Chronic Neurologic Probs

Question 1

Tension Headaches

Answer 1

Stress bilateral

Question 2

Migraines

Answer 2

Unilateral, have aura

Question 3

Cluster

Answer 3

Repeated headaches, same time, sharp stabbing pain
Most severe
Occur at same time of day or night
20-45 yrs old

Question 4

Migraine

Answer 4

Unilateral throbbing pain
Premonitory symptoms or triggers
Onset 20-30 yr old

Question 5

Status epilepticus

Answer 5

> 5 min or two or more seizures within 5 min

Question 6

Three requirement for epilepsy surgery

Answer 6

Confirmed diagnosis
Adequate trial of drug therapy without success
Defined electro clinical syndrome

Question 7

Seizure diet

Answer 7

Ketogenic diet: high fat, low carbs

Question 8

Seizure objective data

Answer 8

Cyanosis, abnormal respiratory rate
HTN, tachycardia/bradycardia
Abnormal MRI, CT, EEG

Question 9

Tonic clonic

Answer 9

Loss of consciousness 
Muscle tightening then jerking
Dilated pupils
Hyperventilation then apnea
Postictal somnolence: altered state of consciousness after seizure

Question 10

Absence seizure

Answer 10

Altered consciousness

Minor facial activity

Question 11

Simple seizure

Answer 11

Aura
Focal sensory, motor, cognitive, or emotional phenomena
Unilateral marching
Motor seizure

Question 12

Complex seizure

Answer 12

Altered consciousness with inappropriate behaviors
Automatisms: brief unconscious behaviors
Amnesia of event

Question 13

MS care

Answer 13

Exercise
Surgery
Dorsal column electrical stimulation
Intrathecal baclofen pump

Question 14

MS objective data

Answer 14

Apathy, inattentive 
Pressure ulcers
Scanning speech
Tremor
Hyperreflexia

Question 15

Parkinson’s

Answer 15

Chronic progressive neuro degenerative characterized by:
Bradykinesia
Rigidty
Tremor at rest
Gait disturbance

Question 16

PD nutrtion

Answer 16

Need food easily chewed and swallowed

Adequate fiber