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Critical Care Paramedic > Neurological Emergencies > Flashcards

Neurological Emergencies Flashcards

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1
Q

The _____ surfaces of the skull forms a smooth inner wall.

A

Superior

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2
Q

The _______ skull contains many ridges and folds with sharp edges.

A

Basilar

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3
Q

GCS 13 - 15 is a _______ injury

A

Minor

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4
Q

GCS 9 - 12 is a _______ injury.

A

Moderate

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5
Q

GCS <8 is a ______ injury.

A

Severe

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6
Q

_______ give information about integrity of spinal nerves.

A

Deep Tendon Reflexes

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7
Q

_____ meningitis is the most common type of meningitis.

A

Viral

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8
Q

Severe Stiffness of the hamstring causes an inability to straighten the leg when the hip is flexed to 90 degrees.

A

Kernig’s Sign

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9
Q

The appearance of involuntary lifting of the legs when lifting a Patient’s head.

A

Brudzinski’s Sign

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10
Q

Normal Range: Mean Arterial Pressure

A

70 - 110 mmHg

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11
Q

Normal Range: Intracranial Pressure

A

0 - 15 cmH2O

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12
Q

Normal Range: Cerebral Perfusion Pressure

A

70 - 90 mmHg

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13
Q

Cerebral Perfusion Pressure must not fall below _____ mmHg.

A

70

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14
Q

Cerebral Perfusion Pressure Formula

A

MAP - ICP

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15
Q

ICP Transducer is placed at the level of the _____________.

A

Foramen of Monro

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16
Q

A ______ fracture is a single fracture line.

A

Linear

17
Q

A ________ fracture occurs along the suture line, causing a widening or separation.

A

Diastatic

18
Q

A _______ skull fracture is direct trauma to the skull.

A

Depressed

19
Q

A Depressed Skull Fracture can lead to a _______ if any of the sinus cavities are fractured.

A

Pneumocephalus

20
Q

A ________ Skull Fracture often results from a blow to temporal, parietal or occipital regions.

A

Basilar

21
Q

Blood migrating to mastoid region cases _____, while migrating blood to peri orbital area referred to as raccoon eyes.

A

Battle Sign

22
Q

A _________ fracture is horizontal across the maxilla. Maxilla and maxillary teeth are moveable.

A

Le Forte 1

23
Q

In a ______ fracture, the bridge of the nose around the mouth, usually from a downward blow to the nose.

A

Le Forte 2

24
Q

A ______ fracture is known as a transverse fracture aka “craniofacial disassociation”

A

Le Forte 3

25
Q

A ________ hematoma is six times more common than epidural with a higher mortality.

A

subdural

26
Q

Types of Subdural Hematomas

A

Acute (Within 24 hours)

Subacute (2 days and 2 weeks of injury)

Chronic (2 weeks after injury)

27
Q

Epidural Hematomas are _______ in nature.

A

arterial

28
Q

Epidural Hematomas are described as _________ in shape.

A

lenticular

29
Q

_______ hemorrhages show a starfish pattern on CT.

A

sub Arachnoid

30
Q

“Worst Headache of my life” is common in _________.

A

Sub Arachnoid Hemorrhage

31
Q

Hypertension, Bradycardia and Respiratory Changes are the signs of _________.

A

Cushings Triad

32
Q

________ is motor paralysis below the level of insult with loss of pain and temperature sensation with preservation of proprioception.

A

Anterior Cord Syndrome

33
Q

A ________ presents with greater loss of function in the upper extremities than in the lower extremities, with variable loss of sensation to pain and temperature.

A

Central Cord Injury

34
Q

A __________ presents with motor loss, loss of sensation to touch, proprioception, and vibration on SAME side, and loss of sensation of pain and temperature on the opposite side.

A

Brown Sequard Lesion

35
Q

_________ typically subsides within 24 - 72 hours.

A

Spinal Shock

36
Q

_________ is a condition where a patient has extremely elevated blood pressure with no signs of symptoms of end organ damage

A

hypertensive urgency

37
Q

For stroke management, elevate the head of the Patient _______ %.

A

30

38
Q

________ is one continuous, unremitting seizure lasting longer than 5 minutes, or recurrent seizures without regaining consciousness between seizures for greater than 30 minutes.

A

Status Epilepticus

Critical Care Paramedic (16 decks)

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