Neurology and Infectious Diseases Quiz
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Questions and Answers

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

  • Increased intracranial pressure (correct)
  • Increased ocular pressure
  • Decreased neck support
  • Modulated Kidney function
  • What happens to a client with polycythemia?

  • Deficient number of red blood cells
  • Increased lymphatic fluid being produced
  • Deficient plasma in the blood
  • Increased red blood cells being produced (correct)
  • Which of the following is considered a macrocytic anemia?

  • Pernicious anemia (correct)
  • Iron deficiency anemia
  • Hemolytic anemia
  • Thalassemia
  • Who would be most at risk of developing carcinoma of the liver?

    <p>A 28-year-old client with a history of blunt liver trauma and smoking</p> Signup and view all the answers

    Who is most at risk of developing hepatitis B?

    <p>A 24-year-old college student who has had several sexual partners</p> Signup and view all the answers

    What is the main cause of Chlamydia infection?

    <p>Unprotected sexual contact with an infected person</p> Signup and view all the answers

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

    <p>Basal ganglia or substantia nigra</p> Signup and view all the answers

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

    <p>Embolic</p> Signup and view all the answers

    What defines a transient ischemic attack (TIA)?

    <p>Temporal episode of cerebral ischemia</p> Signup and view all the answers

    How can spinal cord injury best be prevented?

    <p>Stabilization to prevent trauma to the spinal cord</p> Signup and view all the answers

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

    <p>Arteriovenous malformation</p> Signup and view all the answers

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

    <p>Esophageal cancer</p> Signup and view all the answers

    Which of the following statements is true regarding hepatitis B?

    <p>Hepatocytes cannot regenerate when the virus is present</p> Signup and view all the answers

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

    <p>Muscle twitching</p> Signup and view all the answers

    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?

    <p>Generalized tonic-clonic seizure</p> Signup and view all the answers

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

    <p>Paraplegia</p> Signup and view all the answers

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

    <p>Huntington's disease</p> Signup and view all the answers

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

    <p>Cells that invade local tissue and overrun neighboring cells</p> Signup and view all the answers

    What is a true statement regarding hemophilia A?

    <p>It is caused by a factor VIII deficiency</p> Signup and view all the answers

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

    <p>Tumor is locally invasive with regional lymph node involvement; there is no metastasis</p> Signup and view all the answers

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

    <p>Atonic seizure</p> Signup and view all the answers

    Which finding is consistent with acute respiratory failure?

    <p>pH less than 7.3</p> Signup and view all the answers

    What does orthopnea refer to?

    <p>Difficulty breathing when lying down</p> Signup and view all the answers

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

    <p>Spontaneous pneumothorax</p> Signup and view all the answers

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

    <p>Hypertension</p> Signup and view all the answers

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

    <p>Parathyroid hormone</p> Signup and view all the answers

    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.

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    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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