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WorksheetsCNS Disorders
Total questions: 165
Worksheet time: 1hrs 25mins
Other names for Bell's palsy
facial nerve palsy
poliomyelitis
Cerebral Palsy
Screening methods and tests used to diagnosis myasthenia gravis include?
1)The clinical presentation and history
2)Bedside tests
3)Immunologic studies
4)Electrodiagnostic studies
5)The evaluation of conditions associated with myasthenia gravis.
1, 4
1, 2, 4, 5
1, 2, 5
1, 2, 3, 5
All the above
Impairment in deep breathing and coughing predispose the patient to?
1) excessive bronchial secretions
2) Chronic coughing episodes
3) Pneumonia
4) Atelectasis
1, 2, 3
1, 2 4
1, 3, 4
1, 4
All the above
Bedside Diagnostic Tests for assisting with the diagnosis of Myasthenia Gravis(Choose all that are correct)
Edrophonium (Tensilon) Test
Cardiac stress test
Electrodiagnostic studies
Differential diagnosis
optometry evaluation
Which of the following organs have a role in the pathophysiology of myasthenia gravis?
Heart
Thymus
Liver
Kidney
What is the effect of acetylcholine on your heart rate?
Decreases it
Increases it
Doesn't effect heart rate
What is the first line treatment for MG?
Tacrolimus
Cyclophosphamide
Thymectomy
Pyridostigmine
Which of the following medications has a black box warning for worsening muscle weakness in patients with MG?
Ciprofloxacin
Prednisone
Magnesium
Azathioprine
Which age has the higher peak of presentation?
10-20 years
40-50 years
50-60 years
70-80 years
Which of the following is not a risk factor for myasthenia gravis?
Thymoma
Female
Epstein-Barr infection
Lung cancer
Which of the following is the organ responsible of central tolerance in the immune system?
Liver
Thymus
Spleen
Lymph nodes
Which of the following is usually the first-line medication in patients with MG?
Ambenonium chloride
Pyridostigmine bromide
Prednisolone
Azathioprine
After 8 months without symptoms, the patient comes back to the ER presenting severe weakness, you decide to start (select all that apply):
Plasma exchange
Intensive care
Rituximab
Cyclosporine
Caused by an antibody against the acetylcholine receptor
Fibrodysplasia ossificans progressiva (FOP)
Myasthenia gravis
Rhabdomyolysis
Amyotrophic Lateral Sclerosis
Patients often experience unilateral (one sided) eyelid dropping that worsens later in the day
Rhabdomyolysis
Amyotrophic lateral sclerosis (ALS)
Cerebral palsy
Myasthenia gravis
Often causes double vision
Rotator cuff tear
Cerebral palsy
Myasthenia gravis
Tetanus
What causes Myasthenia Gravis
Extreme lack of protein consumption
Transmitted through mosquito bites
Antibodies that interfere with the transmission of acetylcholine
High levels of uric acid in the blood stream
Which is NOT something that a doctor would check for in order to diagnose someone with Myasthenia Gravis?
Kidney funtion
Balance
Muscle strength
Reflexes
Some first signs of Myasthenia Gravis are all EXCEPT....
Eye weakness
Slurred speech
Difficulty breathing
Fever
Is Myasthenia Gravis contagious?
Yes
No
What part of the body does this disease NOT affect?
Face
Throat
Neck
large intest
Which system(s) is affected by Myasthenia Gravis?
Digestive system
Muscular/nervous system
Lymphatic system
Cardiac/circulatory system
What type of muscle is voluntary?
Skeletal
Cardiac
Smotth
Which nervous system disease may result in movement, cognitive and behavioral disorders?
Huntington Disease
Neurofibromatosis
ALS
Multiple Sclerosis
Amyotrophic lateral sclerosis (ALS) leads to a gradual loss of higher brain functions.
True
False
Identify the disorder: symptoms include...
ALS
Multiple Sclerosis
Alzheimer's Disease
Bell's Palsy
Diseases of the brain, spine, and nerves. They're also called nervous system diseases.
neurological disorders
lesions
tumors
Radiologists
radiologic technologists
Which of the following is a progressive neurologic disorder characterized by degeneration of upper and lower motor neurons?
Amyotrophic lateral sclerosis
Duchenne muscular dystrophy
Myotonic dystrophy
Emery-Dreifuss muscular dystrophy
Which of the following is a disease in which patients may have facial wasting, hypotonia, an arched palate with progressive weakness that begins in the distal muscles?
