Midterm Study Guide for Simucase “Dick”
The midterm for Neuro 2 is based on the Simucase “Dick,” a 69-year-old male who experienced
a stroke. There are 2 simulations that use Dick. You have been assigned the ASSESSMENT
simulation, not the intervention simulation. You will need to complete the Simucase in assessment
mode and obtain a score of 90% as part of the midterm. You may work on the simulation in either
LEARNING mode or ASSESSMENT mode as many times as you need to obtain the 90%, but you must
score 90% in the assessment mode for it to count towards your midterm grade (it will account for 20%
of your total score).
The rest of the midterm will be on Canvas during class on Tuesday, March 19th and will be
approximately 50 questions. You will have 1 hour to complete it. The majority of questions on the
midterm will be based on the simulation, although there are some general concepts that you will also be
responsible for knowing (refer to your previous assignments, lectures, and study guides). Questions
related to the simulation will focus on the information that was gathered during the simulation, and the
decisions and recommendations that you made regarding the client. Pay particular attention to WHY
something was done or NOT done and the rationale behind that decision. Remember to refer to your
chapter study guides and previous assignments for other important information that might apply to
Dick’s case.
The following questions are to serve as a study guide for the midterm, and to help guide you as you
work through the simulation:
GENERAL ASSESSMENT - Concepts you need to know that apply to the simulation
1. Medical terms and common abbreviations
Medical Terms
OS- left eye
OD - right eye
OU- oculus uterque (both eyes)
MCA-middle cerebral artery
s/p - status post
tPA - tissue plasminogen activator ( administered to stroke patients to break up a blood
clot and restore blood flow to the brain following a stroke)
ASA - acetylsalicylic acid (aspirin)
DVT - deep vein thrombosis (when a blood clot forms in a deep vein)
CRAO - central retinal artery occlusion (when one of the vessels that carry blood to your
eye’s retina gets blocked, it can cause you to lose your eyesight)
w/u - work up
CT - computerized tomography
CTA - coronary computed tomography angiography ( involves the use of CT scans and
an injected dye to develop computer-aided, 3-dimensional images of the artery
, HH - homonymous hemianopia (is vision loss on the same side- left or right- in both
eyes)
CVA - cerebral vascular accident (a stroke)
FU - follow-up
OCT - optical coherence tomography (test in which light waves take cross-section
pictures of your retina)
RNFL - retinal nerve fiber layer
GCL+IPL - Ganglion Cell Layer + Inner Plexiform Layer (analysis provides information
about optic neuropathy in the presence of papilledema)
ICA - internal carotid artery
MQ1 - MCA consists of four main branches, M1, M2, M3, and M4 (Damage to M1
causes contralateral hemiplegia -usually face and arm- and homonymous hemianopia)
ACA - anterior cerebral artery
PRN - as needed
- Distal sc: without correction
- Near cc: with correction
- HM: hand movements
- J1: test types for testing reading vision
- APD: afferent pupillary defect
- Oriented x3: oriented person, place, time
- Oriented x4: oriented person, place, time, and situation
- C/D Ratio: cup-to-disc ratio
Medication Profile Abbreviations
- ID-10: International Classification of Diseases, Tenth Revision
- w/o: without
- ACE inhibitor:Angiotensin-converting enzyme
- HMG CoA:hydroxy-3-methylglutaryl coenzyme A chemical compound
- XA inhibitors:
2. Cranial Nerves (name, number, function)
Cranial Nerves
Chart from quizlet information
*information added from class slides
CN I (1) Olfactory Sensory-smell
Innervates nose
*Important for both taste and smell
CN II (2) Optic Sensory- sight
Innervates eyes
CN III (3) Oculomotor Motor
The midterm for Neuro 2 is based on the Simucase “Dick,” a 69-year-old male who experienced
a stroke. There are 2 simulations that use Dick. You have been assigned the ASSESSMENT
simulation, not the intervention simulation. You will need to complete the Simucase in assessment
mode and obtain a score of 90% as part of the midterm. You may work on the simulation in either
LEARNING mode or ASSESSMENT mode as many times as you need to obtain the 90%, but you must
score 90% in the assessment mode for it to count towards your midterm grade (it will account for 20%
of your total score).
The rest of the midterm will be on Canvas during class on Tuesday, March 19th and will be
approximately 50 questions. You will have 1 hour to complete it. The majority of questions on the
midterm will be based on the simulation, although there are some general concepts that you will also be
responsible for knowing (refer to your previous assignments, lectures, and study guides). Questions
related to the simulation will focus on the information that was gathered during the simulation, and the
decisions and recommendations that you made regarding the client. Pay particular attention to WHY
something was done or NOT done and the rationale behind that decision. Remember to refer to your
chapter study guides and previous assignments for other important information that might apply to
Dick’s case.
The following questions are to serve as a study guide for the midterm, and to help guide you as you
work through the simulation:
GENERAL ASSESSMENT - Concepts you need to know that apply to the simulation
1. Medical terms and common abbreviations
Medical Terms
OS- left eye
OD - right eye
OU- oculus uterque (both eyes)
MCA-middle cerebral artery
s/p - status post
tPA - tissue plasminogen activator ( administered to stroke patients to break up a blood
clot and restore blood flow to the brain following a stroke)
ASA - acetylsalicylic acid (aspirin)
DVT - deep vein thrombosis (when a blood clot forms in a deep vein)
CRAO - central retinal artery occlusion (when one of the vessels that carry blood to your
eye’s retina gets blocked, it can cause you to lose your eyesight)
w/u - work up
CT - computerized tomography
CTA - coronary computed tomography angiography ( involves the use of CT scans and
an injected dye to develop computer-aided, 3-dimensional images of the artery
, HH - homonymous hemianopia (is vision loss on the same side- left or right- in both
eyes)
CVA - cerebral vascular accident (a stroke)
FU - follow-up
OCT - optical coherence tomography (test in which light waves take cross-section
pictures of your retina)
RNFL - retinal nerve fiber layer
GCL+IPL - Ganglion Cell Layer + Inner Plexiform Layer (analysis provides information
about optic neuropathy in the presence of papilledema)
ICA - internal carotid artery
MQ1 - MCA consists of four main branches, M1, M2, M3, and M4 (Damage to M1
causes contralateral hemiplegia -usually face and arm- and homonymous hemianopia)
ACA - anterior cerebral artery
PRN - as needed
- Distal sc: without correction
- Near cc: with correction
- HM: hand movements
- J1: test types for testing reading vision
- APD: afferent pupillary defect
- Oriented x3: oriented person, place, time
- Oriented x4: oriented person, place, time, and situation
- C/D Ratio: cup-to-disc ratio
Medication Profile Abbreviations
- ID-10: International Classification of Diseases, Tenth Revision
- w/o: without
- ACE inhibitor:Angiotensin-converting enzyme
- HMG CoA:hydroxy-3-methylglutaryl coenzyme A chemical compound
- XA inhibitors:
2. Cranial Nerves (name, number, function)
Cranial Nerves
Chart from quizlet information
*information added from class slides
CN I (1) Olfactory Sensory-smell
Innervates nose
*Important for both taste and smell
CN II (2) Optic Sensory- sight
Innervates eyes
CN III (3) Oculomotor Motor
