PCCN Neuro Exam Questions With Accurate Answers.
Frontal lobe functions - accurate answers-Personality, motor function, motor
speech, morals, emotions, judgment
Parietal lobe function - accurate answers-Sensation, pain, interpretation,
temperature, pressure
Occipital lobe function - accurate answers-visual
Cerebellum functions - accurate answers-coordination of muscle movement &
tone, equilibrium
What does the glasgow coma scale assess? - accurate answers-1. eye opening
2. motor response 3. verbal response
Early S/S of increased ICP - accurate answers-1. Change in LOC (earliest sign)
2. headache
3. N/V (can project to projectile)
4. Lethargy
5. Irritability
6. slow decision making
Late S/S of increased ICP - accurate answers-1. pupillary changes
2. Seizures
3. Posturing
4. Can progress to coma
Who should ICP monitoring be done for? - accurate answers-1. head injuries
(GCS <8)
2. Cerebral edema
3. Large Ischemic stroke
4. Hydrocephalus
Normal ICP - accurate answers-0-15 mmHg
tx is indicated when ICP is greater than? - accurate answers-sustained 20-25
mmHg
, Positioning of patients w/increased ICP? - accurate answers-1. prevent
compression of jugular veins
2. HOB 30-45 degrees
3. Straight legs
4. Decrease stimuli
Medical tx for increased ICP - accurate answers-1. mannitol
2. Hypertonic saline (3% saline)
3. loop diuretics
Monro-kellie doctine - accurate answers-Balance of tissue, CSF & blood to
create an equilibrium
Diffuse axonal injury - accurate answers-severe head injury
-damage to axons
-disconnects cerebral hemisphere from reticular activating system
What is a Basilar skull fracture - accurate answers--fracture in floor of skull
-eyes, ears, nose or spine affected
-risk of injury to cranial nerves
Key assessment with a skull fracture? - accurate answers-to determine if dura
torn- if so will need surgery to remove bone fragments
What should be avoided in patients w/basilar skull fractures? - accurate
answers-Nasogastric or oral tubes!
-can end up in brain
-also avoid oral suctioning
Battle sign is... - accurate answers-bruising over mastoid bone- sign of basilar
skull fracture
Acute Epidural hematoma is usually what type of bleed? - accurate answers-
Arterial (laceration meningeal artery)
S/S of acute epidural hematoma - accurate answers--N/V, agitation, confusion
-loss of consciousness --> lucid --> coma
-NEURO EMERGENCY!
Frontal lobe functions - accurate answers-Personality, motor function, motor
speech, morals, emotions, judgment
Parietal lobe function - accurate answers-Sensation, pain, interpretation,
temperature, pressure
Occipital lobe function - accurate answers-visual
Cerebellum functions - accurate answers-coordination of muscle movement &
tone, equilibrium
What does the glasgow coma scale assess? - accurate answers-1. eye opening
2. motor response 3. verbal response
Early S/S of increased ICP - accurate answers-1. Change in LOC (earliest sign)
2. headache
3. N/V (can project to projectile)
4. Lethargy
5. Irritability
6. slow decision making
Late S/S of increased ICP - accurate answers-1. pupillary changes
2. Seizures
3. Posturing
4. Can progress to coma
Who should ICP monitoring be done for? - accurate answers-1. head injuries
(GCS <8)
2. Cerebral edema
3. Large Ischemic stroke
4. Hydrocephalus
Normal ICP - accurate answers-0-15 mmHg
tx is indicated when ICP is greater than? - accurate answers-sustained 20-25
mmHg
, Positioning of patients w/increased ICP? - accurate answers-1. prevent
compression of jugular veins
2. HOB 30-45 degrees
3. Straight legs
4. Decrease stimuli
Medical tx for increased ICP - accurate answers-1. mannitol
2. Hypertonic saline (3% saline)
3. loop diuretics
Monro-kellie doctine - accurate answers-Balance of tissue, CSF & blood to
create an equilibrium
Diffuse axonal injury - accurate answers-severe head injury
-damage to axons
-disconnects cerebral hemisphere from reticular activating system
What is a Basilar skull fracture - accurate answers--fracture in floor of skull
-eyes, ears, nose or spine affected
-risk of injury to cranial nerves
Key assessment with a skull fracture? - accurate answers-to determine if dura
torn- if so will need surgery to remove bone fragments
What should be avoided in patients w/basilar skull fractures? - accurate
answers-Nasogastric or oral tubes!
-can end up in brain
-also avoid oral suctioning
Battle sign is... - accurate answers-bruising over mastoid bone- sign of basilar
skull fracture
Acute Epidural hematoma is usually what type of bleed? - accurate answers-
Arterial (laceration meningeal artery)
S/S of acute epidural hematoma - accurate answers--N/V, agitation, confusion
-loss of consciousness --> lucid --> coma
-NEURO EMERGENCY!