Amyotrophic lateral sclerosis
Duchenne muscular dystrophy
Myotonic dystrophy
Emery-Dreifuss muscular dystrophy
This disease is also called Lou Gehrig's Disease and is a progressive degeneration of nerve cells that control motor movement.
Atriovenous Malformations (AVM)
Multiple Sclerosis (MS)
Amyotrophic Lateral Sclerosis (ALS)
Loss of coordination and muscle movement is called:
Dyskenesia
Ataxia
Myoclonic Movements
Dystonia
This disease is also called Lou Gehrig's Disease and is a progressive degeneration of nerve cells that control motor movement.
Atriovenous Malformations (AVM)
Multiple Sclerosis (MS)
Amyotrophic Lateral Sclerosis (ALS)
This disease is an inherited condition in which nerve cells in the brain break down over time causing twitching, tremors, and eventually death.
ALS
Huntington's Disease
Parkinson's Disease
MS
What is the typical age of onset for ALS?
20s
30s
40s
50s +
What major league baseball team did Lou Gehrig play for?
Washington Nationals
Boston Red Sox
New York Yankees
Minnesota Twins
What does Amyotrophic translate to in Greek?
No muscle nourishment
Muscle weakening
Inflammation of muscle
No joint movement
What type of disease is ALS?
A motor neuron disease
A sensory neuron disease
A muscle disease
Afferent neuron disease
unilateral weakness & paralysis of facial muscles of eyelid, cheek & lip due to inflammation of facial nerves- unknown cause. Recover usually occurs within several weeks. treated with corticosteroids. no other neuro impairments noted.
Parkinson's disease
Bell's Palsy
Multiple Sclerosis
Amyotrophic Lateral Sclerosis
What is expressive aphasia
neurologic impairment of person's ability to speak
neurologic impairment of ability to
understand spoken and written language
nerve pain
double vision
A child who inherits a mutant HTT gene always shows symptoms at the same age as their parent.
True
False
What part of a person's body breaks down due to HD?
Nerve cells in the brain
Bone marrow
White blood cells
Arteries
When do the symptoms of Huntington's appear?
0 - 10 years old
10 - 30 years old
30 - 50 years old
50 - 70 years old
If one of your parents has Huntington's, what is your chance of inheriting it?
0%
25%
50%
75%
100%
What is the cure for Huntington's?
Chemotherapy
Physical therapy
A blood transfusion
No cure
Which of the following is the best way to suppress symptoms of HD?
Physical and speech therapy
Have a healthy diet
Sleeping and resting
Exercising and staying active
How can you get Huntington's Disease?
Environmental problems
Passed through the air
Inherit it from a parent
Problems during pregnancy
What does Huntington's Disease affect? Choose the best answer.
Sight
Hearing
Physical and mental abilities
What does the Huntington Disease affect?
Heart
Blood
Bones
Brain
The mutation in what gene causes the Huntington's Disease?
BRAC
Huntingtin
HFE
ABO
What is not a symptom of having the Huntington's Disease?
passing out
emotional problems
loss of speech
lack of coordination
How is the Huntington's Disease passed on
from physical contact
from grandparents
from parents
all of the above
Men are more affected by the Huntington's Disease than women?
False
True
What causes people to slowly die?
damage brain cells
brain cancer
brain shrinking
brain enlarging
What movement impairment is most associated with Huntington's Disease
Chorea
Rigidity
Resting tremor
Akinesia
Increased concentration decreases the severity of abnormal movements in patients with HD.
