Brain Death (Adult)

Question 1

This refers to permanent cessation of all vital functions including cardiac and respiratory function; brain death may be included.

Answer 1

Death

Question 2

A condition in which all the higher functions are lost with some evident brainstem functions.

Answer 2

Pesistent Vegetative State

Question 3

Irreversible loss of function of the brain including the brainstem

Answer 3

Brain death

Question 4

This is the strongest evidence a health practitioner has to follow in terms of the treatment preferences of the patient especially when the patient is unable to communicate his or her wishes anymore.

Answer 4

Advance Directives

Question 5

Uniform Determination of Death Act (UDDA) includes the following except:
A. irreversible cessation of circulatory function
B. reversibility of respiratory function
C. irreversible cessation of all functions of the entire brain
D. brainstem is dead

Answer 5

B

Question 6

Clinical evaluation prerequisites according to AAN Practice Parameters include:
A. Coma is irreversible
B. Known cause of coma
C. Coma in neuroimaging
D. AOTA

Answer 6

D

Question 7

What is AAN?

Answer 7

American Academy of Neurology

Question 8

AAN Practice Parameters Clinical Evaluation Prerequisites: What to rule out? (5)

Answer 8

Drug overdose
Endocrine abnormalities
Acid-Base and Electrolyte Imbalances
Hypothermia
Decreased Blood pressure

Question 9

The most important consideration prior to performing the oculocephalic reflex:
A. observe for the eye movement
B. order for an x-ray of the vertebral column, especially the cervical spine
C. check for fast or jerking movement of nystagmus
D. turn the head from side to side

Answer 9

B

Question 10

Which among the following elicits a POSITIVE Doll’s eye reflex?
A. Turning the head on the right side will enable the eyeballs to be fixed on the right side.
B. Turning the head on the right side will deviate the eyeballs to an upward gaze.
C. Turning the head on the left side will leave the eyeballs looking on the right side.
D. Turning the head on the left side will deviate the eyeballs to a downward gaze.

Answer 10

C

Question 11

Which of the ff will elicit a POSITIVE oculovestibular reflex?
A. A warm water injection on the left ear will allow slow movement of the eyes towards the left side and a jerking movement towards the right side.
B. A warm water injection on the right ear will allow slow movement on the right ear and a jerking movement of the eyeball towards the left ear
C. A cold water injection on the right ear will allow slow movement of the eyes towards the left side and a jerking movement towards the right side
D. A cold water injection on the left ear will allow slow movement of the eyes towards the left side and a jerking movement towards the right side.

Answer 11

D

Question 12

Process of inserting a catether top the patient’s blood vessel in order to administer a dye to the cerebral vascular structures; absence of the Circle of Willis confirms coma

Answer 12

Cerebral angiogram

Question 13

Electrocerebral silence in a patient with coma

Answer 13

Electroencephalogram

Question 14

Test that measures cerebral metabolism

Answer 14

Cerebral Scintigraphy

Question 15

May reveal movement of the different blood vessels or may elicit reversal of flow in diastole a.k.a “to-fro” flow pattern or systolic spike waveforms
A. Cerebral angiogram
B. Transcranial Doppler Ultrasound
C. Cerebral Scintigraphy

Answer 15

B