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PCCN neuro questions with solutions
Typology: Exams
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Frontal lobe functions - answer Personality, motor function, motor speech, morals, emotions, judgment Parietal lobe function - answer Sensation, pain, interpretation, temperature, pressure Occipital lobe function - answer visual Cerebellum functions - answer coordination of muscle movement & tone, equilibrium What does the glasgow coma scale assess? - answer 1. eye opening 2. motor response 3. verbal response Early S/S of increased ICP - answer 1. Change in LOC (earliest sign)
BP management for hemorrhagic stroke? - answer Consider reducing if SBP >200 or MAP > What medication is given for a ruptured cerebral aneurysm to prevent vasospams? - answer CCB- Nimodipine Risk factors for aneurysms - answer -congenital -HTN -smoking -Polycystic kidney disease S/S of ruptured aneurysm - answer -Worst headache of life -N/V -photophobia -diplopia -nuchal rigidity (stiff neck) -kernig's sign, brudzinski sign -seizures -decreased LOC Tx for aneurysm - answer -SBP < -surgical or endovascular clip -transcranial doppler to detect vasospasms Tx for hydrocephalus - answer -Ventriculostomy -VP shunt (long term) Causes for seizures? - answer -genetic -congenital -exposure to drugs -withdrawal from drugs -low Na or glucose -infection -trauma -tumors Status epilepticus - answer seizure that lasts > 30 min 20-30% mortality Administration of dilantin - answer -give slowly -peaks in 15-20 min -monitor for bradycardia & hypotension -use a filter -monitor IV site for infiltration -assess levels (10-20)