CMN 577 Unit 2 McPhee Dementia/Neuro questions with complete solutions

What are the s/s of hemicrania continua? (2) What is the treatment? (1) Correct Answer: -unilateral head pain and associated autonomic symptoms -unlike cluster h/a, pain is continuous, without pain free periods and resolves with Indomethacin What is the image that needs to be performed immediately if stroke suspected even before the administration of ASA or antithromboics? B) Why is the CT completed before the MRI? Correct Answer: CT of the head without contrast B) To r/o cerebral hemorrhage and MRI will not show bleed until 48 hours later . Correct Answer: . At what point in time during the treatment of stroke should ASA 325 mg and/or anticoagulants be given? Correct Answer: After CT r/o cerebral hemorrhage *What is the anticoagulant of choice for stroke treatment?* (2) Correct Answer: *Warfarin (INR 2-3) target or Dabigatran (Pradaxa)* Define dysautonomia (its like autonomic dysreflexia) Correct Answer: 1. Occurs as a result of central or peripheral pathologic process. 2. Occurs in isolation or in various combinations that relate in abnormalities of BP regulation, thermoregulatory sweating, GI function, sphincter control, sexual function, respiration and ocular function. Spinal cord lesions above the ____ level may cause dysautonomia. Correct Answer: T6 What are the s/s of dysautonomia? Correct Answer: 1. syncope (most diabling) 2. postural hypotension (most disabling) 3. paroxysmal hypertension 4. Persistent tachycardia 5. facial flushing 6. hypohidrosis/hyperhidrosis 7. Vomiting 8. Constipation 9. Diarrhea 10. dysphagia 11. Abdominal distention 12. disturbance of micturition /defecation 13. ED 14. Apneic episodes 15. declining night vision What is the treatment for dysautonmia? (6) Correct Answer: 1. recumbency treats postural hypotension 2. D/C meds with SE of postural hypotension 3. Waist high elastic hosiery