Biochemical Investigation of Coma

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Questions and Answers

Which part of the brain can be affected in cases of coma?

  • Cerebellum
  • Reticular activating system (correct)
  • Medulla oblongata
  • Cerebral cortex

What is the purpose of prompt intervention in cases of coma?

  • To stabilize the patient's condition
  • To diagnose the underlying cause
  • To restore brain function (correct)
  • To prevent further complications

What type of comas are discussed in this lecture?

  • Nonstructural comas
  • Metabolic comas (correct)
  • Supratentoral comas
  • Structural comas

Which mnemonic is used to remember the most frequent causes of coma?

<p>TIPPS (D)</p> Signup and view all the answers

Which of the following is NOT a cause of coma listed in the text?

<p>Anemia (A)</p> Signup and view all the answers

Which diagnostic modality is used to elucidate intracranial structural abnormalities?

<p>CT-Scan (A)</p> Signup and view all the answers

Which of the following is NOT a warning sign that may be found on general physical examination?

<p>Fever (C)</p> Signup and view all the answers

Which of the following is NOT a cause of coma listed in the text?

<p>Diffuse (A)</p> Signup and view all the answers

What is the medical term for unarousable unresponsiveness?

<p>Coma (B)</p> Signup and view all the answers

Which part of the brain can be affected in cases of coma?

<p>Both cerebral hemispheres and ARAS (A)</p> Signup and view all the answers

What type of comas are discussed in this lecture?

<p>Metabolic comas (C)</p> Signup and view all the answers

What is the purpose of prompt intervention in cases of coma?

<p>To save life (D)</p> Signup and view all the answers

Which diagnostic modality is used to elucidate intracranial structural abnormalities?

<p>Not mentioned in the text (D)</p> Signup and view all the answers

Which mnemonic is used to remember the most frequent causes of coma?

<p>SUPRATENTORAL (D)</p> Signup and view all the answers

Which of the following is a characteristic of metabolic comas?

<p>Ascending Reticular Activating System (ARAS) involvement (C)</p> Signup and view all the answers

Which of the following is a potential cause of coma affecting the cerebral hemispheres?

<p>Supratentoral (A)</p> Signup and view all the answers

Which of the following is a potential cause of coma affecting the ascending Reticular Activating System (ARAS)?

<p>Infratentoral (A)</p> Signup and view all the answers

Which diagnostic modality is commonly used to rule out metabolic, endocrine, and toxicologic causes/complications of coma?

<p>Arterial blood gases (D)</p> Signup and view all the answers

Which of the following is a cause of coma listed in the text?

<p>Hyperglycemia (A)</p> Signup and view all the answers

Which of the following is a warning sign that may be found on general physical examination in a comatose patient?

<p>Acidotic breathing (D)</p> Signup and view all the answers

Which biochemical investigation is required to confirm hypercapnia in a comatose patient?

<p>Arterial blood gases (C)</p> Signup and view all the answers

Which of the following is a metabolic cause of coma?

<p>Hypothyroidism (A)</p> Signup and view all the answers

Which biochemical investigation is useful in suspected Addisonian crisis (acute adrenal failure)?

<p>Urinalysis (C)</p> Signup and view all the answers

Which of the following is a sign strongly suggesting metabolic coma (organ failure)?

<p>Multifocal myoclonus (B)</p> Signup and view all the answers

Which biochemical investigation is required to confirm hypoxia in a comatose patient?

<p>Pulse oximetry (D)</p> Signup and view all the answers

Which of the following is a cause of coma that may be indicated by acetone breath and hypoglycemia?

<p>Alcohol (C)</p> Signup and view all the answers

Which biochemical investigation is required to confirm high anion gap (AG) acidosis in a comatose patient?

<p>Drug screening (A)</p> Signup and view all the answers

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