Neuro/Cardiac Section

Question 1

Midline structures affected with stroke

Answer 1

Medial lemniscus
Motor pathway (corticospinal)
Motor aspects of CN
Medial longitudinal fasciculus

Question 2

Lateral structures affected with stroke

Answer 2

Spinothalamic
Spinocerebellar
Sympathetic - Hoerner’s
Sensory sections of CN V

Question 3

Signs and symptoms of uncal herniation

Answer 3

Dilation of pupil on side of hernitation (CN III paresis), hemiparesis, coma, homonymous hemianopsia

Question 4

S/S of central hernitation

Answer 4

Decrebrate rigidity and coma

Question 5

S/S of tonsilar herniation

Answer 5

Neck pain and stiffness, flaccidity, coma, alteration of vital signs

Question 6

Branches of right coronary artery

Answer 6

Sinus node artery (right atrium)
Right marginal artery (right ventricle)
Posterior descending (inferior walls of ventricles)

Question 7

Branches of left coronary artery

Answer 7

Circumflex artery (left atrium and ventricle)
Left anterior descending (IV septum)

Question 8

ABI normal

Answer 8

1.0-1.3

Question 9

ABI mild

Answer 9

0.99-0.80 (beginning of PAD)

Question 10

ABI moderate

Answer 10

0.40-0.79 (intermittent claudication)

Question 11

ABI severe

Answer 11

<0.40 (claudication at rest)

Question 12

Bronchophony

Answer 12

Increased vocal resonance with greater clarity and loudness of spoken word

Question 13

Egophony

Answer 13

Spoken long “E” changes to nasal “A”

Question 14

Whispered pectoriloquy

Answer 14

Recognition of whispered word

Question 15

Infant HR

Answer 15

100-130

Question 16

Child HR

Answer 16

80-100

Question 17

Adult HR

Answer 17

60-100

Question 18

Newborn RR

Answer 18

33-45

Question 19

1 yr RR

Answer 19

25-35

Question 20

10 yr RR

Answer 20

15-20

Question 21

Adult RR

Answer 21

12-20

Question 22

PR interval

Answer 22

Time for atrial depolarization and conduction from SA node to AV node
0.12-.20

Question 23

QRS compex

Answer 23

Ventricular depolarization and atrial repolarization

0.06-1.0

Question 24

QT interval

Answer 24

Time for both ventricular depolarization and repolarization

0.20-0.40

Question 25

Submax training RPE

Answer 25

Initial 12-13 | Final 15-16

Question 26

Mobitz I

Answer 26

General prolongation of PR interval until QRS is dropped

Question 27

Mobitz II

Answer 27

Dropped QRS, PR interval remains unchanged

Question 28

Hypermagenesemia

Answer 28

Calcium channel blocker so can lead to arrhythmias or cardiac arrest

Question 29

Hypomagenesemia

Answer 29

Ventricular arrhythmias, coronary artery vasospasm, sudden death

Question 30

Hyperkalemia

Answer 30

Decreases the rate and force of contraction, widened PR interval and QRS, tall T waves

Question 31

Hypokalemia

Answer 31

Flattened T waves, prolonged PR and QT intervals, produces a U wave

Question 32

Hypothermia effects on ECG

Answer 32

Elevates ST segment; slows rhythm

Question 33

Digitalis effects on ECG

Answer 33

Depresses ST segment, flattens T wave, QT shortens

Question 34

Quinidine effects on ECG

Answer 34

QT lengthens, T wave flattens, QRS lengthens

Question 35

Beta blockers

Answer 35

Decrease HR, blunts HR response to exercise

Question 36

Nitrates

Answer 36

Increase HR

Question 37

Normal BP

Answer 37

120-129/80-84

Question 38

High Normal BP

Answer 38

130-139/85-89

Question 39

Grade I HTN

Answer 39

140-159/90-99

Question 40

Grade II HTN

Answer 40

160-179/100-109

Question 41

Grade III HTN

Answer 41

>180/>110

Question 42

Levine's sign

Answer 42

Pt clenches fist over sternum

Question 43

Inferior MI

Answer 43

Right coronary artery (upper conduction system)

Question 44

Lateral MI

Answer 44

Circumflex artery

Question 45

Anterior MI

Answer 45

L anterior descending (lower conduction system)

Question 46

Tinetti high risk for falls

Answer 46

<18

Question 47

Berg high risk for falls

Answer 47

<20

Question 48

TUG high risk for falls

Answer 48

>30

Question 49

Functional reach risk for falls

Answer 49

<10 in

Question 50

DGI prediction of falls

Answer 50

<19/24

Question 51

Berg moderate risk for falls

Answer 51

21-40

Question 52

Tinetti moderate risk for falls

Answer 52

19-24

Question 53

Normal adult TUG

Answer 53

<10

Question 54

Normal elderly TUG

Answer 54

11-20

Question 55

Mild TBI criteria

Answer 55

LOC <30 min, PTA <1 day, GCS 13-15

Question 56

Moderate TBI criteria

Answer 56

LOC >30 min <1 day, PTA >1 day, <7 days, GCS 9-12

Question 57

Severe TBI criteria

Answer 57

LOC >24 hrs, PTA > 7 days, GCS <9

Question 58

MOA Alpha adrenergic agents

Answer 58

Cause vasodilation of arterioles and veins to decrease BP

Question 59

MOA of ACE inhibitors

Answer 59

Suppress conversion of angiotensin I to angiotensin II to decrease BP and afterload

Question 60

MOA Sodium channel blockers

Answer 60

Control cardiac excitation and conduction

Question 61

MOA Beta blockers

Answer 61

Inhibit sympathetic activity which decreases HR and contractility

Question 62

MOA of statins

Answer 62

Inhibit enzyme action in cholesterol synthesis, break down LDLs, decrease triglycerides, and increase HDL levels

Question 63

MOA calcium channel blockers

Answer 63

Decrease entry of calcium into vascular smooth tissue resulting in diminished myocardial contraction, vasodilation, and decreased oxygen demand

Question 64

MOA nitrates

Answer 64

Decrease ischemia through smooth muscle relaxation and dilation of peripheral vessels

Question 65

MOA positive inotropic agents

Answer 65

Increase the force and velocity of myocardial contraction, slow HR, decrease conduction velocity thru AV node, and decrease activation of SNS