Portage Learning NURS 231 Pathophysiology Module 6 Exam

Portage Learning NURS 231 Pathophysiology Module 6 Exam Module 6 Exam - Requires Respondus LockDown Browser + Webcam Due No due date Points 100 Questions 27 Time Limit 90 Minutes Requires Respondus LockDown Browser Attempt History Generalized tonic/clonic seizure Question 3 2.5 / 2.5 pts Multiple Choice: You are seeing a patient with Parkinson’s disease in your office. You notice they are repetitively rubbing their right thumb and forefinger. This is an example of what physical manifestation of the disease? Question 5 2.5 / 2.5 pts Question 9 2.5 / 2.5 pts Multiple Choice: Insomnia is characterized by each of the following except: Question 11 2.5 / 2.5 pts Question 13 2 / 2 pts Fill in the blank: _________ control the bodily response to sensory input internally and externally. Your Answer: interneurons Question 14 0 / 2 pts Question 15 0 / 2 pts Fill in the blank: _______ is sleep disordered breathing caused by airway obstruction. Your Answer: airway obstructive disorer OBS Question 16 0 / 2 pts Fill in the blanks: _______ is the precursor for ______ that crosses the blood brain barrier making it the drug of choice for treatment of Parkinson’s disease. Your Answer: dopamergic cholinergenic Question 17 2 / 2 pts Fill in the blank: Specialized ependymal cells that project into the ventricles and produce CSF are called the ______. Your Answer: Question 19 5 / 5 pts Question 18 5 / 5 pts T/F – Make true if False Schwann cells produce myelin in the CNS. Your Answer: False shcawnn cell produce mylin in the PNS Question 20 5 / 5 pts T/F – Make true if False Brain activity is decreased during REM sleep. Your Answer: false brain activity increase Question 22 5 / 5 pts Question 21 5 / 5 pts T/F – Make true if False Someone in the early stages of Alzheimer’s disease requires assistance for their activities of daily living. Your Answer: false someone in the early stages of alZaheimers disease does not need assitance in thier daily activities . However severe or last stage alZheimers requires assistance activity of daily living Question 23 4.5 / 5 pts Question 24 1 / 5 pts Short Answer Essay Compare and Contrast breathing patterns between NREM and REM sleep (include a discussion on the specific stages of NREM sleep.) Your Answer: Question 25 5 / 5 pts rem sleep is count 20-25% of total sleep, it has rapir eye movemment muscal tone and dreamin are decreased during this phase of incominf sensory are blocked, brain cant process it. however the sensory tracts stimulate prevepusly formed can be reply in one's minds. incontrast nrem sleepthe vital sings such as heart beat, blood pressure, repiratory, are show spending edaquate time in rem sleep is necessarry for normal psychologically, and phsylogically during period wakefulness. Deprivation of REM sleep is associated with axiety problems decrease, concertration,and behavior changes. Nrem sleep has 4 stages ; stage1 alpha waves are pressent where some is fallinf sleep caneasily be waking up by noise, also can feel jolliting movement stage 2 theta waves present persent feels aslo sleep spindle stage 3 and 4 delta waves, stage 3 is very short time maybe 4 min, then we transition to stage 4 stage 1&2 is were dreams happend 3&4 nightmeres Answer: In stages 1 and 2 NREM sleep as well as in REM sleep, breathing is irregular, and brief periods of apnea are often observed (approximately 5-15 seconds.) During stages 3 and 4 of deep sleep, breathing becomes regular.   Short Answer Essay A patient reports to the emergency department where you are working at 10 pm. They report that earlier in the day beginning at approximately 9 am they began to experience tingling in their right arm. They decided to ignore it thinking it was probably a result of all the gardening they did the day before. As the day went on, the tingling sensation got worse, and they started to have difficulty speaking. The patient’s spouse reported that they were slurring their words. Past medical history includes a diagnosis of diabetes and hypercholesteremia. By the time they are evaluated, their symptoms start to subside. The tingling disappears and their speech returns to normal. What do you suspect this patient has experienced? What evidence is there to support that diagnosis? Your Answer: accoring to thier PMH Patien was expereincing TIA , 02 depreviation since the symptoms subsided within 24hrs, that is hallmark sign of TIA, which is warning sign that is not to be ignorned,becuase the underlying pathology such as Athersclerosis, the patien is a high risk for having a storke in the near feature so the medical team should be educating the PT how to prevent that, and start living a healthier lifestyle. Answer: This patient has experienced a TIA. They have experienced symptoms consistent with oxygen deprivation to the brain, however their symptoms subsided within 24 hours of their onset. Question 26 10 / 10 pts Long Answer Essay A 72-year-old female is brought to the emergency department via ambulance at 9 am. Her husband reports that they were eating breakfast and she started to complain of a severe headache and blurred vision. She then lost consciousness, and he immediately called 911. She has a history of hypertension, and she is not compliant with her medication because she does not like the way it makes her feel. Based upon these symptoms and past medical history, what do you suspect this patient is experiencing? How would you confirm this diagnosis? What treatment should be administered? Explain why you chose that treatment. Your Answer: I would suspecting PT is having Hemorrhagic storke, she needs a CT and MRI to ditermined. If she is indeed having a Hemmorrhagic storke. then if the tes is comfirmed that she is having Hemmorrhagig sroke. she can be giving medication to stop the bleeding or surgery. if she is on blood thiner meds. she can be giving drugs that can be counteract to her meds. if not, she will be giving medication that will lower the pressure in her intracranial pressure, and blood pressure medicin, and drugs to contorl the risk of seizure. if the bleeding is severe. she may need a sergury. (open skull) to remove the enuersym AVM Answer: This patient is more than likely experiencing a hemorrhagic stroke given the sudden onset of her symptoms and the PMH of uncontrolled hypertension. A CT scan would be needed to determine if a hemorrhage has occurred. Once this is determined the goal of treatment is to stop bleeding and decrease intracranial pressure. This can be done through medication that would decrease blood pressure and intracranial pressure. A craniotomy can be done should medication not work, or the bleeding is severe. Other surgical methods may be utilized if the bleed is a result of an aneurysm or AVM. Question 27 7 / 10 pts Long Answer Essay You are seeing a patient in your office with a primary complaint of excessive daytime sleepiness. Their spouse reports that they snore loudly and often wake up gasping for air. What type of sleep disorder do you suspect they are experiencing (be specific)? What type of diagnostic work up needs to be done? Name one treatment option to address this patient’s symptoms. Your Answer: Quiz Score: 86.5 out of 100