MOC 3 EXAM 2 UPDATED QUESTIONS AND ANSWERS
#1 indicator of brain malfunction - CORRECT ANSWER✅✅✅decreased LOC
The skull is a closed box - CORRECT ANSWER✅✅✅so any compression is bad,
any swelling of the brain or extra bleeding or CSF will cause compression
main goal is to prevent what in a head injury - CORRECT ANSWER✅✅✅herniation
glasgow coma scale - CORRECT ANSWER✅✅✅A scale that measures the degree or level of
consciousness,
measures eye opening, verbal response, and motor response
glasgow coma scale less than 8 - CORRECT ANSWER✅✅✅need to protect airway and may need to
be intubated
glasgow coma scale for being intubated - CORRECT ANSWER✅✅✅the best they can get is a 11 (11-
T)
when doing a neuro review the first thing you should do is - CORRECT ANSWER✅✅✅think about
ABC
airway, breathing and circulation
when doing a neuro review you should think about the airway - CORRECT ANSWER✅✅✅clear
secretions and put them on O2
intubate is a possibility if their GCS is less than 8
,ICP - CORRECT ANSWER✅✅✅intracranial pressure
CPP - CORRECT ANSWER✅✅✅cerebral perfusion pressure
in order to find ICP - CORRECT ANSWER✅✅✅you need an invasive monitor and/or drain to have an
ICP measurement
CPP = - CORRECT ANSWER✅✅✅MAP-ICP
normal ICP - CORRECT ANSWER✅✅✅5-15 mmHg
normal CPP - CORRECT ANSWER✅✅✅60-80
ICP is influenced by - CORRECT ANSWER✅✅✅arterial pressure, venous pressure, posture,
temperature, ABG (CO2)
intrabdominal and intrathoracic pressure,
what is a late sign of brain malfunction - CORRECT ANSWER✅✅✅pupil changes
subjective manifestations - CORRECT ANSWER✅✅✅what the pt tells you: that they have a
headache, complaining about unable to focus or of being tired
Objective manifestations - CORRECT ANSWER✅✅✅what can be seen or measured: Glasgow coma
scale, do not speak/open eyes, restless, vomiting's, visible head injuries
vomiting with head injuries - CORRECT ANSWER✅✅✅they have no nausea then they vomit
neuro injuries - CORRECT ANSWER✅✅✅vascular injuries, stroke, head bleeds, or TBI
, IV fluids for all neuro patients - CORRECT ANSWER✅✅✅normal saline only
no glucose containing solutions or hypotonic as it can shift through the blood brain barrier
considerations for all neuro patients - CORRECT ANSWER✅✅✅correct coagulopathy after
determining the cause
(temp, meds, genetics)
Herniation - CORRECT ANSWER✅✅✅mass or bleeding above or within the cerebral hemisphere
creating pressure
rapid and quick and death is usually imminent
cingulate herniation - CORRECT ANSWER✅✅✅across midline
Uncal herniation - CORRECT ANSWER✅✅✅total, under skill, can protrude out of the skull
when you are assessing for neuro and brain activity you need to ensure that - CORRECT
ANSWER✅✅✅no other confounding factors are there like hypothermia, significant alcohol,
narcotics, paralytics
when a neuro pt is losing reflexes - CORRECT ANSWER✅✅✅they are going brain dead and need
testing
Brain death testing - CORRECT ANSWER✅✅✅GCS 3t with radiographic evidence of injury
loss of brainstem reflexes (pupillary response to light, corneal, gag/cough, doll's eyes, col calorics,)
#1 indicator of brain malfunction - CORRECT ANSWER✅✅✅decreased LOC
The skull is a closed box - CORRECT ANSWER✅✅✅so any compression is bad,
any swelling of the brain or extra bleeding or CSF will cause compression
main goal is to prevent what in a head injury - CORRECT ANSWER✅✅✅herniation
glasgow coma scale - CORRECT ANSWER✅✅✅A scale that measures the degree or level of
consciousness,
measures eye opening, verbal response, and motor response
glasgow coma scale less than 8 - CORRECT ANSWER✅✅✅need to protect airway and may need to
be intubated
glasgow coma scale for being intubated - CORRECT ANSWER✅✅✅the best they can get is a 11 (11-
T)
when doing a neuro review the first thing you should do is - CORRECT ANSWER✅✅✅think about
ABC
airway, breathing and circulation
when doing a neuro review you should think about the airway - CORRECT ANSWER✅✅✅clear
secretions and put them on O2
intubate is a possibility if their GCS is less than 8
,ICP - CORRECT ANSWER✅✅✅intracranial pressure
CPP - CORRECT ANSWER✅✅✅cerebral perfusion pressure
in order to find ICP - CORRECT ANSWER✅✅✅you need an invasive monitor and/or drain to have an
ICP measurement
CPP = - CORRECT ANSWER✅✅✅MAP-ICP
normal ICP - CORRECT ANSWER✅✅✅5-15 mmHg
normal CPP - CORRECT ANSWER✅✅✅60-80
ICP is influenced by - CORRECT ANSWER✅✅✅arterial pressure, venous pressure, posture,
temperature, ABG (CO2)
intrabdominal and intrathoracic pressure,
what is a late sign of brain malfunction - CORRECT ANSWER✅✅✅pupil changes
subjective manifestations - CORRECT ANSWER✅✅✅what the pt tells you: that they have a
headache, complaining about unable to focus or of being tired
Objective manifestations - CORRECT ANSWER✅✅✅what can be seen or measured: Glasgow coma
scale, do not speak/open eyes, restless, vomiting's, visible head injuries
vomiting with head injuries - CORRECT ANSWER✅✅✅they have no nausea then they vomit
neuro injuries - CORRECT ANSWER✅✅✅vascular injuries, stroke, head bleeds, or TBI
, IV fluids for all neuro patients - CORRECT ANSWER✅✅✅normal saline only
no glucose containing solutions or hypotonic as it can shift through the blood brain barrier
considerations for all neuro patients - CORRECT ANSWER✅✅✅correct coagulopathy after
determining the cause
(temp, meds, genetics)
Herniation - CORRECT ANSWER✅✅✅mass or bleeding above or within the cerebral hemisphere
creating pressure
rapid and quick and death is usually imminent
cingulate herniation - CORRECT ANSWER✅✅✅across midline
Uncal herniation - CORRECT ANSWER✅✅✅total, under skill, can protrude out of the skull
when you are assessing for neuro and brain activity you need to ensure that - CORRECT
ANSWER✅✅✅no other confounding factors are there like hypothermia, significant alcohol,
narcotics, paralytics
when a neuro pt is losing reflexes - CORRECT ANSWER✅✅✅they are going brain dead and need
testing
Brain death testing - CORRECT ANSWER✅✅✅GCS 3t with radiographic evidence of injury
loss of brainstem reflexes (pupillary response to light, corneal, gag/cough, doll's eyes, col calorics,)
