STUDY GUIDE
, Chapter 11
1. Teaching instructions for a patient suffering traumatic brain injury s/p MVA?
PAGE 514 No NSAIDS- can take Tylenol. Episodes of hyperactivity (Tachy,
hyperthermia, diaphoresis). Elevate HOB to 30. Antiseizure medication NO
TREATMENT OTHER THAN REST.
2. Most likely type of cerebral injury with patient sustaining head injury exhibiting lost
consciousness with headache, confusion and vomiting?
PAGE 521 Hematomas Epidural/Subdural
3. What is the purpose of folate supplementation folate in prenatal woman?
PAGE 507 reduce risk of spina bifida
4. Which receptors are mainly altered by phencyclidine (PCP)?
PAGE 556 NMDA The N-methyl-D-aspartate receptor. Depression- Ketamine.
NMDA acts on glutamate ions (influx of sodium, water, potassium) causes edema **CVA
5. The most likely cause of stroke in cerebrovascular accident (CVA)?
PAGE 527 Ischemic stroke most common. Altered tissue perfusion-Lack of oxygen and
glucose. Atherosclerosis- plaque common cause. Thrombotic, embolic 2 types of
ischemic stroke
6. What type of paralysis will be most likely in a cerebrovascular accident.?
PAGE 529 Anterior circulation, Hemiparalysis.
7. What is a tuft of hair over a birthmark in the sacrococcygeal area is noted with no other
abnormalities?
PAGE 507 Spina bifida occulta
8. Alteration in what chromosomes have been associated with the development of mental
health disorders such as depression, bipolar disorder, and schizophrenia.
PAGE 556 Chromosome 3 & 10
9. What are the symptoms associated with migraine without aura?
PAGE 534 Prodromal (1-2 days before migraine)- irritability, euphoria, depressive
yawning, food craving and constipation. Migraine- vision loss, sensory loss (tingling),
language difficulty(dysphagia). Photophobia, phonophobia (sounds). N/V. unilateral
10. Patient complaining of a unilateral throbbing headache that is severe, runny nose, teary
eyes, restlessness. Headaches come and go for several days. What is the likely type of
headache?
PAGE 536- cluster headaches
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