NCM 104 QUIZ - NEUROLOGIC
NAME: _KRISTIAN KARL B. KIW-IS___ SCORE: ____________
Matching type: Match the following manifestations in column A into what type of stroke are they
exemplified in Column B. Write your answers beside the number in Capital letters only.
A B
A 1. Commonly affecting the middle carotid artery A. Thrombosis
B 2. Occurs during active and peak hours B. Embolism
C 3. Most common cause of CVA C. Hemorrhagic
A 4. Characterize by severe headache
A 5. Develops during sleep or within an hour after arising
C 6. With rupture of blood vessels
A 7. Due to atherosclerosis
C 8. Unrelated to time and activity
B 9. With relative preservation of consciousness
C 10. Characterized by a rapid progression to coma
Identification:
__ high blood pressure _________1. The major risk factor of brain attack.
__ 0 to 10 mm HG; 15 mm HG (upper limit of normal)_________2. Normal ICP.
_Changes in LOC and Pupillary changes__________3. Earliest sign of increased ICP.
____ Mannitol_______4. A medication which decreases cerebral edema given in increased ICP.
__brain and spinal cord_________5-6. The central nervous system is composed of the _____________ &
______________.
____thrombus_______7. A blood clot attach to the wall of a cardiac chamber usually the endocardium.
____ confusion _______8. Warning sign of seizure.
___ Decerebrate postur________9. An abnormal posturing characterized by extension of extremities
with arms internally rotated indicative of brainstem damage.
__ Hemianopsia_________10. Half of visual field loss.
____aspiration_______11. Turning the patient to the side lying position post seizure will prevent
___________
__ petit mal seizures _______12. The type of seizure most often seen in children manifested by a period
of staring.
__ EEG , CT SCAN, MRI _________13. The most useful test in the diagnosis of seizure.
_ herpes simplex virus types 1 and 2, varicella zoster virus and enteroviruses __________14. The most
common cause of encephalitis.
__ Headache________15. The most common complication of a lumbar puncture procedure.
__ Coronary angioplasty__16. Management employed for a blood vessel stenosis to regain blood flow
and make the blood vessel patent.
_ plasminogen activator (t-PA)__________17. The drug of choice for thrombotic stroke usually given
within the 1st 3 hours after the onset of stroke.
___ Speech motor control ________18. Motor control of speech.
___ temporal lobe________19. Basing from the concept of localization, a patient post vehicular accident
experiences anosmia, what particular lobe of the brain is affected.
___ Glutamate________20. A neurotransmitter which modulates emotions, temperature, and pain
control.
Essay/ Rationalization/ Enumeration:
1. Increase fluid intake after the injection of a contrast medium.
Increase your fluid intake after an imaging exam involving an iodine-based contrast material to help
remove the contrast material from your body or help flush it out of your system
2. 3 contraindications in an MRI procedure.
Be aware that MRI can’t be performed on a patient with a pacemaker, intracranial aneurysm clip, or
other ferrous metal implants. Ventilators, I.V. infusion pumps, oxygen tanks, and other metallic or
computer based equipment must be kept out of the MRI area. Because metal can interrupt the MRI
procedure that could lead to inaccurate result which may also lead to the risk of the patient like the
pacemaker it might not function.
3. Providing a dark, quiet environment as a management for headache
Because providing a dark and quiet environment provides comfort measures and relieves the headache.
Dark quiet place area has less stressors.
4. Meals or foods are allowed to a patient who is to undergo EEG.
Do not eat or drink anything with caffeine in it for 12 hours before the test. This includes cola, energy
drinks, and chocolate because it may interfere the result of the test, inaccurate result.
5. Performing ROM in a stroke patient.
Range of Motion exercise provides benefits as an intervention to increase muscle strength in post-stroke
clients because exercise therapy is one way to speed the recovery of patients from paralysis and to
maintain muscle flexibility and strength, maintain joint mobility and prevent deformity, stiffness and
muscle contractures.
6. Explain the cause of cell death or cell function cessation in an obstructed cerebral blood flow
Lack of sufficient blood flow affects brain tissue and may cause a stroke. Often, the underlying cause of
an ischemic stroke is carotid arteries blocked. Once brain cells die, they cannot regenerate, and
devastating damage of constant blood flow to the brain that causes loss of neurological function.
7. Give 3 health teachings most appropriate for a patient who is to be discharge diagnosed of
epilepsy.
Take your medicine exactly as directed. Skipping doses can affect the way your body handles the
medicine, which could cause you to have a seizure.
Don’t drink alcohol or use any medicine without talking with your healthcare provider first.
Wear a medical alert pendant or bracelet that alerts others to your condition, especially if you
are allergic to seizure medicine.
8. Differentiate thrombolytic from anticoagulant therapy. What type of stroke is not indicative of
these types of medications and why?
Anticoagulants are used to treat and prevent blood clots that may occur in your blood vessels. Blood
clots can block blood vessels (an artery or a vein). A blocked artery stops blood and oxygen from getting
to a part of your body (for example, to a part of the heart, brain or lungs) while Thrombolytic therapy is
the use of drugs to break up or dissolve blood clots, which are the main cause of both heart attacks and
stroke. Thrombolytic therapy directly dissolves the thrombi and more rapidly reverses hemodynamic
instability than anticoagulant therapy
Hemorrhagic Stroke: Thrombolytic are not given to someone who is having a stroke that involves
bleeding in the brain. They could worsen the stroke by causing increased bleeding.
9. 2 methods of managing an aneurysm to prevent it from rupturing
Surgical clipping or endovascular coiling or a flow diverter can be used to seal off an unruptured brain
aneurysm and help prevent a future rupture.
10. You are walking along Session Road when a man suddenly complains of extreme headache “the
worst ever” according to him. Enumerate how are you going to assess him for a possible stroke
or CVA case or the 3 step to stroke recognition.
Assess the patient by asking the patient to repeat his own full name, his present location, and today's
date. Assess the patient by using the FAST (Face, Arm, Speech Test) mnemonics to confirm for a
possible stroke or CVA case
11. Discuss contralateral weakness and contralateral hemianesthesia.
Contralateral weakness are characterize by presentation of a lesion of the descending motor pathways
proximal to the decussation, in which the resulting limb weakness is on the side opposite to the brain
lesion. While contralateral hemianesthesia are Relating to or denoting the side of the body opposite to
that on which a particular structure or loss of sensation in either lateral half of the body.
