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SCRN Exam 2023 /224 Verified Questions With Complete Solutions
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SCRN Exam 2023 /224 Verified Questions WithComplete Solutions
Quiz :cerebral cortex - √Answer :gray matter on the outermost section of the
cerebrum and cerebellum
composed of neuronal cell bodies
Quiz :Four lobes of the cerebral cortex and cerebrum - √Answer :Frontal
Parietal
Temporal
Occipital
Quiz :Oxygen supplemental need - √Answer :> 93%
Quiz :BP goal post tPA - √Answer :<180/105
Quiz :Vast majority of fatal hemorrhages occur within - √Answer :the first 12
hours
Quiz :hyperthermia management - √Answer :strict < 38.0 or 100.4
tylenol for fevers
neurogenic fevers with an early increase in temperature
Quiz :after 24 hours - √Answer :can restart antihypertensives
Quiz :blood pressure goals if they did not receive tPA - √Answer :systolic < 220
diastolic < 120
** do not want to bring BP down fast d/t risk for hypotension
Quiz :Co2 is a potent vasodilator - √Answer :leads to an increase in ICP
more blood volume to brain
mild hyperventilation for low CO2 leads to lower ICP and vasoconstriction
Hypocarbia in extreme can lower cerebral blood flow by too much
Quiz :door to physician - √Answer :< 10 min
Quiz :door to team - √Answer :< 15 min
Quiz :door to CT - √Answer :< 25 min
Quiz :Door to interpretation - √Answer :< 45 min
,Quiz :door to tPA - √Answer :< 60 min
Quiz :BP if they did not receive TPA - √Answer :220/120
Quiz :Acute care management - √Answer :continue to monitor neurological
status
begin early mobilization of patient
close observation during transition sitting to standing
Quiz :intracranial hemorrhage - √Answer :hypertensive bleed
venous thrombosis
trauma
Quiz :subarachnoid hemorrhage - √Answer :trauma
aneurysmal
non-aneurysmal
venous thrombosis
Quiz :ischemic stroke - √Answer :large vessel occlusions (LVO) usually from
embolic sources
ICA
MCA
ACA
PCA
PICA
AICA
Basilar
Quiz :Small vessel occlusions - √Answer :generally from atherosclerosis
Quiz :vessels that feed cerebrum - √Answer :MCA
PCA
ACA
Quiz :vessels that feeds the cerebellum - √Answer :AICA
PICA
SCA
Quiz :vessels that feed the brainstem - √Answer :basilar
pontine
, Quiz :stroke mimics - √Answer :seizures
metabolic syndromes
complex migraines
degenerative neurologic conditions
CNS tumors
drug toxicity
CNS abscess
Bell's palsy
Quiz :Neuroplasticity - √Answer :the ability within the brain to constantly
change both the structure and function of many cells in response to experience
or trauma
adaptive or maladaptive
rehab is key
Quiz :SAH bp goal - √Answer :< 140
Quiz :ICH blood pressure goal - √Answer :< 160
Quiz :frontal lobe - √Answer :motor, behavioral expression, motor and sensory
maps
Quiz :Parietal lobe - √Answer :sensation, optic radiations carrying sensory input
from the eyes, language centers (typically left side of the brain) --> broca's and
wernicke's
Quiz :dysarthria - √Answer :slurred speech reflecting poor motor control of the
muscles associated with speech and language
Quiz :occipital lobe - √Answer :vision and interpretation of visual sensory
signals
Quiz :temporal lobe - √Answer :coding visual memory and processing auditory
and visual sensory input and language comprehension
Quiz :basal ganglia - √Answer :coordinating center for several nerve tracts
including coordinating muscle movement
Quiz :globus pallidus - √Answer :component of the basal ganglia instrumental
in control of voluntary muscle movement
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