NURO 712 Exam 1 questions with correct answers
Frailty exists when three out of five signs/symptoms are met: Correct
Answer-1. Poor muscle strength
2. Poor gait speed
3. Unintentional weight loss
4. Exhaustion
5. Sedentary behavior
Management of frailty Correct Answer-- Identify and treat underlying
issues
- Evaluate and eliminate medications as possible
- Optimize activity
(PT, yoga, tai chi)
- Optimize nutrition
- Optimize quality of life
Common causes of patient presenting with weight loss Correct Answer-
cancer
GI
dementia
depression
Diagnostic tests for frequent falls Correct Answer-CBC
Electrolytes and BUN
Glucose
Stool occult blood test
EKG if indicated
MRI if indicated
Reversible causes of delirium Correct Answer-Drugs
Eyes and ears
Low-flow states
Infections
Retention
Intercranial
Metabolic Disorders
Choleastoma Correct Answer-Benign tumors found in the middle ear
made of keritinized epithelial cells can grow, causing damage to middle
ear structures, or even extend into external ear canal
, primary vs secondary choleastoma Correct Answer-primary: occur after
injury to the TM, often related to middle ear infection or eustachian tube
dysfunction
secondary: the result of epithelial cell deposits that occur after a TM
perforation or TM surgery (such as tympanoplasty)
choleastoma symptoms Correct Answer-Malodorous otorrhea and
hearing loss are common presenting symptoms
Some patients will complain of tinnitus or vertigo (the result of labyrinth
erosion which can cause a fistula).
congenital choleastoma on exam looks like: Correct Answer-congenital:
typically identified as a pale whitish discoloration or spherical white cyst
behind an intact TM
choleastoma diagnostics Correct Answer-- An audiogram can reveal
conductive hearing loss and is an important diagnostic tool, though
hearing can be unaffected if there is no damage to the ossicular chain
- CT scan can aid in determining the location of a cholesteatoma and any
affected surrounding structures
- Tympanostomy tube placement may improve the quality of the CT
scan
Risk factors for primary open-angle glaucoma Correct Answer-Over 50
years of age
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