True
False
Parkinson's disease is a ....................... disorder
degenerative
deficiency
metabolic
neoplastic
Which of the following symptoms would lead to a diagnosis of parkinson's disease
Tremor
Rigidity
Postural instability
All of the above
Which gender is more likely to get PD
Male
Female
What causes parkinson's
Sensory neuron death
Motor neurones apathy
Decreased acetylcholine
Loss of dopamine producing cells
Can parkinson's disease be cured
Yes
No
Can be controlled(reduced)
What is the age range for onset of parkinson's disease
0-12
13-28
29-45
55-69
Which of the following is a symptom of parkinson's disease
Fast speaking
Hyper activity
Bradykinesia(slow movement)
Changes to levels of _____ and _____ have key roles in parkinson's disease
Dopamine,acetylcholine
Serotonin,acetylcholine
Dopamine,melatonin
Dopamin,serotonin
Which of the following best characteristic of parkinson's disease
Deterioration in the myelin sheath
Memory loss
Deterioration of dopamine-releasing neuron
Immune system breakdown
Parkinson's disease is only seen in people of advanced age
True
False
Which of the following symptoms would lead to a diagnosis of parkinson's disease
Tremor
Rigidity
Postural instability
All of the above
Parkinson's disease is .......................................disorder
progressive
chronic
degenerative
all the above
What causes parkinson's
Sensory neuron death
Motor neurones apathy
Decreased acetylcholine
Loss of dopamine producing cells
The leading treatment for PD is
Carbidopa-levodopa
Cardipoda-levopoda
Carbinova-levopada
Carbonipa-levadopa
Who is the actor who funded a well-known foundation to find a cure for parkinson's disease
Elvis presley
Michael jordan
Michael J.Fox
Muhammad Ali
Which of the following is an early symptom of parkinson's disease
Speech changes
Tiredness
Mood swings
All of the above
Can dopamine cross the bloodbrain barrier
Yes
No
Amantadine (stimulates the release of dopamine - only available as generic)
Parkinson
Alzheimer's
Multiple Sclerosis
Migraines
Benztropine (Cogentin)
Parkinson
Alzheimer's
Multiple Sclerosis
Migraines
Levodopa - Carbidopa (Sinemet)
Parkinson
Alzheimer's
Multiple Sclerosis
Migraines
Which nervous system disease is characterized by memory loss, confustion, and the gradual loss of control over mental and physical abilities?
Multiple Sclerosis
Alzheimer's Disease
Huntington's Disease
Parkinson's Disease
A stroke may cause
brain cells to die
paralysis
loss of normal functions
all of the above can be caused by a stroke
Which nervous system disease is associated with uncontrolled shaking, slowed movements, and problems with speaking?
Multiple Sclerosis
Parkinson's Disease
Alzheimer's Disease
Huntington's Disease
In which of the following nervous system disorders do nervous tissues degenerate?
Alzheimer's Disease
Amyotrophic Lateral Sclerosis
Both of the above
None of the above
Which nervous system disease may result in movement, cognitive and behavioral disorders?
Huntington Disease
Neurofibromatosis
ALS
Multiple Sclerosis
Which neurological disorder is characterized by abnormal brain activity causing seizures?
Cerebral Palsy
Epilepsy
Encephalitis
Parkinson's Disease
A brain tumor is a mass or growth of abnormal cells that can only originate in your brain.
True
False
Nervous tissue may degenerate or break down.
True
False
Amyotrophic lateral sclerosis (ALS) leads to a gradual loss of higher brain functions.
True
False
Which are the treatments for Parkinson's?
Surgery
Dopamine Promoter
Physical Therapy
Speech Therapy
All of the Above
What type of surgery is used to regulate abnormal nerve signals in the brain for Parkinson's?
Neuroendoscopy
Deep Brain Stimulation
Craniotomy
Biospy
Which of the following are the symptoms of parkinson's disease?
Shaking
Paralysis
Seizures
Hypotension
Mental Disorders
This is a collective term referring to a class of extrapyramidal diseases where the primary deficit is akinesia or hypokinesia
Chorea
Parkinson Syndrome
Resting Tremor
Cerebellar Ataxia
The cardinal signs of Parkinson's disease will include the following EXCEPT
bradykinesia
weakness
resting tremor
rigidity
Poverty of movement, reaction time delay and slow execution.
tremor
akinesia
Bradykinesia
festination
Increased muscle tone (plastic type) without significant loss of muscle power and increase in tendon reflexes.
tremor
rigidity
festination
bradykinesia
Paralysis/weakness on the right side of the body indicates:
Left hemisphere stroke
Right hemisphere stroke
The primary factor influencing the manifestations of a CVA is the?
Speed of onset of the CVA
Area of the brain affected
Amount of brain tissue affected
Type of CVA the patient experienced
hypertension is the most common cause of what kind of stroke?
hemorrhagic
ischemic
volemic
ataxic
25% of TIAs, or transient ischemic attacks can progress to stroke
true
false
This disease is also called Lou Gehrig's Disease and is a progressive degeneration of nerve cells that control motor movement.
Atriovenous Malformations (AVM)
Multiple Sclerosis (MS)
Amyotrophic Lateral Sclerosis (ALS)
A chronic nervous system disease characterized
by a slowly spreading tremor, muscular
weakness, and rigidity
epilepsy
muscular dystophy
Parkinson's disease
meningitis
Neurologic disorder which affects motor neurons leading to progressive weakness, fatigue of arms/legs, and muscle twitches.
