NURS 521-Discussion: Central nervous system injury

ORDER NOW FOR AN ORIGINAL PAPER!!! NURS 521-Discussion: Central nervous system injury .

1 Patients with central nervous system injury may commonly have a specific type of gastric ulcer known as (select the best answer):

Curling’s ulcer

Duodenal ulcer

H. pylori ulcer

Barrett’s ulcer

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2 How do you differentiate a cholinergic crisis from a myasthenia crisis? Select the best answer.

Perform a Tensilon (edrophonium) test.

Order a stat plasmapheresis trial.

Obtain a stat cortisol stimulation test.

Administer rapid immunomodulating therapies (IVIG).

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3 Complications of giant cell arteritis include:

Uveitis

Arthritis

Blindness

Hemiparesis

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4 On the Folstein Mini-Mental State Exam, the maximum score is 30, but a score of 23 or less indicates _____.

Cognitive impairment

Mental retardation

Alzheimer’s dementia

Parkinson’s dementia

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5 Atypical antipsychotics like Seroquel, Zyprexa, and Risperdol are the preferred treatments for dementia-related aggression.

True False

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6 A 67-year-old male with a past medical history significant for lung cancer is admitted with sepsis. On assessment, you notice petechiae and bruising. Which of the following statements about DIC is not true?

Results from activation of the clotting cascade and results in clotting factor consumption.

Diffuse clothing occurs simultaneously with bleeding.

Heparin may improve lab parameters, but may aggravate bleeding.

Lab results indicate increased platelet, increased fibrinogen, and prolonged PT/INR. Discussion: Central nervous system injury

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7 Rickettsial infections include which of the following:

Rocky Mountain spotted fever and Q fever

Malaria and toxoplasmosis

Histoplasmosis and cryptococcosis

Epstein-Barr virus and cytomegalovirus

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8 A 20-year-old female has periodic episodes that begin with decreased vision that lasts for about 30 minutes and is followed by a throbbing occipital headache. Which of the following is the most likely diagnosis?

Migraine

Vertebral-basilar insufficiency

Tension headache

Panic attack

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9 Conductive hearing loss and sensorineural hearing loss are common in the elderly. What are three differential diagnoses for sensorineural hearing loss to include the most common pattern?

Barotraumas, viral cochleitis, osteoma

Acoustic neuroma, ototoxic drugs, presbycusis

Exostosis, meningioma, vascular disease

Presbycusis, trauma, Paget’s disease

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10 Fever of unknown origin, by definition, is a fever of 101 Fahrenheit or greater rectally persisting over at least how many weeks?

2 weeks

3 weeks

1 week

6 weeks

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11 Brain death criteria vary from state to state and involve the absence of breathing, absence of spontaneous movement, and several other neurological findings. Ancillary tests to prove brain death include all of the following except:

Transcranial Doppler

Electroencephalography

Cerebral blood flow study

Nerve conduction studies

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12 The classic triad of Parkinson’s includes all of the following except:

Resting tremor

Rigidity arms, legs, and neck stiffness

Bradykinesia

Severe cognitive deficits

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13 Focal seizures are often accompanied by automatisms, which are behaviors that include all of the following except:

Lip smacking

Picking at clothes

Chewing

Scratching

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14 Loss of central vision is a hallmark of:

Macular degeneration

Glaucoma

Retinal detachment

Cataracts

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15 Which of the following diseases cause degeneration or loss of nerve cells in the brain?

Alzheimer’s, Parkinson’s, and Huntington’s

Sepsis, chronic kidney disease, and scleroderma

Rheumatoid Arthritis, Alzheimer’s, and Scleroderma

ORDER NOW FOR AN ORIGINAL PAPER!!! NURS 521-Discussion: Central nervous system injury .

Parkinson’s, B12 deficiency, and Myasthenia Gravis

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16 Immunologic mediators that play a role in the pathophysiology of fever include all of the following except:

Interleukin 1 – primary

Interleukin 2

Interleukin 6

Tumor necrosis factor

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17 The most common causes of fever in a geriatric patient include all of the following except: Discussion: Central nervous system injury

Malignancies

Medication effect

Connective tissue disorders (rheumatoid arthritis, sarcoidosis, temporal arteritis)

Sexually transmitted infections (chlamydia, herpes)

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18 Anemia is the reduction of one or more of the following major red blood cell measurements:

Hemoglobin, hematocrit, RBC count

B12, folic acid, hemoglobin

Hemoglobin, folic acid, fibrinogen

Hemoglobin, RBC, and B12