Pathopharm Exam 3-S4 Flashcards
Which intracerebral disease process is capable of producing diffuse dysfunction?
a. Closed-head trauma with bleeding
b. Subdural pus collections
c. Neoplasm
d. Embolic infarct
d. Embolic infarct
Cognitive operations cannot occur without the effective functioning of what part of the brain?
a. Pons
b. Medulla oblongata
c. Reticular activating system
d. Cingulate gyrus
c. Reticular activating system
What is the most common infratentorial brain disease process that results in the direct destruction of the reticulating activation system (RAS)?
a. Cerebrovascular disease
b. Demyelinating disease
c. Neoplasms
d. Abscesses
a. Cerebrovascular disease
What stimulus causes posthyperventilation apnea (PHVA)?
a. Changes in PaO2 levels
b. Changes in PaCO2 levels
c. Damage to the forebrain
d. Any arrhythmic breathing pattern
b. Changes in PaCO2 levels
A healthcare professional reads in the patient’s chart and notes the patient has Cheyne-Stokes respirations. What clinical finding would the professional correlate with this condition?
a. Sustained deep rapid but regular pattern of breathing
b. Crescendo-decrescendo pattern of breathing, followed by a period of apnea
c. Prolonged pause after the inspiratory period with occasional end-expiratory pause
d. Completely random, irregular breathing pattern with pauses
b. Crescendo-decrescendo pattern of breathing, followed by a period of apnea
Vomiting is associated with central nervous system (CNS) injuries that compress which of the brain’s anatomic locations?
a. Vestibular nuclei in the lower brainstem
b. Floor of the third ventricle
c. Any area in the midbrain
d. Diencephalon
a. Vestibular nuclei in the lower brainstem
Which midbrain dysfunction causes pupils to be pinpoint size and fixed in position?
a. Diencephalon dysfunction
b. Oculomotor cranial nerve dysfunction
c. Dysfunction of the tectum
d. Pontine dysfunction
d. Pontine dysfunction
A healthcare professional suspects a patient is brain dead. How would the professional assess for brain death?
a. Determine if the patient can make voluntary movements.
b. Perform tests to assess if the patient is in a coma.
c. Remove the patient’s ventilator to see if spontaneous breathing occurs.
d. Monitor the patient for eye movements that seem purposeful.
c. Remove the patient’s ventilator to see if spontaneous breathing occurs.
A patient has damage to the lower pons and medulla. What finding does the healthcare professional associate with this injury?
a. Flexion with or without extensor response of the lower extremities
b. Extension response of the upper and lower extremities
c. Extension response of the upper extremities and flexion response of the lower extremities
d. Flaccid response in the upper and lower extremities
d. Flaccid response in the upper and lower extremities
Which hospitalized patient does the healthcare professional assess as a priority for the development of delirium?
a. An individual with diabetes celebrating a 70th birthday
b. A depressed Hispanic woman
c. An elderly male on the second day after hip replacement
d. A man diagnosed with schizophrenia
c. An elderly male on the second day after hip replacement
A patient suffered a seizure for the first time. The spouse asks the healthcare professional to explain what a seizure is. What response by the professional is best?
a. Actions that occur without conscious thought because of a stimulus
b. A sudden, explosive, disorderly discharge of brain cells
c. A disease where a person has frequent seizures like this one
d. A series of excessive, purposeless movements.
b. A sudden, explosive, disorderly discharge of brain cells
A patient had a seizure that consisted of impaired consciousness and the appearance of a dreamlike state. How does the healthcare professional chart this episode?
a. Focal seizure
b. Complex focal seizure
c. Tonic-clonic seizure
d. Atonic seizure
b. Complex focal seizure
A patient is in status epilepticus. In addition to giving medication to stop the seizures, what would the healthcare professional place highest priority on?
a. Facilitating a CT scan of the head
b. Providing oxygen
c. Assessing for brain death
d. Assessing for drug overdose
b. Providing oxygen
What is the most critical aspect in correctly diagnosing a seizure disorder and establishing its cause?
a. Computed tomographic (CT) scan
b. Cerebrospinal fluid analysis
c. Skull x-ray studies
d. Health history
d. Health history
What area of the brain mediates the executive attention functions?
a. Limbic
b. Prefrontal
c. Parietal
d. Occipital
b. Prefrontal
A healthcare professional is caring for a patient diagnosed with aphasia. What action by the professional would be best in working with this patient?
a. Provide physical therapy.
b. Provide speech therapy.
c. Provide special thickened foods.
d. Provide balance activities.
b. Provide speech therapy.
A patient’s chart notes receptive aphasia. What does the healthcare professional understand about this patient’s abilities related to speech?
a. Speak in made up words.
b. Produce verbal speech, but not comprehend language.
c. Comprehend speech, but not verbally respond.
d. Neither respond verbally nor comprehend speech.
b. Produce verbal speech, but not comprehend language.
The healthcare professional notes that the patient’s intracranial pressure is 12 mmHg. What action should the professional take?
a. Do nothing; this is a normal finding.
b. Give medications to immediately lower the pressure.
c. Give medication to immediately raise the pressure.
d. Repeat the reading because the first one was inaccurate.
a. Do nothing; this is a normal finding.
Cerebral edema is an increase in the fluid content of what part of the brain?
a. Ventricles
b. Tissue
c. Neurons
d. Meninges
b. Tissue
What type of cerebral edema occurs when permeability of the capillary endothelium increases after injury to the vascular structure?
a. Cytotoxic
b. Interstitial
c. Vasogenic
d. Ischemic
c. Vasogenic
What is a communicating hydrocephalus caused by an impairment of?
a. Cerebrospinal fluid flow between the ventricles
b. Cerebrospinal fluid flow into the subarachnoid space
c. Blood flow to the arachnoid villi
d. Absorption of cerebrospinal fluid
d. Absorption of cerebrospinal fluid
Which dyskinesia involves involuntary movements of the face, trunk, and extremities?
a. Paroxysmal
b. Tardive
c. Hyperkinesia
d. Cardive
b. Tardive
Antipsychotic drugs cause tardive dyskinesia by mimicking the effects of an increase of what?
a. Dopamine
b. Gamma-aminobutyric acid
c. Norepinephrine
d. Acetylcholine
a. Dopamine
The existence of regular, deep, and rapid respirations after a severe closed head injury is indicative of neurologic injury to what?
a. Lower midbrain
b. Pontine area
c. Supratentorial
d. Cerebral area
a. Lower midbrain