AGACNP NEURO EXAM REVIEW QUESTIONS AND
ANSWERS, GRADED A+/ VERIFIED/
What is the strongest indicator of functional impairment at discharge? - -Cognitive impairment
Cranial nerve III - -EOMs
Cranial nerves associated with eye movement - -CN III, IV, VI
Cranial nerve associated with shoulder sh...
1 AGACNP NEURO EXAM REVIEW QUESTIONS AND ANSWERS , GRADED A+/ VERIFIED / What is the strongest indicator of functio nal impairment at discharge? - ✅✅ -Cognitive impairment Cranial nerve III - ✅✅ -EOMs Cranial nerves associated with eye movement - ✅✅ -CN III, IV, VI Cranial nerve associated with shoulder shrug - ✅✅ -CN XI Most important aspect in assessing mental status - ✅✅ -orientation TIA - ✅✅ -acute cerebral insufficiency less 24 hrs without residual defects sign of impending CVA TIA causes - ✅✅ -Atherosclerosis ICH embolism/thrombus atrial fibrillation MI CAD TIA s/s - ✅✅ -Ipsilateral monocular blindness Parasthesias of contralateral arm, leg, face transient aphasia vertigo TIA hallmark sign - ✅✅ -ipsilateral monocular blindness contralateral paresthesias arm, leg, face Vertebrobasilar TIA - ✅✅ -Inadequate blood flow fr om vertebral arteries Vertebrobasilar TIA s/s - ✅✅ -vertigo ataxia visual field deficits dizzy confusion Carotid TIA - ✅✅ -Carotid stenosis Carotid TIA s/s - ✅✅ -aphasia altered LOC dysarthria Gold standard diagnostic for TIA - ✅✅ -non-contrast head CT TIA diagnostics - ✅✅ -non-contrast head CT MRI Echo Carotid doppler cerebral angiography Patient is asymptomatic but a carotid bruit is present on physical examination. What is the next step in the plan of care? - ✅✅ -Order carotid doppler/ultrasound TIA m anagement - ✅✅ -ASA clopidogrel (Plavix) 75 mg/day PO assess for HTN carotid endarterectomy Indication for carotid endarterectomy - ✅✅ ->70-80% stenosis of carotid vessels for symptomatic patient Patient presents with L hand tingling and carotid Doppler re vealed 90% occlusion of both carotids. What is the next step in the plan of care? - ✅✅ -Carotid endarectomy of the right carotid first What is the number one cause of heart failure - ✅✅ -HTN When do most TIAs resolve - ✅✅ -around 3 hours CVA - ✅✅ -Rapid onset of neurological deficits lasting longer than 24 hrs CVA causes - ✅✅ -Atherosclerosis HTN AVM Aneurysm Tumor Trauma CVA Infarct - ✅✅ -subtle, progressive or sudden neurological deficits >80% CVA are ischemic Ischemic CVA s/s - ✅✅ -Chang es LOC
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