Case Studies & Answer Explanation
1. left he misphere functions: -right hand
-spoken language
-nu mber skills
-scientific functions
-written language
-reasoning
2. Right he misphere functions: -left hand
- music
-spacial orientation
-artistic function
-insight
-creativity
3. The cerebru m makes up the: , , , and lobes: Frontal,
parietal, te mporal, occipital
4. The brain ste m makes up the: , , and the : Midbrain, pons, and medulla
5. If there is a drop of 2 points or more in the GCS, this indicates a: significant clinical
change and the MD should be notified
6. Headaches (cephalgia) s/s include: significant disco mfort that can interfere with lifestyle
7. Headaches are caused by in craniu m: blood vessel dilation
8. Secondary headaches may indicate: tu mors or aneurys m
9. Persistent headaches may require : intervention
10. What kind of medications would treat headaches?: Triptans: ****(I MPORTANT)******
(I mitrex)
-vasoconstrictor
-reduce infla m mation
-reduce pain
-first line treat ment
,**Prophylactic meds prevent headaches**
11. Non-phar macologic interventions for headache treat ments include:: Dark
roo m
local heat
, assage
m
avoid foods with tara mines
12. Ische mic strokes are caused by : sudden occlusion of cerebral artery due to thro mbus
or e mbolus
due to arthersclerosis (THRO MBOSIS)
due to cardiac dysrhyth mias (E MBOLIS M)
13. So me manifestations of ische mic stroke include:: Nu mbness or weakness of face, ar m,
or legs
aphasia
vision loss
mental status change
change in co m munication
14. Interventions for ische mic strokes:: Body positioning to prevent contractures and co mpressive
neuropathies
RO M 4-5 ti mes a day to prevent DVTs, or VTEs,
15. He morrhagic strokes are caused by: Bleeding in the brain secondary to chronic HTN or an
aneurys m
16. So me manifestations of he morrhagic strokes include: having the "worst headache of
my life"
alteration of LOC
seizures
sudden onset of agitation (priority)
changes in pupils
17. Being unarousable, unconsciousness, and unresponsiveness are indicators
of: Co ma
18. Unresponsiveness to environ ment, makes no move ment or sounds but can
open eyes is called : Akinetic mutis m
19. devoid of cognitive function but has sleep-wake cycles: persistent vegetative state
20. •inability to move or respond except for eye move ments due to a lesion
affecting the pons: Locked-in syndro me