CMN 577 UNIT 2 EXAM QUESTIONS
AND ANSWERS
What is the triad of symptoms of normal pressure hydrocephalus? - Answer-gait
changes, altered thought processes, and urinary incontinence
What may be helpful in patients with normal pressure hydrocephalus? - Answer-
anticholinesterase inhibitors
CT scan of head is preferrable for possible stroke as an acute hemorrhage may not be
seen on MRI for up to __ hours - Answer-48
Ischemic stroke treatment must be initiated within ____ hours of onset of s/s - Answer-
4.5
Anti-coagulant therapy may include what meds for embolic stroke? What is the goal
INR? - Answer-ASA, Plavix, Aggrenox, and Coumadin
2-3
What drugs are FDA approved for the tx of non-valvular Afib? - Answer-Xarelto,
Pradaxa, and Eliquis
What med has the indication for hip or knee surgery and may be used to treat DVT -
Answer-Xarelto
Onset of Parkinson's is b/w __ and __ years of age - Answer-45-65
What are the hallmark features of Parkinson's? - Answer-tremor, rigidity, bradykinesia,
and postural instability
First symptom of parkinson's is usually what? - Answer-pill-rolling unilateral tremor-
absent during sleep- max. symptoms at rest- decrease with intention
What is the most disabling aspect of Parkinson's? - Answer-slowing
What is the most common tremor in the world? - Answer-essential tremor
Tx for essential tremor? - Answer-therapy, wrist weights, exercises, rest, and BBs.
Myosoline, neurontin, and botox if symptoms progress or do not respond to tx.
, What condition decreases the number of acetylcholine receptors and their effectiveness
- Answer-Myasthenia Gravis
What condition may be precipitated by some type of ear trauma? - Answer-Benign
Paroxysmal Positional Vertigo
What causes BPPV? - Answer-displacement of otoliths into the gelatinous capsule of
the semi circular canal
. The World Health Organization (WHO) defines old age as the chronological age of __
years or older in developed world countries - Answer-65
Changes of old age include: - Answer-loss of muscle and tissue mass, sagging skin,
increased risk for cancer and other illnesses, loss of cellular replication, and survival of
the fittest
When it comes to medical decision making, you must take certain factors into account,
such as: - Answer-the patient's prognosis, ability to function independently, and their
values/preferences
Functional decline is associated with what? - Answer-aging,injury, and illness
the majority of those who do present with complaints of memory loss have
______________ rather than mild cognitive impairment or dementia of some type. -
Answer-depression
There has to be short term memory impairment along with at least __ other factor such
as aphasia, apraxia, agnosia, or impaired executive function, in order to entertain the
idea of dementia according to Papadakis and McPhee - Answer-1
is a simple, three-word recall plus clock draw test that will provide initial screening for
memory impairment - Answer-mini-cog
The Mini-Cog consists of what? - Answer-3 unrelated words and the drawing of the
clock including setting the time
Scoring the Mini-Cog: - Answer-If the patient can recall all 3 words (apple, penny, table-
or 3 unrelated words of your choice) at the 3 minute mark, you can skip scoring the
clock. If the patient cannot remember ANY of the 3 words, then you have a positive test.
Recall of 1 to2 items would be considered normal and you must score the clock
drawing. The clock must be in a circle form, have the numbers labeled correctly, and the
hands (long and short) set in the correct positions
AND ANSWERS
What is the triad of symptoms of normal pressure hydrocephalus? - Answer-gait
changes, altered thought processes, and urinary incontinence
What may be helpful in patients with normal pressure hydrocephalus? - Answer-
anticholinesterase inhibitors
CT scan of head is preferrable for possible stroke as an acute hemorrhage may not be
seen on MRI for up to __ hours - Answer-48
Ischemic stroke treatment must be initiated within ____ hours of onset of s/s - Answer-
4.5
Anti-coagulant therapy may include what meds for embolic stroke? What is the goal
INR? - Answer-ASA, Plavix, Aggrenox, and Coumadin
2-3
What drugs are FDA approved for the tx of non-valvular Afib? - Answer-Xarelto,
Pradaxa, and Eliquis
What med has the indication for hip or knee surgery and may be used to treat DVT -
Answer-Xarelto
Onset of Parkinson's is b/w __ and __ years of age - Answer-45-65
What are the hallmark features of Parkinson's? - Answer-tremor, rigidity, bradykinesia,
and postural instability
First symptom of parkinson's is usually what? - Answer-pill-rolling unilateral tremor-
absent during sleep- max. symptoms at rest- decrease with intention
What is the most disabling aspect of Parkinson's? - Answer-slowing
What is the most common tremor in the world? - Answer-essential tremor
Tx for essential tremor? - Answer-therapy, wrist weights, exercises, rest, and BBs.
Myosoline, neurontin, and botox if symptoms progress or do not respond to tx.
, What condition decreases the number of acetylcholine receptors and their effectiveness
- Answer-Myasthenia Gravis
What condition may be precipitated by some type of ear trauma? - Answer-Benign
Paroxysmal Positional Vertigo
What causes BPPV? - Answer-displacement of otoliths into the gelatinous capsule of
the semi circular canal
. The World Health Organization (WHO) defines old age as the chronological age of __
years or older in developed world countries - Answer-65
Changes of old age include: - Answer-loss of muscle and tissue mass, sagging skin,
increased risk for cancer and other illnesses, loss of cellular replication, and survival of
the fittest
When it comes to medical decision making, you must take certain factors into account,
such as: - Answer-the patient's prognosis, ability to function independently, and their
values/preferences
Functional decline is associated with what? - Answer-aging,injury, and illness
the majority of those who do present with complaints of memory loss have
______________ rather than mild cognitive impairment or dementia of some type. -
Answer-depression
There has to be short term memory impairment along with at least __ other factor such
as aphasia, apraxia, agnosia, or impaired executive function, in order to entertain the
idea of dementia according to Papadakis and McPhee - Answer-1
is a simple, three-word recall plus clock draw test that will provide initial screening for
memory impairment - Answer-mini-cog
The Mini-Cog consists of what? - Answer-3 unrelated words and the drawing of the
clock including setting the time
Scoring the Mini-Cog: - Answer-If the patient can recall all 3 words (apple, penny, table-
or 3 unrelated words of your choice) at the 3 minute mark, you can skip scoring the
clock. If the patient cannot remember ANY of the 3 words, then you have a positive test.
Recall of 1 to2 items would be considered normal and you must score the clock
drawing. The clock must be in a circle form, have the numbers labeled correctly, and the
hands (long and short) set in the correct positions
