Quiz week 1 Neuro NR 603 JAN. 2021 Answered Question 1 Which of the following are potential causes of delirium in the elderly? Mark all that apply. Dehydration Medication Effects Sepsis Metabolic imbalance Question 2 Personality changes in patients with Traumatic Brain Injury include all of the following except: Hypervigilance Impaired Social Judgment Apathy Impulsivity Question 3 Common presenting symptoms of dementia include all of the following except: Depression Irritability Inability to find the right words Abstract thinking increases Question 4 Which type of medication may be particularly dangerous when treating aggression in patients with traumatic brain injury (TBI) because it could cause paradoxical agitation? Benzodiazepines Clonidine Haloperidol Propranolol Question 5 Chris is a 28-year-old marine who just returned from active duty from Iraq. He has been complaining of dizziness, extreme headaches, and memory problems related to traumatic brain injury. His neurological injuries are most likely the effect of: Changes related to altitude in climate. Rotational acceleration/deceleration, resulting in focal injury. Diffuse axonal damage as the result of a blast-induced injury. Direct blunt trauma, resulting in damage to underlying tissues. Question 6 A pleasant 73-year-old male presents to the clinic with his wife. His wife states that she has noted increasing problems with his memory including forgetting to get some items on his grocery list and misplacing his car keys. You administer the MMSE in the office and he scores 24/30 which is consistent with Mild Dementia per the scoring guidelines. Your best response to his wife is: The MMSE score alone is a strong indicator of Dementia and we can proceed with medication based on these results. The MMSE score along with the memory issues are more concerning for head injury and so we will pursue a head CT to rule out TBI. The MMSE score alone is concerning for Dementia but the memory issues can be a part of normal brain function so we need to rule out organic causes before concluding a diagnosis of Dementia. The MMSE score along with the memory issues you identified are very strong indicators of Dementia so we will begin first line treatment with Donepezil (Aricept) today. Question 7 Collaborating with specialists is an important part of primary care involving patients with neurologic injuries. It is important as an APN to know when to refer to a specialist and what the goal of that referral is: further information, diagnostic testing or treatment recommendations? Which of the following are accurate goals of referral of a patient for Neuropsychological Testing? Choose all that apply: Marital Counseling Assist in identifying neurobehavioral or developmental disorders that may influence cognitive and behavioral functions (e.g., dyslexia, attention-deficit/hyperactivity disorder [ADHD], autism spectrum disorders, mental retardation) Monitor the results of Court ordered Drug testing Monitor changes in cognition over time (document recovery or progression of symptoms) Establish a baseline level of neuropsychological functioning Assist in differential diagnosis and determination of the severity of a condition Question 8 Key early warning signs for Alzheimer’s disease include all of the following except: Problem with language Loss of initiative Memory loss Increased fatigue Question 9 Benzodiazepines are appropriate for which of the following disorders? (Choose all that apply) Insomnia Mood Disorders Acute alcohol withdrawal Delirium Question 10 Match the type of Injury with the neurologic damage. Blow to the head with an object Focal and diffuse damage Damage to underlying tissue or vessels Punched in the face or head Contusions/bruising/bleeding Being shot in the face or head Focal and diffuse damage Disintegration of brain tissue Falling and hitting your head Diffuse damage Focal and diffuse damage Near Drowning Focal and diffuse damage Diffuse damage