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Advanced Pathophysiology – Neuro I (Acute) Final Exam – Test Questions and Correct Answers with Detailed Rationales and Comprehensive Neurological Review

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This document contains final exam test questions and correct answers covering acute neurological pathophysiology, including cerebrovascular disorders, traumatic neurological injuries, altered intracranial dynamics, acute neurological emergencies, and related clinical manifestations. Detailed rationales are provided to enhance understanding of disease mechanisms, diagnostic findings, and evidence-based management principles. The material serves as a comprehensive review resource for Advanced Pathophysiology courses and supports preparation for final examinations and cumulative assessments. Suitable for students seeking focused practice on acute neurological conditions and exam-relevant concepts.

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Institution
Patho
Course
Patho

Content preview

TERM

**Closer look at Intracerebral hematoma: Bleeding inside
cerebral tissue
true


FULL DEFINITION
Hematoma is in cerebral tissue
-bleeding inside cerebrum tissue, MVA again, also with falls,
may have contusions w/ brain, a lot of shearing forces on brain
on axons and vessels can lead to bleeding and intracerebral
hematoma, all of these have increased ICP risk but this one is
higher, may have coma if so, can occur 3-10 days after injury


TERM

Coup/contrecoup injury: The brain is not fixed in the skull
and can move around within the cerebrospinal fluid;
impact on one side of the skull can cause a secondary
impact on the opposing side
true

, FULL DEFINITION
coup/contrecoup-brain not fixed in skull-exists in CSF and can
move around, if hit brain on one side impacts that side of skull
but will move on other side and hit again, first injury-coup,
opposing side of skull-contrecoup, on steering wheel coup
then back contrecoup additional injury


TERM

Spinal cord injury: Hypoxia, acidosis, decreased arousal,
respiratory changes, sluggish and dilated pupils,
bradycardia, and herniation
false


FULL DEFINITION
Traumatic injury of vertebral and neural tissues due to
compressing, pulling, or shearing forces


TERM

First two types of diffuse axonal injury: A neurological
scale that aims to give a reliable, objective way of

,recording the conscious state of a person for initial as
well as subsequent assessment. -lowest score-3;
highest-15 -3 categories: eye opening, motor response,
verbal response
false


FULL DEFINITION
Mild:
-6-24 hours of coma
-decebrate or decorticate posturing
Moderate:
24 hours of coma
-actual tearing of some axons
-GCS: 4-8 progressing 6-8 by 24 hours
-decebrate or decorticate posturing
-confusion with waking
-retrograde and anterograde amnesia
-permanent neuro changes


TERM

*******What is autonomic dysreflexia: Temporary axonal
disturbances causing varying degrees of attention

, deficits, memory deficits, and loss of consciousness,
graded from I to IV.
false


FULL DEFINITION
autonomic hyperreflexia/dysreflexia:
-massive, uncompensated cardiovascular response to
stimulation of the sympathetic nervous system


TERM

What else does awareness entail?
1) superior colliculi
2) pulvinar of thalamus
3) right parietal lobe



TERM

Type of spinal cord injuries: Most commonly occurs
during or b/c of vertebral injuries: hyperflexion,

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Institution
Patho
Course
Patho

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Uploaded on
May 31, 2026
Number of pages
41
Written in
2025/2026
Type
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Contains
Questions & answers

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