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Acute Exam 5 Flashcards | StudBud
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Acute Exam 5
Acute Exam 5
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StudBud Administration
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Acute Exam 5, covering Acute Neuro II and Acute Psych.
Flashcards
24 cards
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Practice quiz
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Questions
24
Answers
1
The Ant. Corticospinal tract is the motor tract for the ____ while the Lat. Corticospinal tract is the motor for ______
Ant = Face, Lat = UE/LE
Ant = UE/LE, Lat = Face
Ant = Trunk, Lat = UE/LE
Ant = UE/LE, Lat = Trunk
2
Which is the reasonable first choice?
D
B
A
C
3
Which of the following is the permissive hypertension within 24 hours following an ischemic stroke? (No thrombolytics)
220/120
190/105
180/110
200/100
4
After a car crash, a pt can't comprehend EMS, but speaks incoherent, fluent sentences. What area is affected?
Broca's Area
Wernicke's Area
Primary Auditory Area
Primary Motorcortex
5
What is number 3?
Caudate Nucleus
Internal Capsule
Globus Pallidus
Putamen
6
A pt presents to the ED with ataxia and confusion. Their partner admits the pt has alcohol use disorder. Best treatment?
Check Bloodwork
Start IV Thiamine
X-Ray their leg
Start Oral Thiamine
7
A baseball pitcher is hit in the head by a line drive. The impact damages his hippocampus. He could develop ______.
Retrograde Amnesia
Anterograde Amnesia
Broca's Aphasia
Total Amnesia
8
Lamotrigine is commonly used in management of BPD. What is one of its Black Box Warnings?
Internal Bleeding
SJS
Nausea
Vomitting
9
What fissure is labeled by the yellow arrow?
Temporal Fissure
Occipito-parietal Fissure
Longitudinal Fissure
Lateral Fissure
10
A pt presents without the ability to speak fluently, but she can comprehend your questions. What lobe is affected?
Temporal
Occipital
Frontal
Parietal
11
What is the best definition of "affect" in a mental status exam?
Ability to carry out intentional motor tasks.
Ability to focus in any circumstance.
Objective Observation of emotional state by the physician.
Subjective report of emotional state by the patient.
12
Post COVID, a 78 year old has normal CSF flow in the ventricular system, but impaired reabsorption at arachnoid villi.
He has a Non-Communicating hydrocephalus
He has a Communicating hydrocephalus
He has a Normal pressure hydrocephalus.
13
You perform a seated Kemp's test at L4. Select ALL of the involved motions.
Extension
Rotation & Sidebending are opposite
Sidebending Same Side
Flexion
Rotation Same Side
14
A 62 y/o woman with history of afib, htn, & hlp presents with weakness of right lower body. What is the best diagnosis?
Left Side Ischemic Stroke of the Middle Cerebral Artery
Right Side Ischemic Stroke of the Anterior Cerebral Artery
Left Side Ischemic Stroke of the Anterior Cerebral Artery
Right Ischemic Stroke of the Middle Cerebral Artery
15
I am capable of doing well on this exam. I am becoming a great physician.
True
False
16
Gist: Very Long history of depressed mood & more.
D, ECT
B, Pyschoanalysis
C, SSRI's + CBT
A, Interpersonal Psychotherapy
17
A pt. had an ischemic stroke 2 hours ago from last known well. BP is 195/115, glucose is 90mg/dL. Can you give them tPA?
Yes. Everything is in range.
No. BP is not in range.
No. Glucose is not in range.
No. The time interval is too short.
18
You decide to perform HVLA on a pt's L4. They are restricted in Extension, SB right, and more ease with left rotation
The Patient's Dx is: L4ERRSL
The Patient's Dx is: L4FRRSR
The Patient's Dx is: L4ERLSL
The Patient's Dx is: L4FRLSL
19
A pt has a lesion BELOW the medulla. They have lost sensation in their left lower limb. Which tract was affected?
Left Gracile Fasciculus
Right Gracile Fasciculus
Right Cuneate Fasiculus
Left Cuneate Fasciculus
20
Guillan-Barre causes _____ paralysis while Botulism causes _______ paralysis.
Ascending, Descending
Descending, Descending
Ascending, Ascending
21
A 25 year old woman has had repeated cycles of mania and depression and expresses suicide ideation. She likely has___
BP 2
PTSD
MDD
BP 1
22
Select the best choice
C
D
A
B
23
Which is the most modifiable risk factor for stroke?
Hypertension
Diabetes
Smoking
A-fib
24
A patient with depression is taking Imipramine. What is a potentially fatal side effect of this drug?
SJS
QT prolongation
Blood clots
Fatal Birth defects
