8.3 Coma

Question 1

the pathological absence of consciousness

Answer 1

coma

Question 2

need touch or pain to get patient to respond and open eyes

Answer 2

stupor

Question 3

eyes closed, say something and they open as, as soon as you stop talking they close eye again

Answer 3

lethargy

Question 4

coma must have a diffuse __________ problem or a focal midline _____ lesion

Answer 4

cortical system, RAS

Question 5

psychological stressors precede coma in ________ coma

Answer 5

psychogenic

Question 6

delerium without focal signs precedes coma in _______

Answer 6

metabolic

Question 7

sudden onset of coma in _______ and ______

Answer 7

diencephalic, subtentorial

Question 8

focal signs precede come in _______

Answer 8

supratentorial

Question 9

pupils in a ________ coma will be mid range and reactive

Answer 9

psychogenic

Question 10

pupils in metabolic, diencephalic, and early supratentorial comas will be?

Answer 10

small and reactive

Question 11

pupils in late supratentorial and subtentorial will be?

Answer 11

mid range and unreactive (b/c midbrain affected)

Question 12

intact fast eye movements (saccades) indicate?

Answer 12

cortex is working

Question 13

intact slow eye movements indicate?

Answer 13

brainstem is working

Question 14

the only coma with intact fast movements, and intact slow movements

Answer 14

psychogenic

Question 15

intact or abnormal slow movements in _____________

Answer 15

metabolic, diencephalic, early supratentorial

Question 16

abnormal slow movements in __________

Answer 16

late supratentorial and subtentorial comas

Question 17

60% of the time coma is caused by?

Answer 17

metabolic process

Question 18

midline brainstem and RAS affected, brainstem reflexes absent (pupil)

Answer 18

subtentorial

Question 19

midline thalamus lesion, normal brainstem

Answer 19

diencephalic

Question 20

herniation of cortex through tentorial notch to press on RAS/brainstem

Answer 20

supratentorial