Neuro Part Two Content Flashcards

1
Q

What is the function of a myelin sheath?

A. Slow the transfer of signals between neurons
B. Increases the speed of signal transfers between neurons
C. Blocks the transfer of signals between neurons completely
D. Works as the functional unit of a neuron

A

Answer: B

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2
Q

What is the function of the cerebellum and the basal ganglia? SATA

A. Smooth movement
B. Respirations
C. Cardiovascular Function
D. Posture

A

Answer: A, D

What part of the brain controls respirations and cardiovascular function?

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3
Q

Your pt presents with ptosis and dysphagia that worsen throughout the day. Which neurological disorder do you suspect?

A. Myasthenia Gravis
B. Multiple Sclerosis
C. ALS
D. Parkinson’s Disease

A

Answer: A

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4
Q

Which of the following is an autoimmune disorder in which the body attacks muscle receptors (AChR)?

A. Multiple Sclerosis
B. Myasthenia Gravis
C. Guillian-Barre
D. ALS

A

Answer: B

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5
Q

What is the major concern during a myasthenic crisis?

A. Cardiac Involvement
B. Compromised ventilation
C. Loss of consciousness
D. Loss of vision

A

Answer: B

“Occurs when muscle weakness compromises ventilation, necessitating ventilatory support and airway protection.”

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6
Q

Your patient is suffering from muscle weakness in the legs and moving up the body. Which disease would cause this?

A. Guillian Barre Syndrome
B. Amyotrophic Lateral Sclerosis
C. Myasthenia Gravis
D. Multiple Sclerosis

A

Answer: A

GBS - Ground to Brain

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7
Q

Define the pathophysiology of Parkinson’s Disease. SATA

A. Depleted Dopamine Stores
B. Dopamine Dominates
C. Acetylcholine Dominates
D. Depleted Acetylcholine stores

A

Answer: A, C

Dopamine: Inhibitory
Acetylcholine: Excitatory

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8
Q

What are typical cardinal signs of Parkinson’s Disease? SATA

A. Muscle Flaccidity
B. Tremors
C. Shuffling Gait
D. Bradykinesia
E. Ptosis

A

Answer: B, C, D

CM of Parkinson’s Disease
-Tremors -Pill Rolling -Rigidity -Bradykinesia -Postural Changes -Mask Like Face -Demential in later stages

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9
Q

Which disease is characterized by degeneration and death of UMN causing progressive paralysis?

A. Amyotrophic Lateral Sclerosis
B. Multiple Sclerosis
C. Guillian Barre Syndrome
D. Myasthenia Gravis

A

Answer: A

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10
Q

Which of the following is not true about ALS?

A. Major cognitive deficits are often seen
B. Death comes from cranial and respiratory involvement
C. There is no cure
D. Affects striated muscle only

A

Answer: A

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11
Q

What is the primary nursing consideration in an ALS patient?

A. Cardiovascular Function
B. Patency of Airway
C. Muscle Wasting
D. Patient’s Pain Level

A

Answer: B

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12
Q

Which two statements are true regarding knowledge?

A. Implicit knowledge is how we process factual knowledge
B. Implicit knowledge is our unconscious thought
C. Explicit knowledge is our unconscious thought
D. Explicit knowledge is how we process factual knowledge

A

Answer: B, D

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13
Q

If your patient is suffering from an acute confusion state that comes and goes what would you suspect?

A. Dementia
B. Delerium
C. Late Stage Alzheimers
D. UTI

A

Answer: B

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14
Q

What CM would you see in a pt suffering from hyperactive delirium? SATA

A. Decreased attention span
B. Agression
C. Hallucinations
D. Inaccurate perception of the environment
E. Insomnia

A

Answer: B, C, E

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15
Q

What CM would you see in a patient with hypoactive delirium? SATA

A. Lethargic
B. Insomnia
C. Decreased attention span
D. Aggressive/Violent behaviors

A

Answer: A, C

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16
Q

Which of the following is not true regarding Alzheimers?

A. Neurons waste away
B. Confusion state fluctuates and develops suddenly
C. There is no cure
D. Neuritic plaque and tangles form

A

Answer: B

17
Q

Your patient’s family is concerned because their mother forgets how to get home. What stage of Alzheimers is this?

A. Early
B. Advanced

A

Answer: A

18
Q

If your patient is wearing shorts and a tank top in the middle of winter what stage of Alzheimers would this indicate?

A. Early
B. Late

A

Answer: B

19
Q

Which of the following would you not expect to see during the late stages of Alzheimers?

A. Motor impairment
B. Increased ability to recall facts
C. Behavior/Mood changes
D. Loss of recognition of loved ones

A

Answer: B