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Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired
comprehension. - CORRECT ANSWER-Left-Sided
Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired
time. - CORRECT ANSWER-Right-sided
_____ are the confirming diagnostic studies for stroke. - CORRECT ANSWER-
CT; CT angiogram; CT/MRI perfusion and diffusion imaging; MRI; Magnetic
resonance angiography (MRA)
_____ are the confirming laboratory studies for stroke. - CORRECT ANSWER-
Prothrombin time, activated partial thromboplastin time; CBC (including
platelets); Electrolyte panel with blood glucose; Lipid profile; Renal and hepatic
studies
Recombinant tissue plasminogen activator (tPA) is used to produce localized
fibrinolysis by binding to the fibrin in the thrombi, and is the immediate
treatment for _____ _____. - CORRECT ANSWER-Ischemic stroke
,Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the
onset of an _____ stroke. - CORRECT ANSWER-ischemic
Anticoagulants and platelet inhibitors are contraindicated in patients with
_____ strokes. - CORRECT ANSWER-hemorrhagic
The main drug therapy for patients with _____ stroke is the management of
hypertension. - CORRECT ANSWER-hemorrhagic
The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the
spinal cord. - CORRECT ANSWER-primary injury
The _____ _____ of a spinal cord injury is from processes, such as ischemia,
hypoxia, hemorrhage, edema - CORRECT ANSWER-secondary injury
_____ _____ may occur shortly after acute SCI. It is characterized by loss of
deep tendon and sphincter reflexes, loss of sensation, and flaccid paralysis
below the level of injury. - CORRECT ANSWER-Spinal shock
_____ _____ involvement results in total loss of sensory and motor function
below the level of injury. - CORRECT ANSWER-Complete cord
_____ _____ involvement results in a mixed loss of voluntary motor activity
and sensation and leaves some tracts intact. - CORRECT ANSWER-Incomplete
cord
SCI at C1-C3 - CORRECT ANSWER-Often fatal; Movement in neck and above,
loss of innervation to diaphragm, absence of independent respiratory function
,SCI at C4 - CORRECT ANSWER-Sensation and movement in neck and above;
May be able to breathe without ventilator
SCI at C5 - CORRECT ANSWER-Full neck, partial shoulder, back, biceps; Gross
elbow, inability to roll over or use hands; ↓ Respiratory reserve
SCI at C6 - CORRECT ANSWER-Shoulder and upper back abduction and
rotation at shoulder; Full biceps to elbow flexion, wrist extension, weak grasp
of thumb; ↓ Respiratory reserve
SCI at C7-C8 - CORRECT ANSWER-All triceps to elbow extension, finger
extensors and flexors; Good grasp with some decreased strength; ↓
Respiratory reserve
SCI at T1-T6 - CORRECT ANSWER-Full innervation of upper extremities; Back,
essential intrinsic muscles of hand; Full strength and dexterity of grasp; ↓
Trunk stability, decreased respiratory reserve
SCI at T6-T12 - CORRECT ANSWER-Full, stable thoracic muscles and upper
back; Functional intercostal muscles, resulting in ↑ respiratory reserve
SCI at L1-L2 - CORRECT ANSWER-Varying control of legs and pelvis; Instability
of lower back
SCI at L3-L4 - CORRECT ANSWER-Quadriceps and hip flexors; Absence of
hamstring function, flail ankles
, CT scan is the preferred imaging study to diagnose the location and degree of
injury and the degree of _____ _____ _____. - CORRECT ANSWER-spinal
canal compromise
_____ is used to assess soft tissue injury, neurologic changes, unexplained
neurologic deficits, or worsening neurologic condition in SCI. - CORRECT
ANSWER-MRI
Goals immediately after _____ include maintaining a patent airway, adequate
ventilation/breathing, and adequate circulating blood volume (ABCs) and
preventing extension of spinal cord damage (secondary injury). - CORRECT
ANSWER-SCI
_____ allows the patient to move and ambulate while cervical bones fuse -
CORRECT ANSWER-Halo fixation device
One of the physically demonstrable symptoms of meningitis is _____ _____.
Severe neck stiffness causes a patient's hips and knees to flex when the neck is
flexed. - CORRECT ANSWER-Brudzinski's sign
Positive _____ sign is involuntary flexing of hips and knees (an involuntary
reaction to lessen the stretch on the inflamed meninges) - CORRECT
ANSWER-Brudzinski's sign
_____ _____ is a neuropsychiatric manifestation of liver disease. The
pathogenesis is multifactorial. It includes the neurotoxic effects of ammonia,
abnormal neurotransmission, astrocyte swelling, and inflammatory cytokines. -
CORRECT ANSWER-Hepatic encephalopathy