Coma: Definition, Diagnosis, and Treatment

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18 Questions

What is a common symptom of Stage III of renal coma?

Violent behavior

What is the primary cause of dialysis disequilibrium syndrome?

Rapid osmotic shift of water into the brain

Which of the following is a characteristic of diabetic ketoacidosis?

Subacute onset with late development of coma

What is the typical breathing pattern of a patient with diabetic ketoacidosis?

Rapid and shallow

Which of the following is more common in the elderly?

Hyperglycaemic non-ketotic diabetic coma

What is the primary diagnostic test for renal coma?

Blood urea level

What is a potential consequence of profound cellular dehydration?

Cerebral venous thrombosis contributing to disturbance of consciousness

At what blood sugar level do symptoms of hypoglycaemic coma typically appear?

Less than 55 mg/dl

What is a characteristic of the onset of hypoglycaemic coma?

Much more rapid onset

What is a common neurological finding in patients with hypoglycaemic coma?

Extensor plantar responses

What is a potential sequela of inadequately treated hypoglycaemia?

Both A and B

Which region of the brain is particularly affected by hypoglycaemia?

All of the above

What is the primary characteristic of a person in a coma?

They fail to respond normally to painful stimuli, light, or sound

What is the purpose of the Glasgow Coma Scale?

To assess the severity of coma

Which of the following signs is NOT indicative of lateralization in a comatose patient?

Bilateral convulsions

What is the primary goal of the clinical approach to a comatose patient?

To identify the underlying cause of coma

What is the most likely underlying cause of coma in a patient with liver failure and portosystemic shunting?

Hepatic encephalopathy

What is the purpose of toxicologic screening in a comatose patient?

To identify potential toxic substances contributing to coma

Test your knowledge on coma, a state of unconsciousness, including its definition, causes, diagnosis, and treatment. This quiz covers the Glasgow Coma Scale, metabolic causes of coma, and care of comatosed patients.

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