Neurologic Assessment

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Questions and Answers

What physiological change is seen in the neuro patient with hypertension and decreased heart rate?

  • Enhanced brain oxygenation
  • Decreased intracranial pressure
  • Reduced cerebral blood flow
  • Increased cerebral perfusion (correct)

What is considered a diagnostic sign of increased intracranial pressure on CT/MRI?

  • ST elevation
  • Q waves
  • Deep, inverted T waves
  • Midline shifts greater than 0.5cm (correct)

What is a common symptom associated with supratentorial brain tumors in adults?

  • Ataxia
  • Obstructive hydrocephalus
  • Pituitary gland dysfunction
  • Seizures (correct)

Which neurosurgery procedure is considered an 'intermediate' risk procedure on the AHA Cardiac Risk score?

<p>Brain and spine surgery (C)</p> Signup and view all the answers

Which hormone does Parkinson's Disease result in a depletion of?

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

What is the main aim of treatment for Parkinson's Disease?

<p>Increase dopamine in the basal ganglia (C)</p> Signup and view all the answers

What appears after a spinal cord injury and in response to the return of spinal cord reflexes?

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

What is the cause of systemic hypertension in Autonomic Hyperreflexia?

<p>Unmodulated vasoconstriction below the level of injury (D)</p> Signup and view all the answers

Which neurotransmitter is primarily associated with Alzheimer's Disease?

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

Intracranial pressure (ICP) hypertension in a neuro patient should always be considered elevated ICP until ruled out.

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

Pituitary tumors are always located in the posterior lobe of the pituitary gland.

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

The goal of assessing intracranial pressure (ICP) in a patient with neurological symptoms is to determine the presence of decreased ICP.

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

Supratentorial brain tumors are more common in children than adults.

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

Brain and spinal cord surgeries are considered 'low' risk procedures on the AHA Cardiac Risk score.

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

Pituitary tumors can disrupt the regulation of hormones in the body.

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

Brain surgery is always performed with the patient in the supine (lying on back) position.

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

Anticonvulsants, such as phenytoin, can cause agranulocytosis, a condition characterized by a low white blood cell count.

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

Autonomic hyperreflexia (dysreflexia) is a condition that can occur in patients with spinal cord injuries, leading to uncontrolled vasoconstriction below the level of injury and systemic hypertension.

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

Intracranial pressure (ICP) hypertension in a neuro patient should be considered until ruled out.

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

Midline shifts greater than 0.2 cm on CT/MRI scans are diagnostic of increased ICP.

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

Supratentorial brain tumors are more common in adults than children.

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

Pituitary tumors are always associated with parathyroid tumors.

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

Obstructive hydrocephalus, ataxia, and infratentorial location are common characteristics of brain tumors in children.

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

Pituitary tumors can impact the regulation of hormones in the body.

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

Anticonvulsants, such as phenytoin, can cause a decrease in white blood cell count (agranulocytosis).

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

The main aim of treatment for Parkinson's disease is to increase dopamine levels in the basal ganglia.

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

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