Neurology and Infectious Diseases Quiz

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26 Questions

What may lethargy and confusion indicate in a client with a concussion?

Increased intracranial pressure

What happens to a client with polycythemia?

Increased red blood cells being produced

Which of the following is considered a macrocytic anemia?

Pernicious anemia

Who would be most at risk of developing carcinoma of the liver?

A 28-year-old client with a history of blunt liver trauma and smoking

Who is most at risk of developing hepatitis B?

A 24-year-old college student who has had several sexual partners

What is the main cause of Chlamydia infection?

Unprotected sexual contact with an infected person

Which region of the brain is primarily affected by Parkinson's disease?

Basal ganglia or substantia nigra

Among the following, which type of stroke is commonly associated with atrial fibrillation and valvula prosthetics?

Embolic

What defines a transient ischemic attack (TIA)?

Temporal episode of cerebral ischemia

How can spinal cord injury best be prevented?

Stabilization to prevent trauma to the spinal cord

Which vascular malformation is characterized by abnormal vessels and vascular tangles connecting arteries directly to veins?

Arteriovenous malformation

What is the most likely condition that the male client with dysphagia, weight loss, chest pain, and blood emesis is experiencing?

Esophageal cancer

Which of the following statements is true regarding hepatitis B?

Hepatocytes cannot regenerate when the virus is present

What is an early symptom of amyotrophic lateral sclerosis (ALS)?

Muscle twitching

How should a nurse document a seizure activity where the client experiences stiffness of muscles followed by jerking of all extremities and loss of consciousness?

Generalized tonic-clonic seizure

Which condition describes the loss of motor and sensory control of the trunk and lower extremities due to spinal cord injury?

Paraplegia

What inherited disorder presents with abrupt, bizarre, involuntary dance-like movements and a decline in mental functions?

Huntington's disease

Which of the following characteristics is NOT associated with tumors according to the text?

Cells that invade local tissue and overrun neighboring cells

What is a true statement regarding hemophilia A?

It is caused by a factor VIII deficiency

If a tumor is characterized as 'T2.N1.M0' according to the TNM system, what does this indicate?

Tumor is locally invasive with regional lymph node involvement; there is no metastasis

What is the most likely explanation for a client with a sudden loss of muscle tone followed by postictal confusion?

Atonic seizure

Which finding is consistent with acute respiratory failure?

pH less than 7.3

What does orthopnea refer to?

Difficulty breathing when lying down

If a client presents with absent breathing sounds on the right side from the apex to the base, what condition could best explain this?

Spontaneous pneumothorax

What finding is the nurse most likely to observe during the admission assessment of a client with pheochromocytoma scheduled for tumor removal?

Hypertension

Increased calcium levels in the blood could be due to an imbalance in which hormone?

Parathyroid hormone

Study Notes

Tumor Characteristics

  • Well-encapsulated tumors are characterized by slow and stable growth.
  • Cells that invade local tissue and overrun neighboring cells are a hallmark of tumor growth.

Hemophilia A

  • Hemophilia A is caused by a factor VIII deficiency.
  • It is an X-linked disorder, not dominant.

Syphilis

  • Syphilis is caused by an anaerobic spirochete.
  • In severe cases, it can cause problems with the cardiovascular system and aortic necrosis.
  • It can cause damage to the central nervous system, leading to blindness, paresis, and mental deterioration.

Tumor Node Metastasis (TNM) System

  • T2.N1.M0 indicates a tumor is locally invasive with regional lymph node involvement, but no metastasis.

Diabetes and End-Stage Renal Disease

  • A nurse should regularly assess a client with type 1 diabetes and end-stage renal disease for various symptoms.

Gastroesophageal Reflux Disease (GERD)

  • A client with GERD may present with dysphagia, weight loss, chest pain, and blood emesis.
  • The client may be experiencing esophageal cancer.

Hepatitis B

  • Hepatitis B infection can lead to liver inflammation and enlargement.
  • Infection is not self-limiting, and hepatocytes cannot regenerate when the virus is present.

Amyotrophic Lateral Sclerosis (ALS)

  • Early symptoms of ALS include muscle twitching.

Epilepsy

  • A nurse can document a seizure as a generalized tonic clonic seizure if the patient experiences stiffness of the arms and legs, followed by loss of consciousness and jerking of all extremities.

Spinal Cord Injury

  • Loss of motor and sensory control of the trunk of the body and lower extremities describes paraplegia.

Inherited Disorder

  • An inherited disorder characterized by abrupt, bizarre, involuntary dancelike movements and a decline in mental functions is known as Huntington's disease.

Acute Respiratory Failure

  • A value consistent with acute respiratory failure is a pH less than 7.3.

Orthopnea

  • Orthopnea is defined as difficulty breathing when lying down.

Respiratory Conditions

  • An absent breathing sound on the right side from the apex to the base can be explained by spontaneous pneumothorax.

Pheochromocytoma

  • A client with pheochromocytoma is likely to have hypertension.

Hormonal Imbalance

  • An imbalance in parathyroid hormone can cause increased calcium levels in the blood.

Concussion

  • A client with a concussion may exhibit lethargy, confusion, and increased intracranial pressure.

Polycythemia

  • Polycythemia is characterized by an increased production of red blood cells.

Macrocytic Anemia

  • Pernicious anemia is considered a macrocytic anemia.

Liver Carcinoma

  • A client with a history of cirrhosis is most at risk of developing carcinoma of the liver.

Hepatitis B Risk Factors

  • A client with multiple sexual partners is most at risk of developing hepatitis B.

Hydrocele

  • A hydrocele is a cystic mass, usually filled with straw-colored fluid, that forms around the testis.

Parkinson's Disease

  • Parkinson's disease is a degenerative disorder of the basal ganglia or substantia nigra.

Stroke Risk Factors

  • Atrial fibrillation, rheumatic heart disease, and valvular prosthetics are risk factors for embolic stroke.

Transient Ischemic Attack (TIA)

  • A TIA is a temporal episode of cerebral ischemia, with symptoms lasting less than 24 hours.

Spinal Cord Injury Prevention

  • Stabilization to prevent trauma to the spinal cord is the best way to prevent spinal cord injury.

Cerebrovascular Accidents

  • Lack of blood flow to part of the brain is the etiology of cerebrovascular accidents.

Vascular Malformation

  • Arteriovenous malformation is characterized by arteries that feed directly into veins through vascular tangles and abnormal vessels.

Test your knowledge on neurology and infectious diseases with questions on Parkinson's disease, strokes, and sexually transmitted infections like chlamydia, herpes simplex, genital warts, and trichomoniasis.

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