A 55 year- old man presents to your ED in the evening with headache, vomiting, and altered mental status. His wife states the symptoms began early this morning, shortly after waking and reading the newspaper. Symptoms have gradually gotten worse since then, and now having trouble speaking. His past...
PA Neuro Exam Questions & Answers
Correct!!
A 55 year- old man presents to your ED in the evening with headache, vomiting, and
altered mental status. His wife states the symptoms began early this morning, shortly
after waking and reading the newspaper. Symptoms have gradually gotten worse since
then, and now having trouble speaking. His past medical history includes hypertension
and hyperlipidemia, neither of which have been medically managed. He also has a 30+
pack- year history of smoking. He takes fluoxetine daily for management of depression.
His paternal uncle suffered a heart attack at around the same age.
A head CT scan shows a large hyperdense collection on the left side with significant
midline shift.
Question:
What risk factor placed this patient at the greatest risk for this diagnosis?
a. his age
b. his family history of myocardial infarction
c. his smoking history
d. his uncontrolled diabetes - ANSWERShis uncontrolled diabetes
A 15 year old female with history of epilepsy is taken to the epilepsy emergency room
because of a seizure that has lasted over 45 minutes prior to her arrival. She is cared
for by her mother, and up in further questioning it is unclear how regular her medication
doses have been. She is currently on valproic acid. A level drawn 6 months ago was in
the therapeutic range. Examination of the patient reveals an adolescent
unconsciousness female, exhibiting symmetrical generalized tonic- clonic movements.
Vital signs are normal. Her airway is stabilized with an oral airway and head
repositioning. An intravenous line is started. A valproic acid level is sent to the lab.
Question:
Given this patient's presentation, what medication should be administered at this time?
a. phenobarbital ( luminal)
b. Phentyoin (Dilantin)
c. Valproic acid (Depakote)
d. Lorazepam ( Ativan)
e. Carbamazepine ( Tetgretol) - ANSWERSd. Lorazepam ( Ativan)
A 39- year old woman presents with her sister. This patient is confused, but she is
resting comfortably, The sister explains the patient had a "fit" and suddenly blacked out.
Her body came very rigid and unmovable. Jerking motions of her arms, legs, and head
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