Chapter 17: Disorders of the central and peripheral nervous systems and the neuromuscular junction Flashcards

1
Q

in blunt head trauma

a. brain tissues are exposed
b. only focal injury occurs
c. the dura is severed
d. the dura remains intact

A

d. the dura remains intact

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2
Q

in an automobile accident, an individuals forehead struck the windshield. The coup/contrecoup would be in the

a. frontal/parietal region
b. frontal/occipital region
c. parietal/occipital region
d. occipital/frontal region

A

b. frontal/occipital region

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3
Q

In severe axonal injury:

a. coma lasts less than 24 hours
b. coma lasts longer than 24 hours
c. disruption of axons occurs in cerebral hemispheres, and in those that extend into the diencephalon and brainstem
d. an increase in ICP appears in 4-6 days after injury

A

d. an increase in ICP appears in 4-6 days after injury

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4
Q

the regions where most spinal cord injuries occur are the

a. cervical and thoracic regions
b. cervical and lumbar regions
c. thoracic and lumbar regions
d. lumbar and sacral regions

A

b. cervical and lumbar regions

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5
Q

injury of the cervical cord may be life threatening because of:

a. increased intracranial pressure
b. disrupted reflexes
c. spinal shock
d. loss of bladder and rectal control
e. diaphragmatic impairment

A

e. diaphragmatic impairment

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6
Q

autonomic hyperreflexia is characterized by:

a. hypotension
b. rapid heart rate
c. stimulation of the sensory receptors below the level of the cord lesions
d. hyporeflexia

A

c. stimulation of the sensory receptors below the level of the cord lesions

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7
Q

Intervertebral disk herniation :

a. usually occurs at the thoracic level
b. in the lumbosacral area causes pain over the gluteal region and into the calf or ankle
c. is infrequent in the lumbosacral disks
d. affects females more often than males.

A

b. in the lumbosacral area causes pain over the gluteal region and into the calf or ankle

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8
Q

Transient ischemic attacks are :

a. unilateral neurologic deficits that slowly resolve
b. generalized neurologic deficits that occur for a few seconds every hour
c. focal neurologic defects of the brain or retina that usually clear within 1 hour without an infarct
d. neurologic deficits that slowly evolve or develop

A

c. focal neurologic defects of the brain or retina that usually clear within 1 hour without an infarct

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9
Q

which of the following is a risk factor for the development of a CVA?

a. viral infections
b. hypertension
c. diabetes insipidus
d. hypomocysteinemia
e. b & d are correct

A

e. b & d are correct

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10
Q

which of the following most typically characterizes the victims of a cerebral embolic stroke?

a. individuals older than 65 years of age with a history of HTN
b. individuals with a long history of transient ischmic attacks
c. middle age individuals with a history of heart disease
d. individuals with gradually occurring symptoms that then rapidly disappear

A

c. middle age individuals with a history of heart disease

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11
Q

Blood in the CSF of an individual is most likely in _______ CVA’s

a. lacunar
b. thrombotic
c. embolic
d. hemorrhagic

A

d. hemorrhagic

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12
Q

Which of the following is a primary intracerbral neoplasm?

a. Astrocytoma
b. Meningioma
c. Pituitary adenoma
d. Acoustic neuroma

A

b. Meningioma

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13
Q

In bacterial meningitis, the CSF has:

a. normal glucose levels
b. an elevated number of lymphocytes
c. neutrophilic infiltration
d. lower protein levels

A

c. neutrophilic infiltration

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14
Q

HIV associated dementia is:

a. static
b. regressive
c. believed to be due to an opportunistic infection
d. insidious and unpredictably progressive

A

d. insidious and unpredictably progressive

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15
Q

Saccular aneurysms occur:

a. as a result of arteriosclerotic changes
b. as a result of arteritis
c. in terminal portions of the internal carotid arteries
d. as a result of congenital weakness in an arterial wall

A

d. as a result of congenital weakness in an arterial wall

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16
Q

Migraine headaches likely involve:

a. neuroimmunologic dysregulation or parasympathetic ganglia
b. serotonergic and other neurotransmitter alterations
c. sympathetic deficit
d. hypersensitivity of pain fibers from the trigeminal nerve

A

b. serotonergic and other neurotransmitter alterations

17
Q

slow growing, well encapsulated, and relatively easy to remove, CNS tumors are:

a. neurofibrosarcomas
b. meningiomas
c. ependymomas
d. astrocytomas

A

b. meningiomas

18
Q

encephalitis manifest with :

a. decreased glucose levels in the CSF
b. nerve cell degeneration
c. projectile vomiting
d. ventricular infection

A

b. nerve cell degeneration

19
Q

The type of hematoma involving rupture of veins, not arteries, is

a. extradural
b. subdural
c. intracerebral
d. subarachnoid

A

b. subdural

20
Q

The manifestations of ALS include:

a. remissions and exacerbations with progression
b. ascending motor paralysis
c. onset between 20 and 40 years of age
d. normal intellectual and sensory function until death

A

d. normal intellectual and sensory function until death

21
Q

The _____ sign exhibits pain and increased rigidity of the neck

a. Brudzinski
b. concussion
c. neuromuscular junction
d. Guillan Barre syndrome
e. Multiple sclerosis

A

Brudzinski

22
Q

A(n) ____ is the violent displacement of brain tissue due to acceleration or deceleration.

a. Brudzinski
b. concussion
c. neuromuscular junction
d. Guillan Barre syndrome
e. Multiple sclerosis

A

concussion

23
Q

A(n) _____ is the site of dysfunction in myasthenia gravis

a. Brudzinski
b. concussion
c. neuromuscular junction
d. Guillan Barre syndrome
e. Multiple sclerosis

A

neuromuscular junction

24
Q

___ involves an influx of macrophages to destroy peripheral nerve myelin

a. Brudzinski
b. concussion
c. neuromuscular junction
d. Guillan Barre syndrome
e. Multiple sclerosis

A

Guillan Barre syndrome

25
Q

The disorder exhibiting remissions and exacerbations but progressively destroying CNS myelin is _____

a. Brudzinski
b. concussion
c. neuromuscular junction
d. Guillan Barre syndrome
e. Multiple sclerosis

A

Multiple sclerosis