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MED/SURG FINAL

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Last updated about 2 years ago
75 questions
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Question 1
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Question 13
13.
What is the earliest sign of ICP? _______
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Question 16
16.
_______ _______ _______ are goals for a patient with increased ICP
Question 17
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Question 18
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_______ _______ _______ are used to treat meningitis
Question 19
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Question 20
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Question 23
23.
_______ is characterized by fatigue, diplopia, nystagmus, numbness/tingling in arms or legs, mood swings, slurred speech, weakness and treated with baclofen
Question 24
24.

Question 25
25.
_______ _______ treats myasthenia gravis
Question 26
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Question 35
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Question 36
36.
_______ is tonic clonic seizures that are back-to-back and the patient does not regain consciousness between seizures. This condition is very dangerous.
Question 37
37.
_______ causes the person to lose consciousness and falls to the ground with rapid recovery
Question 38
38.

Question 39
39.
_______ is manifested by headache vomiting and papilledema
Question 40
40.

Question 41
41.
_______ can be triggered by vasodilating agents such as nitroglycerin, histamines, alcohol
Question 42
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Question 44
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Question 45
45.
_______ symptoms include loss of vision, diplopia, LOC changes, numbness, weakness, paralysis, that resolve with time.
Question 46
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Question 49
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Question 50
50.

Question 51
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Question 52
52.
This occurs in patients with T6 and above spinal injuries Severe HTN, bradycardia, pounding headache, nausea, blurred vision, flushed skin, sweating, goosebumps, nasal stuffiness, and anxiety are s/s of _______
Question 53
53.
Uncontrolled _______ can lead to seizures, CVA, and death
Question 54
54.
Full bladder, abdominal distension, skin pressure/breakdown, overstretched muscles, sex, otc decongestants, sun burn, ingrown toenails, hot/cold temps causes_______
Question 55
55.
_______ are given to reduce spinal cord edema caused by autonomic dysreflexia
Question 56
56.

Question 57
57.

Question 58
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Question 59
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Question 60
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Question 61
61.
_______ the condition in which the lumen of arteries fill with plaque
Question 62
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Question 74
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Question 75
75.