Epilepsy
Muscular dystrophy
ALS
Alzheimer's
Autoimmune disorder which destroys the myelin sheath
Epilepsy
Multiple sclerosis
ALS
Parkinson's
Hemiplegia and aphasia characterize those patients who have experienced a ________.
concussion
cerebrovascular accident (CVA), or stroke
contusion
cerebral edema
Which disease is a progressive, degenerative disease of the brain that ultimately results in dementia and is associated with a shortage of acetylcholine? (A Closer Look, pages 253-254)
Parkinson's disease
Alzheimer's disease
Huntington's disease
cerebral palsy
Which of the following brain dysfunctions is also known as a stroke?
cerebrovascular accident (CVA)
Alzheimer's disease
aphasia
cerebral edema
Parkinson's disease
bleeding from ruptured vessels (death may occur)
concussion
cerebral edema
intracranial hemorrhage
contusion
a one-sided paralysis
cerebrovascular accident
hemiplegia
aphasia
intracranial hemorrhage
a common result of damage to the left cerebral hemisphere, where the language areas are located
cerebrovascular accident
hemiplegia
aphasia
intracranial hemorrhage
restriction of blood flow (incomplete stroke)
cerebrovascular accident
hemiplegia
transient ischemic attack
intracranial hemorrhage
A group of brain disorders characterized by repeated seizures over time
epilepsy
dementia
meningitis
cerebral palsy
A disorder characterized by loss of function below
the neck
epilepsy
paraplegia
quadriplegia
meningitis
A condition involving a progressive loss of brain
function with major consequences for memory,
thinking, and behavior
epilepsy
multiple sclerosis
dementia
Alzheimer's disease
death of brain tissue that occurs when an arterial blockage or arterial rupture prevents blood flow to the brain; also called a stroke
amyotrophic lateral sclerosis (ALS)
multiple sclerosis
cerebrovascular accident (CVA)
vertigo
a temporary loss of consciousness due to inadequate blood flow to the brain; fainting
syncope
blepharitis
myopia
vertigo
Loss of coordination and muscle movement is called:
Dyskenesia
Ataxia
Myoclonic Movements
Dystonia
Which of these is not a symptom of stroke?
Facial Drooping
Slurred or Garbled Speech
Pallor
Confusion and Aggitation
This is a temporary interference with the blood supply to the brain.
Stroke
Aneurysm
Transient Ischemic Attacks
ALS
This disease is also called Lou Gehrig's Disease and is a progressive degeneration of nerve cells that control motor movement.
Atriovenous Malformations (AVM)
Multiple Sclerosis (MS)
Amyotrophic Lateral Sclerosis (ALS)
This disease is an inherited condition in which nerve cells in the brain break down over time causing twitching, tremors, and eventually death.
ALS
Huntington's Disease
Parkinson's Disease
MS
What items are included in seizure precautions
Suction
non-rebreather O2
ambu bag
suction catheters
non-rebreather O2
bag
suction cannister
non-rebreather O2
bag mask
Suction
non-rebreather O2
meds
Classification of Seizures includes these 3 things.....
where it begins in brain
how long it lasts
other features
where it begins in brain
level of awareness
other features
where it begins in brain
how long it lasts
what it looks like
where it begins in brain
which side of the body is involved
other features
Three types of rescue medications we use are:
Depacon
Keppra
Ativan
Depacon
Keppra
Phenobarbital
Diastat
Versed
Ativan
Diastat
Keppra
Ativan
Two things to include in Seizure first aid teaching are:
no bathing unsupervised
&
no heights
No bathing
&
no skydiving
No Baths
&
no sleep
No showers
&
no playgrounds
You should always restrain the patient during a seizure
TRUE
FALSE
You should place a tongue depressor in the patient's mouth during a seizure
ALWAYS
NEVER
A short exam during a seizure that includes asking the patient to remember a code word and to follow commands is called a ....
post-ictal exam
pre-ictal exam
ictal exam
icky exam
Is it possible to catch epilepsy from another person?
Yes
No
There is only one type of seizure.
True
False
All types of epilepsy can be controlled.
True
False
There are ways to control people's seizures.
Yes
No
In diagnosing seizure disorder, which of the following is the most beneficial?
Brain CT scan
Skull XRAY
Lumbar puncture
Electro -encephalogram
(EEG)
What type of seizure affect only a person's awareness of what is going on at that time, with immediate recovery?
Absent Seizure
Cognitive delays
Myoclonic Seizure
Complex Partial Seizure
Tatiana has a seizure disorder; which of the following would be the lowest priority when caring for her?
Assessing for signs and symptoms of increased intracranial pressure (ICP).
Educating the family about anticonvulsant therapy
Observing and taking down data on all seizures
Assuring safety and protection from injury
What is the common cause seizure in children?
