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CMN 548 MODULE 1 STUDY GUIDE TEST QUESTIONS WITH ALL CORRECT ANSWERS

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CMN 548 MODULE 1 STUDY GUIDE
TEST QUESTIONS WITH ALL CORRECT
ANSWERS

What is an absent seizure and how long do atypical seizures last? - Answer-sudden
brief lapse of consciousness, momentary blinking/staring/or movements of lips and
hands but NO FALLING

-atypical absent szs may last >10 seconds

What should you suspect if tonic-clonic seizures begin after age 30? - Answer-suspect it
is either a partial seizure that has become generalize or a generalized seizure cause by
a toxic or metabolic disorder (ETOH withdrawal, hypoglycemia, hyponatremia, bacterial
meningitis)

What is tar dive dyskinesia a late complication of? - Answer-antipsychotic or antiemetic
drugs

What is the strongest risk factor for a stroke? - Answer-TIA

What is the most consistently observed vulnerability factor for developing delirium? -
Answer-cognitive impairment

what is dementia characterized by? - Answer-decline in memory and cognitive ability
that interferes with ADLs

What does diagnosis of dementia require the exclusion of? - Answer-delirium and
depression

Dermatomes are - Answer-a band of skin innervated by the sensory root of a single
spinal nerve

-in SCI, all dermatomes blow the level of injury can be affected

What grade is considered "normal" on the scale for grading reflexes? - Answer-2

What grade is considered "very brisk; w/ clonus" on the scale for grading reflexes? -
Answer-4

What grade is considered "somewhat diminished or requires reinforcement" on the
scale for grading reflexes? - Answer-1

,What grade is considered "reflex absent" on the scale for grading reflexes? - Answer-0

What does a positive Brudzinski sign or Kerning sign indicate? - Answer-meningeal
inflammation from meningitis or subarachnoid hemorrhage

nonorganic neuro symptom - Answer-symptoms not explained by anatomy/a medical
condition

What is the suggestive cause of a "throbbing" headache? - Answer-vascular cause

What does lightheadedness or faintness suggest? - Answer-o suggest impairment of
brain oxygenation, as by cardiac arrhythmia, or hypotension, or psychological factors.

- Coinciding palpitations, angina, or shortness of breath should raise the question of a
cardiac cause of dizziness

When are Parkinsonian tremors the worst? When do they disappear? - Answer--Worst
at rest and during excitement

-Disappears during sleep

What visual disturbances are seen with angle closure glaucoma? - Answer-pt may see
rainbows or halos on lights

What visual disturbances are seen with digitalis toxicity? - Answer-visual field may have
a yellowish hue

FOGS - Answer-- Family story of memory loss
- Orientation of the pt (month, date, time)
- General info (Who is the president of the US?)
- Spelling

What does vertical nystagmus suggest? - Answer-brainstem lesion

what does pendular nystagmus suggest? - Answer-congenital condition or blindness
since early childhood

When does true diplopia disappear? - Answer-when one eye is occluded

-unless detached retina or dislocated lens is present

key tests for coordination: - Answer-finger to nose
heel to shim
rapid alternating movement of hands and feet

, What is a positive Babinski reflex and what what it indicate? - Answer-abnormal
dorsiflexion of the big toe accompanied by fanning of the toes

-normal toes respond with plantar flexion
-indicates an upper motor neuron lesion

Elevated gamma globulin from a spinal tap indicates? - Answer-multiple sclerosis

monocular vision loss indicates a lesion where? - Answer-lesion in the anterior optic
chasm

Which test is used to detect bony defects? - Answer-XRAY

Which test is best for examining tissues/tissue functioning? - Answer-MRI

Which test is best for seeing tumors, hemorrhages, vascular
abnormalities, abscesses, and ventricular dilation? - Answer-CT

Which test requires fluid to be extracted from the lumbar cistern of the spinal canal and
subjected to various analyses? - Answer-spinal tap

Which test can reveal whether blood vessels are displaced (as may occur with tumors
or hemorrhage), of abnormal pattern (as occurs in certain tumors, arteriovenous
malformations, and aneurysms), occluded, or leaking? - Answer-angio

Which test has liquid contrast material is injected directly into the lumbar subarachnoid
space, and can detect abnormalities of the spinal cord, intervertebral discs, or brain
stem? - Answer-myelography

--gradually being replaced by MRI

Which test measures electrical activity in the brain, and what does it diagnose? -
Answer-EEG

-used to diagnose epilepsy

What test is used to investigate dementias and certain cerebrovascular diseases and
brain tumors, localize epileptic lesions, and helps distinguish differences between
(Alzheimer's, dementia, brain tumors, Parkinson's, Early stages off Huntington's,
cancer, heart disease, seizures)? - Answer-Positive Emission Tomography (PET)
Single Photon Emission
Computed Tomography
(SPECT)

· Micropsia, macropsia, metamorphopsia, d.j. vu, jamais vu, forced thoughts or
emotions, depersonalization/derealization, autoscopy (out of body experience),

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