Patho Exam 4 Practice Questions With Solutions

Vomiting is a result of a CNS injury caused by which of the following? a. Impingement directly on floor of third ventricle b. Decrease in ICP c. Involvement of vestibular nuclei d. Decompression of brainstem - ANS C Which criterion is not used when determining brain death? a. Unresponsive coma b. No spontaneous respiration c. Isoelectric electroencephalogram (EEG) d. Ocular response to head turning - ANS D A woman has sustained a traumatic brain injury. She is able to follow simple commands and can manipulate objects. Which term describes this state? a. Coma b. Vegetative c. Minimally conscious d. Locked-in syndrome - ANS C A person experiences a unilateral, focal seizure and maintains consciousness. Which term is appropriate to describe this type of seizure? a. Generalized b. Partial c. Secondary d. Status epilepticus - ANS B A person experiencing difficulty in recognizing a pattern cannot recognize the form and nature of objects. Which term describes this condition? a. Agnosia b. Aphasia c. Dysphasia d. Alzheimer - ANS A An individual having difficulty concentrating is restless and irritable and briefly confused. These changes have developed over 2 to 3 days. Which of the following describes this condition? a. Alzheimer disease b. Dementia c. Delirium d. Coma - ANS C An individual sustains a cerebral vascular accident (CVA) that results in left-sided paralysis. Which of the following describes this condition? a. Hemiplegia b. Paraplegia c. Diplegia d. Quadriplegia - ANS A Which of the following are basic neural systems that are essential for the cognitive sphere? (Select all that apply.) a. Attentional systems b. Memory and language systems c. Affective or emotive systems d. Sensory systems - ANS A, B, C Which of the following are categories of neurologic function that are classified as critical for evaluation? (Select all that apply.) a. LOC b. Pattern of breathing c. HR d. Eye position - ANS A, B, D A person is in status epilepticus. What are the greatest concerns when treating this individual? (Select all that apply.) a. Cerebral hypoxia b. Bleeding of tongue c. Aspiration d. Musculoskeletal trauma - ANS A, C Which of the following are characteristic of Alzheimer disease? (Select all that apply.) a. Rapid onset b. Memory loss c. Increased irritability d. Anxiety and depression - ANS B, C, D Which statement is true regarding traumatic brain injury (TBI)? a. Approximately 1.7 million head injuries occur each year in the United States. b. The greatest risk of TBI occurs in those between 19 and 65 years of age. c. Twenty percent of head injuries are mild. d. Eighty percent of head injuries are severe. - ANS A Age and the admission of the Glasgow Coma Scale (GCS) are important diagnostic factors in TBI. Which GCS score describes a severe TBI? a. 13 to 15 b. 12 to 13 c. 9 to 12 d. 3 to 8 - ANS D An older adult who abuses alcohol has fallen and is diagnosed with a hematoma that is located on the top of the brain. Which type of hematoma fits this description? a. Subdural b. Epidural c. Extradural d. Intracerebral - ANS A An individual has symptoms of confusion and retrograde amnesia after sustaining a blunt force injury to the skull as a result of being hit with a baseball. The symptoms confirm the diagnosis of which grade of concussion?