Seizures

Question 1

Q. How to treat ptn with sever hyopnatremia < 109. who developed seizure?

Answer 1

Give 3% normal saline 100ml/h. try to elevate the sodium not more than 2-3 meq/L/h in the first few hours and not more than 10/24hours in total

Question 2

A. Symptoms of right- left disorientation, problems with calculating and drawing. What part of the brain is affected?

Answer 2

The back of partial lobe

Question 3

Numbness + impaired sensation of the opposite side of the body + Difficulty identifying sensation’s location and type ( pain or heat, cold or vibration ) what part of the brain is affected?

Answer 3

Front part of partial lobe on one side

Question 4

Apraxia + inability to perform simple skilled tasks as brushing the hair or dressing. Which area of the brain Is affected?

Answer 4

Right paraital lobe

Question 5

Q.what’s the first thing in treating suspected case of meningitis ( fever+ nuchal rigidity) ?

Answer 5

Give antibiotics ,ceftrixaone ( third generation cephalosporin )even before the results of LP.

Question 6

Q. In treating epileptic ptn with phenytoin. What’s expected in case of excess taking ?

Answer 6

Nystagmus/ ataxia/ slurred speech/ confusion / insomnia/ dizziness/ headache

Question 7

Q ptn underwent surgery to remove part of the brain to control epilepsy. After surgery ptn start complaining of amnesia. Which part of the brain was removed?

Answer 7

Temporal lobe