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Healthstream ICU knowledge Test Questions with 100% Correct Answers
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Healthstream ICU knowledge Test Questions with 100% Correct Answers
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Healthstream ICU knowledge Test Questionswith 100% Correct Answers
If you get ischemic at ACA (anterior cerebral artery)? - ✔✔bilateral leg weakness. Frontal lobe
behavior abnormalities. Transcortical aphasia. Hemineglect.
Hemineglect - ✔✔unilateral neglect. ONLY SENSE ONE SIDE. (I only see half of the flag)
Transcortical aphasia? - ✔✔repeating words.
Circle of will? - ✔✔located at the base of the brain. Composed of the carotid and vertebrobasilar
arteries. Circle of will branches off into ACA, MCA, PCA. Good thing is if there is obstruction at circle of
will, blood can still be deliver through other arteries connecting to circle of will.
Most common occluded artery of the brain? - ✔✔middle cerebral artery. s/s: bilateral
motor weakness. Aphasia, hemineglect. Hemiparesis.
Middle cerebral artery? - ✔✔supple blood to frontal lobe, lateral surface of brain, temporal,
parietal lobes.
Hemiparesis? - ✔✔unilateral whole body weakness.
Posterior cerebral artery (PCA)? - ✔✔supply blood to temporal and occipital lobes bilateral.
Occlusion s/s: paramedian thalamic syndrome. No vision. Visual agnosia. Cant read, cant see color.
Balint syndrome
, Balint syndrome? - ✔✔difficulty in executing eye movements to engage visual targets (ocular
apraxia), an inability to perceive multiple objects at the same time (simultanagnosia), and inaccuracy
in reaching for visual targets (optic ataxia)
paramedian thalamic syndrome? - ✔✔
Psychogenic conditions? - ✔✔physical illnesses that are believed to arise from emotional or mental
stressors, or from psychological or psychiatric disorders. It is most commonly applied to illnesses where
a physical abnormality or other biomarker has not yet been identified.
Pt coming in with suspect stroke. What to test? - ✔✔CT, MRI. Blood glucose check. PLT
count/ PT/INR/aPTT. Troponin lab. ECG. O2SAT.
what is a down fall of NIHSS? - ✔✔cannot assess posterior circulation s/s stroke (which is 20%
of stroke cases). NIHSS is biased towards anterior stroke.
Posterior stroke s/s? - ✔✔abnormal eye movement. Gait ataxia. Anosognosia. Vertigo. Diplopia.
Dysarthria. Dysphagia.
NIHSS? - ✔✔assess AIS severity. 11 categories. ALWAYS KEEP the first score. Never change the
initiate score.
dx that mimic stroke? - ✔✔complicated migraine.hypertesive encephalopathy, hypoglycemia.
Bell's palsy. Infection/ abcess/ tumor. Conversion disorder/ psychogenic conditions. Seizures.
Dysarthria - ✔✔slurred or slow speech
Ataxia - ✔✔Gait ataxia
Anosognosia - ✔✔unable to be aware of current disability.
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