Pupil dilation, increased HR, and increased BP are controlled by which system
Sympathetic NS
Parasympathetic nervous system
T/F The sympathetic nervous system releases norepinephrine, epinephrine and acetylcholine
True
False
_ is the position in which the arms are flexed, fists clenched, and legs are extended
Decerebrate
Decorticate
_ is extremely stiff extremities with flexed hands and feet
Decerebrate
Decorticate
_ is drowsy or sleepy at inappropriate times but can be aroused.
Somnolent
Stuporous
Semicomatose
_ is aroused by only vigorous/repeated physical visual or auditory stimuli
Somnolent
Stuporous
Semicomatose
_is unresponsive except to superficial/mildly painful stimuli that causes a motor response
Somnolent
Stuporous
Semicomatose
What is the normal pressure for CSF
60-100
5-10
80-180
0-30
_ is injected into the spinal canal and used to demonstrate abnormalities
EEG
Brain scan
Myelogram
T/F: EEGs record electrical impulses generated by the brain
True
False
What is the normal range for ICP
80-180
5-10
5-15
What are the early signs of increased ICP?
Drowsiness, restlessness, GCS <12
Unresponsive, seizures, dilated pupils
Drowsiness, restlessness, headache upon waking
Drowsiness, unresponsive, GCS>12
What is Cushing Triad
increased pulse, decreased BP, increased respirations
decreased pulse, decreased BP, decreased respirations
decreased pulse, increased BP w/widened pulse pressure, irregular respirations
What IV solutions are to be avoided for a patient with increased ICP
hypertonic 3%
hypotonic
Isotonic
S/S: headache, fever, photophobia, opisthotonos, Brudzinski sign, Kernig sign, irritability, vomiting, red rash on body
Gullian Barre
Multiple sclerosis
encephalitis
Meningitis
S/S: sudden fever, severe headache, stiff neck, vomiting, drowsiness
Meningitis
encephalitis
Raynaud's
T/F: Antipyretics, anticonvulsants, analgesics, and anti-inflammatory drugs treat encephalitis.
True
False
Which direction does muscle weakness moves in a patient with Gullian Barre
up
down
left
right
S/S: increased ICP, fever headache, muscle weakness, ;lethargy
Meningitis
Brain abscess
Severe weakness, drooping eyelids, dysphagia, voice weakness
MS
Myasthenia gravis
A muscle wasting disorder that has no known cause
ALS
MS
Painful condition that affects 5th nerve and is characterized by sudden severe burning and face twitching
Trigeminal Nerve disorder
MS
ALS
Dilantin, Tegretol, and opioids are used to treat
MS
ALS
Trigeminal Nerve Disorder
What disorder develops within 1-2 days, affects the 7th cranial nerve, characterized by face pain and numbness, diminished blink reflex, ptosis of eyelid and is treated with steroids
MS
ALS
Bells Palsy
T/F: Parkinsons results from dopamine deficiency and manifests as stiffness, hand tremors, stooped posture, shuffling gait, and difficulty swallowing and talking.
True
False
What drugs are given to patients with Parkinsons
Dopaminergics
Anticholinergic
Opioids
Hereditary disease with mental apathy and choreiform movements, intellectual decline, incontinence, and severe depression that is treated with tranquilizers and antiparkinson meds:
ALS
Parkinsons
Huntington
This seizure is characterized by brief LOC, blank stare, and they go unnoticed
Myoclonic
Tonic Clonic
Absence
Sudden excessive jerking of extremities with patient falling to the ground
Tonic Clonic
Absence
Myoclonic
A seizure that has a preictal phase, aura, postictal phase and characteristics of frothing at the mouth, clenched jaw, and usually lasts for 1 minute or more.
Absence
Myoclonic
Tonic Clonic
Elevated keppra levels:
increase heart rate
stop the heart
lower heart rate
Fluctuations in reproductive hormones, food chemicals, food allergies, emotional stress, alcohol, caffeine, or drugs causes:
Migraine headaches
tension headache
cluster headache
Headache with s/s of pressure, steady constriction on sides of head:
Migraine
tension headache
cluster headache
Headache manifested by throbbing or bursting pain, vertigo, sensitive to light, irritability, and fatigue.
Tension headache
cluster headache
migraine
One sided head pain with nasal congestion/discomfort, rhinorrhea, and tearing/redness of the eye. Very severe pain.
Migraine
Tension
Cluster
How long can the brain go without oxygen before cell death occurs?
3-7 minutes
2 minutes
5-10 minutes
Sudden severe headache, dizziness, nausea, vomiting, and rapid LOC
Brain tumor
migraine
Aneurysm
Cerebral hematoma that's caused by arterial bleeding between the dura and skull with LOC, pupil changes, hemiparesis
Subdural
Epidural
Intracerebral
Cerebral hematoma caused by venous bleeding between the dura and subarachnoid space with deteriorating LOC
Epidural
Subdural
Intracerebral
Pt exhibits hypotension, rapid weak pulse, shallow respirations, LOC and pale clammy skin with antegrade amnesia
Concussion
Contusion
Bleeding inside the brain with s/s of increased ICP: hyperthermia, seizure, headache, and irregular breathing
Intracerebral
Subdural
Where is the mitral valve located
left atrium and left ventricle
right atrium and left atrium
right ventricle and left ventricle
This type of cardiomyopathy is caused by myocarditis, an autoimmune response, alcohol abuse
Restrictive
Hypertrophic
Dilated
S/S: Dyspnea on exertion and laying down, fatigue, leg swelling, palpitations, and chest pain
Restrictive cardiomyopathy
Hypertrophic cardiomyopathy
Dilated cardiomyopathy
S/S: ascites, leg edema, exertional dyspnea, hepatomegaly
Restrictive
Dilated
Hypertrophic
This condition is treated with pacemaker insertion, alcohol ablation, or ventriculomyotomy
Dilated
Hypertrophic
Restrictive
This angina is treated with IV nitroglycerin
Stable
Unstable
Variant
This angina is treated with rest and sublingual nitrates
Stable
Unstable
Variant
This angina is caused by arterial spasms and is treated with nitrates
Stable
Unstable
Variant
Onset Confusion, headache, visual disturbances, seizures, and coma
HTN
Secondary HTN
Malignant HTN
S/S: Confused, elevated body temp, tachycardia, irritable, weakness, anorexia, nausea and vomiting
Hypomagnesaemia
Hypernatremia
Hyponatremia
Hypermagnesiam
S/S: dry, sticky mucous membranes, decreased urine output, elevated body temp, lethargy
Hypomagnesium
Hypernatremia
Hyponatremia
Hypermagnesium
S/S: weakness, anorexia, leg cramps, irregular heart rate
Hypercalcemia
Hypokalemia
Hyperkalemia
Hypocalcemia
S/S: diarrhea, nausea, weakness, ventricular tachycardia
Hyperkalemia
Hypokalemia
Hypercalcemia
Hypocalcemia
S/S: tingling around mouth and in extremities, abdominal cramps, +Chvostek and Trousseau sign, altered mental status, seizures, tetany, hx of hypoparathyroidism or acute pancreatitis
Hypercalcemia
Hypocalcemia
Hyperkalemia
Hypokalemia
S/S: constipation, deep bone pain, altered mental status, thirst, anorexia
Hypocalcemia
Hyperkalemia
Hypercalcemia
Hypokalemia
S/S: +Chvostek and Trousseau signs, leg and foot cramps, HTN, altered mental status, irritable, dysphagia, tachycardia, alcohol abuse, gastric suction, or high intake of calcium
Hyperkalemia
Hypokalemia
Hypermagnesium
Hypomagnesium
S/S: flushed, warm skin, hypotension, lethargy, drowsy, bradycardia, weakness, decreased respirations, coma, hx of Addison's disease or hyperparathyroidism
Hypokalemia
Hyperkalemia
Hypomagnesium
Hypermagnesium
S/S: pH above 7.45, bicarb greater than 26, CO2 normal, may be caused by hypokalemia, hyperaldosteronism, or gastric suctioning
Metabolic acidosis
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
Which finding best represents metabolic acidosis
pH 7.56, CO2 36, HCO3 17
pH 5.45, CO2 40, HCO3 24
pH 4.5, CO2 38, HCO3 20
pH 4.38, CO2 50, HCO3 25