Biochemical Investigation of Coma

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27 Questions

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

Reticular activating system

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

To restore brain function

What type of comas are discussed in this lecture?

Metabolic comas

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

TIPPS

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

Anemia

Which diagnostic modality is used to elucidate intracranial structural abnormalities?

CT-Scan

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

Fever

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

Diffuse

What is the medical term for unarousable unresponsiveness?

Coma

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

Both cerebral hemispheres and ARAS

What type of comas are discussed in this lecture?

Metabolic comas

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

To save life

Which diagnostic modality is used to elucidate intracranial structural abnormalities?

Not mentioned in the text

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

SUPRATENTORAL

Which of the following is a characteristic of metabolic comas?

Ascending Reticular Activating System (ARAS) involvement

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

Supratentoral

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

Infratentoral

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

Arterial blood gases

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

Hyperglycemia

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

Acidotic breathing

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

Arterial blood gases

Which of the following is a metabolic cause of coma?

Hypothyroidism

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

Urinalysis

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

Multifocal myoclonus

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

Pulse oximetry

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

Alcohol

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

Drug screening

Test your knowledge on biochemical investigation of coma with this quiz by Dr. Ghazali SM. Understand the causes, assessment methods, and interventions needed for this medical emergency.

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