AG-ACNP – Neuro Questions & Verified
Answers
Status Epilepticus Correct Ans-tonic clonic generalized seizure lasting >10 minutes or more
than 2 seizures without return to baseline between
patient does not regain consciousness between attacks
The most common demyelinating central nervous system disease Correct Ans-multiple
sclerosis
The most common site of intracranial thrombosis is: Correct Ans-middle cerebral artery
thoracic spinal injury Correct Ans-paraplegia
trunk
TIA Correct Ans-acute cerebral insufficiency
less 24 hrs without residual defects
sign of impending CVA
TIA causes Correct Ans-Atherosclerosis
ICH
embolism/thrombus
atrial fibrillation
,MI
CAD
TIA diagnostics Correct Ans-non-contrast head CT
MRI
Echo
Carotid doppler
cerebral angiography
TIA hallmark sign Correct Ans-ipsilateral monocular blindness
contralateral paresthesias arm, leg, face
TIA management Correct Ans-ASA
clopidogrel (Plavix) 75 mg/day PO
assess for HTN
carotid endarterectomy
TIA s/s Correct Ans-Ipsilateral monocular blindness
Parasthesias of contralateral arm, leg, face
transient aphasia
vertigo
, Tonic-Clonic generalized seizure Correct Ans-tonic contractions of repeated involuntary
muscle contraction
clonic sustained involuntary muscle contraction
2-5 minutes
incontinence
LOC
postictal phase
Top differential for new onset seizure Correct Ans-brain tumor
Vertebrobasilar TIA Correct Ans-Inadequate blood flow from vertebral arteries
Vertebrobasilar TIA s/s Correct Ans-vertigo
ataxia
visual field deficits
dizzy
confusion
What do you order if a patient complains of any of the four following and what are you ruling
out? New onset headache, seizure, vertigo, or personality changes. Correct Ans-non-contrast
head CT to rule out brain tumor
Answers
Status Epilepticus Correct Ans-tonic clonic generalized seizure lasting >10 minutes or more
than 2 seizures without return to baseline between
patient does not regain consciousness between attacks
The most common demyelinating central nervous system disease Correct Ans-multiple
sclerosis
The most common site of intracranial thrombosis is: Correct Ans-middle cerebral artery
thoracic spinal injury Correct Ans-paraplegia
trunk
TIA Correct Ans-acute cerebral insufficiency
less 24 hrs without residual defects
sign of impending CVA
TIA causes Correct Ans-Atherosclerosis
ICH
embolism/thrombus
atrial fibrillation
,MI
CAD
TIA diagnostics Correct Ans-non-contrast head CT
MRI
Echo
Carotid doppler
cerebral angiography
TIA hallmark sign Correct Ans-ipsilateral monocular blindness
contralateral paresthesias arm, leg, face
TIA management Correct Ans-ASA
clopidogrel (Plavix) 75 mg/day PO
assess for HTN
carotid endarterectomy
TIA s/s Correct Ans-Ipsilateral monocular blindness
Parasthesias of contralateral arm, leg, face
transient aphasia
vertigo
, Tonic-Clonic generalized seizure Correct Ans-tonic contractions of repeated involuntary
muscle contraction
clonic sustained involuntary muscle contraction
2-5 minutes
incontinence
LOC
postictal phase
Top differential for new onset seizure Correct Ans-brain tumor
Vertebrobasilar TIA Correct Ans-Inadequate blood flow from vertebral arteries
Vertebrobasilar TIA s/s Correct Ans-vertigo
ataxia
visual field deficits
dizzy
confusion
What do you order if a patient complains of any of the four following and what are you ruling
out? New onset headache, seizure, vertigo, or personality changes. Correct Ans-non-contrast
head CT to rule out brain tumor
