MN 566 Midterm Exam Q AND A.

MN 552 POLYPHARMACY-major contributor to confusion in older adults Which statement about confusion is true? a. Confusion is a disease process. b. Confusion is always temporary. c. Age is a reliable predictor of confusion. d. Polypharmacy is a major contributor to confusion in older adults. CONCERN ABOUT A DIAGNOSIS OF DEMENTIA-Pt may have a hard time finding words DELERIUM-One of the things that can cause is chronic kidney disease TRIGGER FOR MIGRAINES-red wine (Merlot) DIZZINESS AND VERTIGO-Decrease swelling in ear DIAMOX Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear? a. Meclizine b. Diphenhydramine c. Diamox d. Promethazine ABSENT SEIZURE-One of the hallmark features is a blank stare The hallmark of an absence seizure is: a. No activity at all b. A blank stare c. Urine is usually voided involuntarily d. The attack usually lasts several minutes MS-Classic presenter might be a 25yo female Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)? a. A teenage male b. A 65-year-old male c. A 25-year-old female d. A 60-year-old female O2 THERAPY-Treatment of cluster HA and migraines When administered at the beginning of an attack, oxygen therapy may help this kind of headache? a. Tension b. Migraine c. Cluster d. Stress CVA-Ischemic stroke, thrombolytic therapy within 3 hours of symptoms Intravenous thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset? a. 1 hour b. 3 hours c. 6 hours d. 12 hours MINI MENTAL STATUS EXAM (MMSE)-May help diagnose Alzheimer’s disease A score of 20 to 25 on this test indicates early-stage Alzheimer’s disease: a. SLUMS b. MoCA c. FAST d. MMSE ALZHEIMER’S- Characterized by impaired learning, cognitive disturbances, language and function disturbances Which condition is characterized by the impaired ability to learn new information along with either a cognitive disturbance in language, function, or perception? a. Guillain-Barré syndrome b. Parkinson’s disease c. Alzheimer’s disease d. Delirium COGWHEELING-Jerky movement in hand when moving joint/elbow PARKINSON’S disease. Also FREEZING PHENOMENOM is also a hallmark 29. The ‘freezing phenomenon’ is a cardinal feature of? a. Parkinson’s disease b. Alzheimer’s disease c. A CVA d. Bell’s palsy A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as? a. Spinothalamic dysfunction b. Ratcheting c. Cogwheeling d. Hand tremors NATALIZAMUB- Monthly IV tx for MS, usually after failed Interferon injections Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given intravenously once a month? a. Glatiramer acetate b. Natalizumab c. Fingolimod d. Glucocorticoids SEIZURES-Each state has their own laws regarding driving after suffering a seizure Which statement is true regarding driving and patients with a seizure disorder? a. Once diagnosed with a seizure disorder, patients must never drive again. b. After being seizure free for 6 months, patients may drive. c. Each state has different laws governing driving for individuals with a seizure disorder. d. These persons may drive but never alone