Fisdap Medical Practice Questions

Fisdap Medical Practice Questions 2022 An adult patient collapses to the ground and experiences twitching of the left hand and right leg. After the incident the patient's skin is cool, pale, and moist. You arrive to find the patient alert and oriented, stating they now feel fine. They do not appear to have any neurological impairment. His vital signs are: P 112, sinus tachycardia, BP 146/84, R 14 and unlabored. The patient has no medical history. You suspect - ANSWER ==syncope our patient presents with confusion following a 3 minute "full body seizure". The patient's skin is cool, moist, and pale. The patient is agitated, with vital signs: HR 126, BP 134/84, R 20, and blood glucose 128 mg/dl. You should suspect ____, and consider treating with ____. - ANSWER ==postictal signs, oxygen and IV Where is the primary respiratory control center located? - ANSWER ==Medulla If a patient is alert and oriented, the ____ is most likely intact and functioning. - ANSWER ==reticular formation Initially, it seems as though your stroke patient is unresponsive and completely paralyzed. As you continue your assessment, however, you note that he can move his eyes to command, but is unable to move from the eyes down. What type of stroke should you most suspect? - ANSWER ==Basilar artery You are assessing an adult patient in his 50s. The patient is unconscious and unresponsive with snoring respirations. His vital signs are: P 126, BP 146/80, R 10, blood glucose 30 mg/dl. The patient has a left-sided gaze and appears to be having focal seizure activity. Which of the following should you consider first? - ANSWER ==Administer dextrose An adult patient experiences difficulty chewing, swallowing, speaking and forming facial expressions. He is otherwise without complaint. He is pale, warm, and dry to touch. Vital signs are heart rate of 102, respirations of 20, blood pressure 156/78, blood glucose 110 mg/dl. How should you treat this patient? - ANSWER ==IV, oxygen, and monitor What part of the brain is responsible for motor and sensory functions? - ANSWER ==Cerebral cortex The neuron generates an electrical impulse called a/an ____ that travels along the axon to the synaptic terminals. - ANSWER ==action potential Intravenous administration of ______ is the most effective initial pharmacological agent for the treatment of status epilepticus. - ANSWER ==lorazepam The posterior circulation to the brain is provided by the paired ____ arteries, which enter the base of the skull and then join at the brainstem to form the large basilar artery. - ANSWER ==vertebral The Brain Trauma Foundation guidelines for the management of traumatic brain injury (TBI) in which herniation is present includes - ANSWER ==hyperventilating the patient with BVM. If a patient exhibits neurologic signs and symptoms of stroke that last less than 24 hours and resolve without any intervention, it is referred to as a(n) - ANSWER ==transient ischemic attack. A continuous seizure that lasts longer than five minutes, or two or more seizures occurring with no intervening period of consciousness is referred to as - ANSWER ==status epilepticus. Which of the following detect stimuli and changes in the environment and carry electrical signals into the CNS? - ANSWER ==Sensory neuron You are called to assess an adult patient with seizure activity. Upon arrival you find a patient in her 30's experiencing generalized seizure activity. Her lips are cyanotic and her vital signs are: P 140, BP 200/110, R 14 and grunting. Your treatment of this patient should include the administration of - ANSWER ==anti-epileptics.