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MDC4 Final Exam 2022 Questions And Answers
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MDC4 Final Exam 2022 Questions And Answers
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MDC 4 FINAL1.Hypothermia interventions: prevent heat loss warm up
no booze blanket
s supine
space out meds
withhold IV meds until core temp 86 or higher monitor for vfib
rewarm trunk
2.Parkinson's 4 cardinal symptoms: tremor muscle rigidity
bradykinesia or askinesia (slow or no movement) postural instability
mask like face shuffling gate, drooling
3.Huntington's vs. Parkinson's: often mistaken for each other, HD has
chor- eiform or jerky movements
4.Parkinson's Physcial assessment: small handwriting freezing
rigidity masked faces
difficult chewing/swallowing orthostatic hypotension soft speech
urinary incontinence
5.Parkinson's lab tests: CSF mahave low dopamine MRI or SPECT to rule out other brain conditions .Parkinson's drug treatment: sinement-carbadopa/levadopa (stimulate dopamine receptors)
COMT Inhibitor-Entacapone (prolong action of levodopa) MAOIS-rasagiline mesylate (increase dopamine concentration)
Dopamine receptor agonists- Bromocriptine mesylate (promote dopamine release) Antiviral-amantadine
7.Parkinson's surgical treatment: stereotactic pallidotomy- destroy a portion of the globus pallidus, and thereby, decrease patients' muscle rigidity from Parkin- son's disease DBS-uses electrical stimulation to modulate these control centers deep to the surface of the brain, improving communication between brain cells. This helps to reduce symptoms such as tremor, slowness, and stiffness.
8.Seizures (Epilepsy): seizuer-sudden uncontrolled electrical discharge of neu- rons
epilepsy-2 or more seizures
9.Generalized Seizures types: Tonic-
clonic tonic
clonic myoclon
ic atonic
10.partial seizure types: complex/automatisms simple
11.tonic-clonic seizure (grand mal): begins on both sides of the brain, but can start in one side and spread to the whole brain.
LOC
muscles stiffen jerking movements
last 1 to 3 minutes and take longer for a person to recover.
12.Tonic Seizure: a sudden stiffness or tension in the muscles of the arms, legs or trunk. The stiffness lasts about 20 seconds and is most likely to happen during sleep. Tonic seizures that occur while the person is standing may cause them to fall. After the seizure, the person may feel tired or confused
13.Clonic seizures: repeated jerking movements of the arms and legs on one or both sides of the body, sometimes with numbness or tingling. If it is a focal (partial) seizure, the person may be aware of what's happening. During a generalized seizure, the person may be unconsciou
14.Myoclonic seizures: brief shock-like jerks of a muscle or group of muscles. They occur in a variety of epilepsy syndromes that have different characteristics. During a myoclonic seizure, the person is usually awake and able to think clearly.
15.Atonic: muscles suddenly become limp. Part or all of the body may become limp
16.complex/automatism seizure: nonpurposeful, stereotyped, and
repetitive be- haviors that commonly accompany focal impaired
awareness seizures (in the semi- ologic classification, they define
automotor seizures). The behavior is inappropriate for the situation.
Patients are usually amnestic to their automatisms.
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