Consciousness and the Brain
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Questions and Answers

What is a characteristic of a conscious individual?

  • Unaware of his surroundings
  • Aware of himself and his environment (correct)
  • Unresponsive to psychogenic stimuli
  • Completely dependent on the brain stem

What is the function of the ascending reticular activating system?

  • To process sensory information from the classical ascending lemniscal pathways
  • To transmit information from the brain stem to the cerebral cortex
  • To receive information from the cerebral cortex
  • To project diffusely to the cerebral cortex of both sides (correct)

What is the most common cause of coma?

  • Metabolic disorders
  • Neurological disorders
  • Organic causes (correct)
  • Psychogenic disorders

What is the primary location of the function of consciousness?

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

What is the difference between delirium and stupor?

<p>Delirium is a state of confusion, while stupor is a state of decreased consciousness (B)</p> Signup and view all the answers

What is the primary mechanism by which local lesions can cause coma?

<p>Acting directly on the brain stem (C)</p> Signup and view all the answers

What is suggested by a sudden or rapid onset, hypertension, focal signs, and signs of meningeal irritation?

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

Which of the following is a characteristic feature of diabetic coma?

<p>Air hunger and smell of acetone in breathing (C)</p> Signup and view all the answers

What is suggested by a child or young adult, subacute onset, fever, headache, and vomiting?

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

Which of the following is a characteristic feature of hypoglycemic coma?

<p>Excessive sweating with collapse (A)</p> Signup and view all the answers

What is suggested by a history and signs of injury?

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

Which of the following is a characteristic feature of uraemic coma?

<p>Hissing breathing with urinous odor (A)</p> Signup and view all the answers

What is the score for a patient who withdraws in response to pain on the Glasgow Coma Scale?

<p>4 (B)</p> Signup and view all the answers

What is the primary purpose of a urine analysis in a comatose patient?

<p>To detect underlying diabetic or uremic conditions (A)</p> Signup and view all the answers

What is the primary concern in the management of a comatose patient?

<p>Ensuring good airway and adequate oxygenation (A)</p> Signup and view all the answers

What is the prognosis for a comatose patient with a serious cerebral hemorrhage?

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

What is the purpose of placing a comatose patient in a lateral decubitus position?

<p>To help with screening (D)</p> Signup and view all the answers

What is one of the criteria for determining brain death?

<p>Unresponsive to stimuli above the foramen magnum (C)</p> Signup and view all the answers

What is a possible cause of unconsciousness suggested by emotional upset?

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

During physical examination, what is the significance of conjugate deviation in the eyes?

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

What is the purpose of taking a history from the patient's relatives?

<p>To know the patient's background and medical history (A)</p> Signup and view all the answers

What is the significance of a subnormal temperature in a patient with coma?

<p>Indicates all other comas except pontine hemorrhage and cerebral malaria (B)</p> Signup and view all the answers

What is the significance of purulent discharge from the ear in a patient with coma?

<p>Indicates brain abscess (D)</p> Signup and view all the answers

What should be done with circumstantial evidence found during investigation?

<p>It should be scrutinized with care and checked by physical examination (A)</p> Signup and view all the answers

What is the minimum duration of absent brain function required for diagnosing brain death in adults with a known structural cause and without drug intoxication?

<p>At least 6 hours (B)</p> Signup and view all the answers

What is the minimum duration of observation required for diagnosing brain death in infants aged 7 days to 2 months?

<p>At least 48 hours (C)</p> Signup and view all the answers

What is an optional confirmatory study for diagnosing brain death?

<p>EEG isolectric for 30 minutes at maximal gain (B)</p> Signup and view all the answers

What is the minimum temperature required for diagnosing brain death?

<p>Above 34°C (D)</p> Signup and view all the answers

What is present in someone who meets the criteria for brain death?

<p>Purely spinal reflexes (C)</p> Signup and view all the answers

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