Neurological Practice Questions
Intracranial Pressure (ICP)
What are the 3 components of the brain that have an affect on ICP?
What is the range for a normal ICP?
How do you monitor ICP (what machine)?
CPP = ? - ?
What is the range for an adequate CPP?
How does the body autoregulate for a change in CPP?
What is the formula for MAP? Why do you divide by 3?
What factors affect cerebral blood flow (CBF) and WHY?
What position is best for a patient that has an increased ICP?
What about a patient's history will help you identify between an epidural and a subdural hematoma?
If the pressure in the brain is too high, what medications might the doctor prescribe or actions might he take? When do you think certain interventions will be most helpful?
What are the parts of Cushing's Triad?
What interventions do you take if you notice Cushing's Triad developing?
Describe the following signs, how they can be elicited, and what they are signs of: Battle's sign, Raccoon eyes, Brudzkinski's sighn, Kernig's sign.
At what time frame is ICP expected to increase the most?
Stroke
What is the difference between TIAs and RINDs?
What are signs/symptoms of strokes?
What are some of your first actions if a patient presents to your ER with s/s of a stroke?
What is the number 1 cause of TIAs?
What are the two main types of stroke?
How would you describe a carotid endartarectomy to a patient?
How does atrial fibrillation put a patient at risk for having a stroke? What can be done to prevent stroke in this patient?
After signs of a stroke present, how long may a thrombolytic be safely given?
You do a CT on your patient with a suspected stroke. Symptoms began 30 minutes ago. What will you notice on the scan as an indicator for an ischemic stroke? for a hemorrhagic stroke?
Why is a CT used for suspected stroke and not a MRI?
What is the reversal agent for Lovenox?
What is the reversal agent for Coumadin?
Why are the use of antihypertensive medications controversial among stroke patients?
What kinds of things will you evaluate a patient for before administering a thrombolytic? When giving a thrombolytic, what will you notify the physician for?
What is a subarachnoid hemorrhage?
What causes subarachnoid hemorrhage?
What is the treatment for aneurysms?
In a patient with a confirmed cerebral aneurysm, which precautions do you take?
What is the most problematic complication of SAH?
What is Triple H therapy? When is it used? How does it work?
What medication may be given to prevent vasospasm? What route is this medication given?
How will you tell if you patient is having a vasospasm?
What anti-seizure medication may be given for SAH?
What type of rehabilitation may be done for a stroke client?
What is the difference between hemiplegia, hemineglect, and hemiparesis?
What is the difference between receptive and expressive aphasia?
Spinal Cord
What is the difference between spinal shock and neurogenic shock?
Know what you would expect to see from patient with a variety of levels of injury (cervical, thoracic, lumbar)!
What is autonomic dysreflexia? What are s/s of autonomic dysreflexia? What actions would you take (and in which order) for autonomic dysreflexia?
Guillan-Barré
What is Guillan-Barré?
What are the s/s of Guillan-Barré?
What are the complications of Guillan-Barré?
Chronic Neurologic Problems
What two of the four diseases mentioned affect mostly women?
What are the 3 components of the brain that have an affect on ICP?
What is the range for a normal ICP?
How do you monitor ICP (what machine)?
CPP = ? - ?
What is the range for an adequate CPP?
How does the body autoregulate for a change in CPP?
What is the formula for MAP? Why do you divide by 3?
What factors affect cerebral blood flow (CBF) and WHY?
What position is best for a patient that has an increased ICP?
What about a patient's history will help you identify between an epidural and a subdural hematoma?
If the pressure in the brain is too high, what medications might the doctor prescribe or actions might he take? When do you think certain interventions will be most helpful?
What are the parts of Cushing's Triad?
What interventions do you take if you notice Cushing's Triad developing?
Describe the following signs, how they can be elicited, and what they are signs of: Battle's sign, Raccoon eyes, Brudzkinski's sighn, Kernig's sign.
At what time frame is ICP expected to increase the most?
Stroke
What is the difference between TIAs and RINDs?
What are signs/symptoms of strokes?
What are some of your first actions if a patient presents to your ER with s/s of a stroke?
What is the number 1 cause of TIAs?
What are the two main types of stroke?
How would you describe a carotid endartarectomy to a patient?
How does atrial fibrillation put a patient at risk for having a stroke? What can be done to prevent stroke in this patient?
After signs of a stroke present, how long may a thrombolytic be safely given?
You do a CT on your patient with a suspected stroke. Symptoms began 30 minutes ago. What will you notice on the scan as an indicator for an ischemic stroke? for a hemorrhagic stroke?
Why is a CT used for suspected stroke and not a MRI?
What is the reversal agent for Lovenox?
What is the reversal agent for Coumadin?
Why are the use of antihypertensive medications controversial among stroke patients?
What kinds of things will you evaluate a patient for before administering a thrombolytic? When giving a thrombolytic, what will you notify the physician for?
What is a subarachnoid hemorrhage?
What causes subarachnoid hemorrhage?
What is the treatment for aneurysms?
In a patient with a confirmed cerebral aneurysm, which precautions do you take?
What is the most problematic complication of SAH?
What is Triple H therapy? When is it used? How does it work?
What medication may be given to prevent vasospasm? What route is this medication given?
How will you tell if you patient is having a vasospasm?
What anti-seizure medication may be given for SAH?
What type of rehabilitation may be done for a stroke client?
What is the difference between hemiplegia, hemineglect, and hemiparesis?
What is the difference between receptive and expressive aphasia?
Spinal Cord
What is the difference between spinal shock and neurogenic shock?
Know what you would expect to see from patient with a variety of levels of injury (cervical, thoracic, lumbar)!
What is autonomic dysreflexia? What are s/s of autonomic dysreflexia? What actions would you take (and in which order) for autonomic dysreflexia?
Guillan-Barré
What is Guillan-Barré?
What are the s/s of Guillan-Barré?
What are the complications of Guillan-Barré?
Chronic Neurologic Problems
What two of the four diseases mentioned affect mostly women?
