neurologic dis Flashcards

1
Q

Identify an underlying cause of a pediatric seizure.

Nausea

Low blood sugar

Headache

Excessive caffeine

A

Low blood sugar

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2
Q

Propose a symptom of cerebral palsy.

Hemicranias continua

Visual disturbances

Disequilibrium

Cluster headaches

A

Visual disturbances

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3
Q

Propose a risk factor for Bell’s palsy.

Blepharitis

Viral infection

Lower respiratory infection

Congenital heart disease

A

Viral infection

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4
Q

Recommend a test that can help the clinician to differentiate vertigo from other causes of dizziness.

House–Brackmann Scale

Urine testing

Tests of vestibular system function

Serum testing

A

Tests of vestibular system function

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5
Q

Recommend what the clinician can observe to determine a diagnosis of CP.

Jaw claudication

Persistence of primitive reflexes

Somnolence

Weight loss

A

Persistence of primitive reflexes

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6
Q

Determine a characteristic of a focal seizure.

May be subtle with eye blinking

Involves the loss of muscle activity

Bites to the sides

May have repetitive movements

A

May have repetitive movements

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7
Q

Propose how a clinician can determine if a headache is primary or secondary.

Secondary headaches are very common.

Secondary headaches are always short or episodic.

Secondary headaches are caused by an underlying disease.

Primary headaches cannot be treated.

A

Secondary headaches are caused by an underlying disease.

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8
Q

Determine a risk factor for cerebral palsy.

Diabetes

Sensory deficits

Chemical insult

Rubella infection during pregnancy

A

Rubella infection during pregnancy

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9
Q

Propose a symptom that may occur immediately after a head injury.

Anisocoria

Sleep deprivation

Autonomic symptom

Euphoria

A

Anisocoria

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10
Q

Predict the goal of therapy for an individual with MS.

To improve motor coordination

To assure safety

To prevent mortality

To provide a cure

A

To assure safety

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11
Q

Recommend how the clinician can control increasing intracranial pressure.

Order physical therapy.

Administer anticholinergics.

Increase caffeine consumption.

Refer for decompressive craniectomy.

A

Refer for decompressive craniectomy.

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12
Q

Propose a test of vestibular system function.

Horizontal head impulse test

Observation of nystagmus on primary gaze

Caloric reflex test

Auditory brainstem response test

A

Caloric reflex test

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13
Q

Predict how the clinician can determine the type of MS that a child is presenting with at an office visit.

A clinically isolated syndrome occurs in 10% of the population with no remission after the initial symptoms.

Secondary progressive MS is typically triggered by CIS.

Approximately 50% of the individuals that have had a clinical isolated attack never have another attack.

The clinician knows that this is not primary progressive MS based on the age of onset.

A

The clinician knows that this is not primary progressive MS based on the age of onset.

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14
Q

Propose how a clinician can determine if a headache is primary or secondary.

Secondary headaches might be caused by a brain tumor.

Primary headaches cannot be treated.

Primary headaches are typically chronic and persistent.

Secondary headaches are very common.

A

Secondary headaches might be caused by a brain tumor.

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15
Q

Predict how the clinician will treat persistent vertigo in a child.

Recommend an over-the-counter antihistamine.

Monitor for complete resolution of the problem.

Keep a nutritional diary to determine which foods are contributing to the problem.

Refer to a surgeon for the implantation of a neurostimulator.

A

Recommend an over-the-counter antihistamine.

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16
Q

Determine a characteristic of a focal seizure.

Involves the loss of muscle activity

May have a Jacksonian march

Bites to the sides

Uncontrollable crying

A

May have a Jacksonian march