CMCP Exam 4 UPDATED ACTUAL Exam
Questions and CORRECT Answers
Epilepsy - CORRECT ANSWER condition which exhibits recurrent seizure like activity
Seizure - CORRECT ANSWER - a hyper excitation of neurons of the brain leading to a
sudden, usually violent involuntary series of contractions of groups of muscles
- transient or acute
Causes of seizures - CORRECT ANSWER -Congenital abnormalities
-Perinatal injuries
-Metabolic and toxic disorders
-Head trauma
-Tumors
-Vascular diseases
-Infectious diseases
Seizures caused by congenital abnormalities - CORRECT ANSWER genetic or traumatic
abnormalities
Seizures caused by perinatal injuries - CORRECT ANSWER - maternal infection
- rubella
- hypoxia during delivery
- brain injury before or after birth
Seizures caused by metabolic and toxic disorders - CORRECT ANSWER - hypocalcemia
- hypoglycemia
- alcohol/ drug withdrawal (delerium tremors)
,Seizures caused by head trauma - CORRECT ANSWER damage can cause reoccurring
seizures
Seizures caused by tumors - CORRECT ANSWER - occur at any age, more specific to older
years
- result of space occupying lesions
- tumor takes up brain space
Seizures caused by vascular disease - CORRECT ANSWER - usually age related
- can result from any blood flow decrease to the brain
- brain tissue death
Seizures caused by infectious disease - CORRECT ANSWER - affects all age groups
- infectious bacterial meningitis
- herpes encephalitis
- measles (brain swelling)
Predisposing factors of seizures - CORRECT ANSWER - changes in cerebral blood flow
- flashing lights
- fatigue
- decreased physical health
- missed meals
- alcohol ingestion
- physical or emotional stress
Primary classification of seizures - CORRECT ANSWER - idiopathic
- no definite causative factor can be found (65%)
,- unknown cause
- epilepsy
Secondary classification of seizures - CORRECT ANSWER - demonstrates a probable cause
(35%)
- secondary to other condition (known cause)
Types of seizures - CORRECT ANSWER - Partial seizures (simple or complex)
- Generalized seizures
Partial seizures (focal seizure) - CORRECT ANSWER - involves on part of the brain
- consciousness preserved
- symptoms relate to part of brain affected
- may hallucinate
- may lead to generalized seizure
Simple partial seizure - CORRECT ANSWER - motor sensory or autonomic
- one limb or one side of body
Complex partial seizure - CORRECT ANSWER - last longer than simple
- causes birth injury, tumors, trauma
- impaired/ cloudy consciousness, mild amnesia
- incoherent speech
- turning of head
- shifting of eyes
- smacking of the lips
- twisting/ writhing movements of extremities
- one side of body, one side part of brain
, Grand mal generalized seizure - CORRECT ANSWER - occurs in 90% of people with
epilepsy
- generalized tonic-clonic seizures
- most common form
- equal in both sexes
- usually during puberty, can occur at any age
- 2-3 minutes in duration
- loss of consciousness
- total episode can last up to 2 hours
- tiring and disorienting
Petite mal generalized seizure - CORRECT ANSWER - absence seizures
- occurs in ages 3-15, decreases with age
- usually while patient is quiet (inactivity or just awakened)
- brief lapse of consciousness lasting 5-10 seconds
- no movement except cyclic blinking
- blank stare, twitching or rapid blinking
Status epilepticus generalized seizure - CORRECT ANSWER - seizure or repeated seizures
that persist for more than 1 hour
- one continuous seizure after another
- life threatening or cause serious brain damage
- death occurs 10% of time
- need to be put in medically induced coma to stop seizure
Prodromal phase of a seizure - CORRECT ANSWER - phase before seizure
- can have an aura (sign seizure is coming)
Questions and CORRECT Answers
Epilepsy - CORRECT ANSWER condition which exhibits recurrent seizure like activity
Seizure - CORRECT ANSWER - a hyper excitation of neurons of the brain leading to a
sudden, usually violent involuntary series of contractions of groups of muscles
- transient or acute
Causes of seizures - CORRECT ANSWER -Congenital abnormalities
-Perinatal injuries
-Metabolic and toxic disorders
-Head trauma
-Tumors
-Vascular diseases
-Infectious diseases
Seizures caused by congenital abnormalities - CORRECT ANSWER genetic or traumatic
abnormalities
Seizures caused by perinatal injuries - CORRECT ANSWER - maternal infection
- rubella
- hypoxia during delivery
- brain injury before or after birth
Seizures caused by metabolic and toxic disorders - CORRECT ANSWER - hypocalcemia
- hypoglycemia
- alcohol/ drug withdrawal (delerium tremors)
,Seizures caused by head trauma - CORRECT ANSWER damage can cause reoccurring
seizures
Seizures caused by tumors - CORRECT ANSWER - occur at any age, more specific to older
years
- result of space occupying lesions
- tumor takes up brain space
Seizures caused by vascular disease - CORRECT ANSWER - usually age related
- can result from any blood flow decrease to the brain
- brain tissue death
Seizures caused by infectious disease - CORRECT ANSWER - affects all age groups
- infectious bacterial meningitis
- herpes encephalitis
- measles (brain swelling)
Predisposing factors of seizures - CORRECT ANSWER - changes in cerebral blood flow
- flashing lights
- fatigue
- decreased physical health
- missed meals
- alcohol ingestion
- physical or emotional stress
Primary classification of seizures - CORRECT ANSWER - idiopathic
- no definite causative factor can be found (65%)
,- unknown cause
- epilepsy
Secondary classification of seizures - CORRECT ANSWER - demonstrates a probable cause
(35%)
- secondary to other condition (known cause)
Types of seizures - CORRECT ANSWER - Partial seizures (simple or complex)
- Generalized seizures
Partial seizures (focal seizure) - CORRECT ANSWER - involves on part of the brain
- consciousness preserved
- symptoms relate to part of brain affected
- may hallucinate
- may lead to generalized seizure
Simple partial seizure - CORRECT ANSWER - motor sensory or autonomic
- one limb or one side of body
Complex partial seizure - CORRECT ANSWER - last longer than simple
- causes birth injury, tumors, trauma
- impaired/ cloudy consciousness, mild amnesia
- incoherent speech
- turning of head
- shifting of eyes
- smacking of the lips
- twisting/ writhing movements of extremities
- one side of body, one side part of brain
, Grand mal generalized seizure - CORRECT ANSWER - occurs in 90% of people with
epilepsy
- generalized tonic-clonic seizures
- most common form
- equal in both sexes
- usually during puberty, can occur at any age
- 2-3 minutes in duration
- loss of consciousness
- total episode can last up to 2 hours
- tiring and disorienting
Petite mal generalized seizure - CORRECT ANSWER - absence seizures
- occurs in ages 3-15, decreases with age
- usually while patient is quiet (inactivity or just awakened)
- brief lapse of consciousness lasting 5-10 seconds
- no movement except cyclic blinking
- blank stare, twitching or rapid blinking
Status epilepticus generalized seizure - CORRECT ANSWER - seizure or repeated seizures
that persist for more than 1 hour
- one continuous seizure after another
- life threatening or cause serious brain damage
- death occurs 10% of time
- need to be put in medically induced coma to stop seizure
Prodromal phase of a seizure - CORRECT ANSWER - phase before seizure
- can have an aura (sign seizure is coming)
