal, and it supplies the dorsal surface of the paw. It can be damaged when pelvic fractures occur. Incorrectly performing IM injections can also damage this nerve.
- A.
Sciatic nerve
- B.
Brachial plexus
- C.
Radial nerve
- D.
Femoral nerve
Correct Answer
A. Sciatic nerve -
- 32.
This nerve extends from L4 to SL6. It is well protected by the muscle in this region. If damaged, it will show signs such as the inability to support weight and the absence of the patellar reflex.
- A.
Femoral nerve
- B.
Sciatic nerve
- C.
Brachial plexus
- D.
Radial nerve
Correct Answer
A. Femoral nerve -
- 33.
What main categories are included in the Modified Glascow Scale?
- A.
Motor activity, brain stem reflexes, level of consciousness
- B.
Motor activity, PNS reflexes, level of consciousness
- C.
Depression or delirium, Brain stem reflexes, level of consciousness
- D.
Neuron activity, brain stem reflexes, level of consciousness
Correct Answer
A. Motor activity, brain stem reflexes, level of consciousness -
- 34.
Modified Glascow Scale: Check the elements that are included in Motor Activity.
- A.
Normal gait/spinal reflexes
- B.
Hemiparesis, tetraparesis
- C.
Recumbent
- D.
Normal PLR
- E.
Occasional periods of alertness
Correct Answer(s)
A. Normal gait/spinal reflexes
B. Hemiparesis, tetraparesis
C. Recumbent -
- 35.
Modified Glascow Scale: Check the elements included in Brain Stem Reflexes.
- A.
Normal PLR
- B.
Normal oculocephalic reflexes
- C.
Bilateral unresponsive miosis
- D.
Pinpoint pupils
- E.
Occasional periods of alertness
- F.
Semicomatic
- G.
Reduced to absent oculocephalic reflexes
Correct Answer(s)
A. Normal PLR
B. Normal oculocephalic reflexes
C. Bilateral unresponsive miosis
D. Pinpoint pupils
G. Reduced to absent oculocephalic reflexes -
- 36.
______ are transient disturbances of the brain function that have a sudden onset and cease spontaneously. _______ are characterized by involuntary muscle contractions, limb activity, mastication, salivation, pupil dilation and excretion.
- A.
Seizures, convulsions
- B.
Convulsions, seizures
- C.
Focal seizures, epileptic seizures
- D.
Partial seizures, generalized seizures
Correct Answer
A. Seizures, convulsions -
- 37.
When reporting seizures, you report...(Check all that apply)
- A.
Start
- B.
During
- C.
Intervals between
- D.
Recovery
- E.
Overall time
- F.
Before seizure
- G.
12 hours after seizure
Correct Answer(s)
A. Start
B. During
C. Intervals between
D. Recovery
E. Overall time -
- 38.
Epilepsy: ____seizure pattern originating primarily from the ___.
- A.
Recurrent, brain
- B.
Generalized, brain
- C.
Partial, brain stem
- D.
Recurrent, brain stem
Correct Answer
A. Recurrent, brain -
- 39.
Partial seizures begin in a ___ of the brain. Generalized seizures involve _____.
- A.
Focal, both hemispheres
- B.
Focal, one hemisphere
- C.
Local, both hemispheres
- D.
Local, one hemisphere
Correct Answer
A. Focal, both hemispheres -
- 40.
___ is used for treating chronic seizures.
- A.
Potassium Bromide (KBr)
- B.
Diazepam
- C.
Phenobarbital
- D.
Propofol
Correct Answer
A. Potassium Bromide (KBr) -
- 41.
_____ has a potent antiepileptic effect against focal/generalized seizures. It may cause hepatotoxicity, PU/PD, weight gain, paradoxical hyperexcitability.
- A.
Phenobarbital
- B.
KBr
- C.
Diazepam
- D.
Levetiracetam
Correct Answer
A. Phenobarbital -
- 42.
___ is a new drug in vet medicine. Useful as third drug adjunct for refractory canine epilepsy. It may cause changes in behavior, somnolence and GI effects. It doesn't induce hepatic enzymes.
- A.
Levetiracetam
- B.
Phenobarbitol
- C.
Diazepam
- D.
KBr
Correct Answer
A. Levetiracetam -
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Mar 20, 2016Quiz Edited by
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