Peer pressure
Drug and alcohol abuse
Hormon related changes
Febrile Seizure
A nurse is giving discharge instructions to a client who will be taking phenobarbital (Luminal). The nurse would educate the client in which of the following that directly correlates with the safety of the client?
Take the medication with meals only
Avoid caffeine and caffeine containing food
Take the medication at the same time each day
Avoid using sleep aids while taking the medication
PHASES OF SEIZURE
POSTICTAL
ICTAL
AURA
PRODROMAL
ALL OF ABOVE
A person with epilepsy may experience seizures.
True
False
In a seizure, convulsions may occur. Convulsions are _____ body movements.
Controlled
Uncontrolled
An aura may happen before or after a seizure?
Before
After
Some seizures, like for those with a history of seizures or short lasting seizures, are not necessary to call 9-1-1 for. You should always call 9-1-1 though if a seizure?
The person is unresponsive after the seizure
The seizure happened in water
Lasts more than 5 minutes
This is the person's first seizure
Is a person is known to have seizures and it lasts for 1 minute.
DO NOT hold a person down during a seizure or put anything in their mouth. DO time the seizure, move furniture away from them, let the seizure run it's course and call 9-1-1 if necessary.
True
False
The MOST significant risk factor for a hemorrhagic stroke is:
severe stress.
hypertension.
heavy exertion.
diabetes mellitus.
Which of the following conditions would be the LEAST likely to mimic the signs and symptoms of a stroke?
Hypoglycemia
Hypovolemia
A postictal state
Intracranial bleeding
When caring for a patient with documented hypoglycemia, you should be MOST alert for:
a seizure.
an acute stroke.
violent, explosive diarrhea.
a febrile convulsion.
Which of the following is a metabolic cause of a seizure?
Poisoning
Head trauma
Brain tumor
Massive stroke
Febrile seizures:
often result in permanent brain damage.
are also referred to as absence seizures.
are usually benign but should be evaluated.
occur when a child's fever rises slowly.
Are Motor Seizures a form of Partial Epilepsy or Generalized Epilepsy
Generalized Epilepsy
Partial Epilepsy
Are Autonomic Seizures a form of Partial Epilepsy or Generalized Epilepsy
Generalized Epilepsy
Partial Epilepsy
True or False?
You can swallow your tongue during a seizure
True
False
True or False?
You should force something into the person’s mouth during the seizure
True
False
Are Clonic Seizures a form of Partial Epilepsy or Generalized Epilepsy
Generalized Epilepsy
Partial Epilepsy
True or False?
You can die from epilepsy
True
False
Are Sensory Seizures a form of Partial Epilepsy or Generalized Epilepsy
Generalized Epilepsy
Partial Epilepsy
Generalized Epilepsy is when....
partial awareness is maintained
abnormal electrical activity causes a seizure to begin in both halves of the brain
partial epilepsy
True or False?
You should always turn the person seizing on their side
True
False
True or False?
Epilepsy can happen at any age
True
False
What is a symptom of Absence
Brief loss of consciousness
Shaking
Memory loss
Are Absence Seizures a form of Partial Epilepsy or Generalized Epilepsy
Generalized Epilepsy
Partial Epilepsy
What is a symptom of Sensory seizures
unusual sensations affecting the stomach
unusual sensations affecting any of the 5 senses
experiences involving memory
Focal onset seizures are seizures that originated from...
Specific area of the brain
both hemispheres synchronously
could not be determined
only temporal lobe
An absence seizure is...
Focal onset seizure
General onset seizure
Focal and General onset seizure
Undetermined
Epilepsy syndrome is a diagnosis based on the following statements EXCEPT ..
Seizure type
Gender
Etiology
Co-morbities
What should be evaluated with an adult patient having a first seizure in the emergency room?
EEG
Blood Glucose and Electrolyte
Brain MRI
Retina
Seizures that produce shaking movements and involve the entire body are called:
Absence seizures
Generalized seizures
Petit mal seizures
Tonic clonic seizures
Which of the following is not a treatment for a patient exhibiting seizures?
Clear the area of harmful objects
Place the patient in the recovery position after the seizure is stopped
Restrain the patient
Start rescue breathing after the seizure ends if the patient does not start breathing
Some seizures may be caused by stroke or diabetic emergencies
True
False
Signs and symptoms of a stroke include all of the following except
confusion and dizziness
numbness or paralysis on one side of the body
slow pulse
unequal pupils
What could happen if a seizure goes on for too long?
You automatically DIE
Your brain cells could be killed off
You begin to forget things
You get very ill
