Neurology Review #1
Kayla Scott Neurology Review #1
Midterm Study Guide
Anatomy of the Brain
Match the area of the brain with it's corresponding function.
Cerebrum
Visual Association
Conscious thought, personality, intellectual functions.
Pariental Lobe
Connects brain to spinal cord.
Occipital Lobe
Includes thalamus + hypothalamus. Controls sleep, temp regulation, and emotional response.
Cerebellum
Reticular Activating System (RAS)
Primary sensory functions.
Runs laterally, responsibel for sending and receiving messages to cerebral cortex.
Pons
Respiratory, cardiac, and vasomotor control center.
Medulla Oblongata
Diencephalon
Balance and coordination.
Acetylcholine is the chemical mediator in
The parasympathetic response
The sympathetic response
The response to low BGL's
A stoke
Which is the 10th (x) cranial nerve?
Hypoglossal
Facial
Zygomatic
Vagus
This nerve originates in the _____ ______ and controls the diaphragm.
Hint: "C3,4, and 5 keep you alive"
Sacrum
Cervical
Coccyx
Lumbar
Which is NOT a classification of strokes?
Embolic
Ischemic
Hemorrhagic
TIA
Choose the nerve disorder that is characterized by ascending paralysis.
Hopkins
Huntingtons
Guillain-Barre
MS
Diazepam is a drug classified as a
Tricyclic Antidepressant (TCA) overdoses can be treated with
Select the medication that is NOT a benzodiazepine.
Lorazepam
Ativan
Midazolam
Versed
Ketamine
Valium
Choose the disorder and corresponding nerve that can mimic symptoms of a stroke.
Painful facial paralysis is not associated with strokes
Match the correct terms to the acronym for a stoke assessment.
I modified this to help me with ALOC in general.
B
Arm drift
Time (last seen normal) and temperature (rule out sepsis)
E
Balance, Blood Sugar, Blood Thinners
F
A
Facial droop
Eyes, blurred vision, pinpoint pupils, PEARLA
S
T
Speech
Which is NOT a sign on ICP?
Increased respiratory rate
Decreased HR
Decreased LOC
Increase in BP
Vomiting
Sandra is 72 years old. She is picking her dog up from the vet office. The offices called 9-11 because she, "just doesn't seem right" and reports she thinks someone is following her.
AX04, GCS 15
Patient has no complaints.
1 instance of slight unsteady gait while walking down the stairs.
Patient reports no history other than her husband dying 4 months ago. She reports she lives in the independent wing of a retirement community.
List all your differentials:
BP, HR, and SPO2 are unremarkable.
What are your next steps?
12 lead is negative.
Sandra's blood sugar is 502.
She refuses transport unless she can bring her dog.
What are your next steps?
Define SLUDGE
Exposure to this gas can cause massive vasodilation due to increases in nitric acid. It binds with hemoglobin preventing the transport of 02.
Exposure to this gas prevents ATP production and forces anaerobic cellular metabolism.
Hint: Bitter almond smell
Aspirin, Pepto-Bismol, Bengay, and Icy Hot can cause which type of poisoning?
How much Acetaminophen is considered toxic?
This autonomic response is dominant in stressful situations.
Parasympathetic Response
Sympathetic Response
Central Nervous System
Joe hates public speaking but has to give a presentation for work. He can feels like he is going to pass out and is nauseous. What kind of response is this?
A sign to get a new job
Sypathetic Response
Parasympathetic Response
ALOC is often the first indicator of decreased perfusion.
True
False
Which group of drugs are used to treat seizures?
Ativan, Citalopram, Darvocet
Klonopin, Depakote, Phenobarbital
Oxybuynin, Zomid, Darvocet
Which medication is not indicated for Migraines?
Imitrex
Midrin
Zomig
Meperidine
To differentiate a syncopal episode vs seizure you may assess for:
Choose all that apply!
Lateral tongue lacerations
Postictal
Aura
Incontinence
