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Exam (elaborations)

AG-ACNP – Neuro Questions & Verified Answers

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AG-ACNP – Neuro Questions & Verified Answers

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  • November 11, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACNP
  • ACNP
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AG-ACNP – Neuro Questions & Verified
Answers
Status Epilepticus Correct Ans-tonic clonic generalized seizure lasting >10 minutes or more
than 2 seizures without return to baseline between

patient does not regain consciousness between attacks



The most common demyelinating central nervous system disease Correct Ans-multiple
sclerosis



The most common site of intracranial thrombosis is: Correct Ans-middle cerebral artery




thoracic spinal injury Correct Ans-paraplegia

trunk



TIA Correct Ans-acute cerebral insufficiency

less 24 hrs without residual defects

sign of impending CVA



TIA causes Correct Ans-Atherosclerosis

ICH

embolism/thrombus

atrial fibrillation

,MI

CAD



TIA diagnostics Correct Ans-non-contrast head CT

MRI

Echo

Carotid doppler

cerebral angiography



TIA hallmark sign Correct Ans-ipsilateral monocular blindness

contralateral paresthesias arm, leg, face



TIA management Correct Ans-ASA

clopidogrel (Plavix) 75 mg/day PO

assess for HTN

carotid endarterectomy



TIA s/s Correct Ans-Ipsilateral monocular blindness

Parasthesias of contralateral arm, leg, face

transient aphasia

vertigo

, Tonic-Clonic generalized seizure Correct Ans-tonic contractions of repeated involuntary
muscle contraction

clonic sustained involuntary muscle contraction

2-5 minutes

incontinence

LOC

postictal phase



Top differential for new onset seizure Correct Ans-brain tumor




Vertebrobasilar TIA Correct Ans-Inadequate blood flow from vertebral arteries




Vertebrobasilar TIA s/s Correct Ans-vertigo

ataxia

visual field deficits

dizzy

confusion



What do you order if a patient complains of any of the four following and what are you ruling
out? New onset headache, seizure, vertigo, or personality changes. Correct Ans-non-contrast
head CT to rule out brain tumor

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