Review Questions August 13th Ch 228, 229, 288-290
Chapter 228
1) List 3 types ischemic stroke:
2) Review Neurovascular Anatomy.
The first branch of the internal carotid is ______and occlusion results in ______.
3) T/F Severe headache is usually present in ischemic stroke.
4) Review 228-1.
A good website for the NIH stroke scale training
http://professionaleducationcenter.americanheart.org//ihtml/application/student/interface.heart/index.htm?req_url=/ihtml/application/student/interface.heart/coursesearchheart.aspx?organization_id_t=1&searchstring=NIH&includerule=2
It would be very smooth to review and practice as time allows on your next several stroke patients.
5) T/F CVA involving facial nerve will still allow forehead wrinkling.
6) ______% of patients with TIA will have stroke within 90 days.
7) Describe likely symptoms of a CVA involving …
ACA
MCA
Vertebrobasilar syndrome
Basilar artery
Cerebellar
Lacunar
Arterial Dissection
8) Describe the ED work up of suspected acute CVA. This includes rapid bedside point of care testing of what lab value?
9) The #1 cause of ischemic stroke in children is …
Treatment is to initiate simple or exchange …
10) For management of ischemic strokes, initiate blood lowering treatment if BP greater than ______unless you feel TPA indicated in which case you need to get the BP < ______.
11) Review Table 228-2. TPA contraindications include …
12) T/F Aspirin is proven effective therapy in ischemic strokes.
13) T/F Emergent neurosurgical consult is indicated for patients with cerebellar infarction.
14) T/F Clear evidence guides BP management in hemorrhagic strokes.
15) ______reduces vasospasm in SAH.
Chapter 229
1) T/F Delirium always has an organic cause.
2) Review 229-1.
3) Delirium often has disturbances of wake/ sleep cycle.
4) List signs/ symptoms of NPH.
5) Which regions of brain function must be impaired to result in coma?
6) What ocular changes are clues to ongoing herniation?
7) Describe the management/ work up of sudden onset of coma.
8) Describe potential therapeutic interventions if ongoing herniation suspected.
Chapter 288
1) List differences between dementia and delirium:
2) T/F Memory disturbance is one of the first apparent signs of dementia.
3) Label and give examples of conditions in each of the 5 psychiatric axises (axi??)
4) T/F Dementia is characterized by clouding of consciousness:
5) T/F Non-auditory hallucinations suggest a medical rather than psychiatric cause of psychosis.
6) What does IN SAD CAGES stand for?
7) What is the difference between conversion disorder and somatization disorder?
Chapter 289
1) List risk factors for completed suicide:
Chapter 290
1) What can you treat acute dystonia with?
What do dystonic patients look like – what are they doing?
2) T/F Haldol has been associated with Torsades when QTc >500.
3) Describe Neuroleptic Malignant Syndrome:
4) The major adverse effect of Clozapine is ______.
5) When should you consider using Flumazenil?
6) Describe the adverse effects of heterocyclic antidepressants (TCAs, etc.):
7) Which foods are likely to interact with MAOs to induce hypertensive crisis?
-T/F B Blockers are effective treatment for this.
8) List side effects of Lithium:
- What effects are likely at a level greater then 2 mEq/L?; > 4mEq/L?
9) What serious skin condition is associated with Lamotrigine?