FREE NURSING AND STUDY GAMES ABOUT

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FREE NURSING AND STUDY GAMES ABOUT

SCRN-GENERAL EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -163 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: What can carotid bruit indicate?

Answer:

Carotid dissection

Question 2: What areas does the MCA feed? (i.e. lobes and/or structures)

Answer:

Majority of the frontal, parietal, temporal lobes; the basal ganglia, internal capsule, as well as Broca's and Werneckies Area

Question 3: Are Brilanta and Effient ideal for secondary stroke prevention?

Answer:

NO, considered only if Plavix is ineffective as demonstrated by PY12 tests

Question 4: What is the ideal blood glucose for an ischemic stroke patient?

Answer:

It is of DEBATE, yet current consensus is a GOAL of 140-180mg/dL

Question 5: What are the two types of aneurysms?

Answer:

Saccular (also known as berry aneurysms) [which are the most common], and fusiform

Question 6: What are the three structures of the brain stem (in order)?

Answer:

Midbrain, Pons, Medulla (descending order)

Question 7: What is the treatment for cocaine induced hypertension?

Answer:

Cardene

Question 8: What is the advantage of MRI's?

Answer:

More sensitive than NECT for ischemic strokes

Question 9: Angioedema is a common side effect of what medication?

Answer:

tPA, ESPECIALLY if the are on an ace-inhibitor!

Question 10: At what rate is tPA administered?

Answer:

10% as a bolus over a minute, remainder over 60min Question 11: What is the 'threshold' GCS score that would indicate a need for intubation?

Answer:

GCS of 8 or less

Question 12: What crania nerves originate from the pons?

Answer:

Cranial nerves 5-8

Question 13: What would be the characteristics of CSF after an LP that would indicate SAH?

Answer:

rusty appearance (related to xanthrocrome, a by-product of Hgb breakdown, which is seen 4-6hrs after bleed, and up yo 3-6 days after)

Question 14: What can a stroke in the hypothalamus disturb?

Answer:

BODY TEMPERATURE ;

also (but less prolific), affect circadian rhythm and body H20/osmo

Question 15: What is the usual dose of nimodopine to prevent vasospasm?

Answer:

60mg q4h for 21 days (may do 30mg q2h if patient becomes hypotensive)

Question 16: In an echocardiogram, what does a bubble study help detect?

Answer:

PFO (patent foramen ovale) Question 17: What percentage of stroke patients will deteriorate in the fist 1-2days?

Answer:

25%

Question 18: What is the penumbra?

Answer:

Brain cells next to the 'core,' which are damaged but not infarcted. Silent but metabolically active

Question 19: What are the major functions of the temporal lobe?

Answer:

visual memory, language comprehension, auditory processing Question 20: What is the target LDL after stroke? (Which would indicate initiation of statin therapy)

Answer:

100

Question 21: What is the duration of Plavix in human body?

Answer:

5-7 days, which is the same as the life of platelets themselves (therefore, considered irreversible)

Question 22: What are the structures of the basal ganglia?

Answer:

Caudate nucleus, Putamen, Globus pallidus

Question 23: If a patient is not a candidate for tPA, what are the BP goals?

Answer:

Only treat if higher than 220/120; after 24hr period, we can begin to decrease BP by 10-15% Question 24: A stroke in what area can cause ipsilateral 'drunk-like' motor dysfunction?

Answer:

Stroke in the cerebellum

Question 25: What percentage of stroke patients will get a UTI within 1month?

Answer:

25%

Question 26: What causes non-obstructive (communicating) hydrocephalus?

Answer:

lack of CSF absorption Question 27: What is one of the leading causes of epilepsy in the older population?

Answer:

Ischemic stroke

Question 28: What is considered the acute phase of ICH an SAH?

Answer:

Admit through discharge