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CEN Neurological Emergencies Exam Practice Questions and Answers

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CEN Neurological Emergencies Exam Practice Questions and Answers To quickly evaluate a child's neurological status, all of the following standard evaluations can be used EXCEPT: a. The Epworth Scale. b. The AVPU scale. c. The Glasgow Coma Scale. d. Pupillary responses to light. - Answer-A. T...

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  • October 15, 2024
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  • 2024/2025
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  • 2024/2025
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EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.




CEN Neurological Emergencies Exam
Practice Questions and Answers

To quickly evaluate a child's neurological status, all of the following standard evaluations can be

used EXCEPT:


a. The Epworth Scale.


b. The AVPU scale.


c. The Glasgow Coma Scale.


d. Pupillary responses to light. - Answer✔✔-A. The Epworth Scale is a measure of sleepiness and

is not part of the standard evaluation of a child's neurological exam. The AVPU and Glasgow

Coma scales can be used to evaluate a child's neuro status. Pupillary size and response should

also be checked.


The National Institute of Neurological Disorders and Stokes (NINDS) has set the goal for

immediate general assessment by a stroke team or emergency physician as:


a. Within 1 minute of arrival.


b. Within 10 minutes of arrival.


c. Within 30 minutes of arrival.




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,EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



d. Within 60 minutes of arrival. - Answer✔✔-B. The goal for general assessment by an ED or

stroke team physician is within 10 minutes of arrival to the ED. Within the same 10 minutes, an

urgent CT without contrast should also be ordered.


The National Institute of Neurological Disorders and Stokes (NINDS) has set the goal for

initiation of fibrinolytic therapy in appropriate patients as:


a. Within 1 hour of hospital arrival.


b. Within 3 hours of hospital arrival.


c. Within 4 hours of hospital arrival.


d. Within 6 hours of hospital arrival. - Answer✔✔-A. NINDS recommends a goal for initiation of

fibrinolytic therapy within 1 hour of arrival to the ED. NINDS also recommends a goal of door-to-

admission time of 3 hours.


Signs and symptoms of stroke may include all of following EXCEPT:


a. Sudden weakness or numbness of the face, arm or leg.


b. Sudden confusion.


c. Sudden headache with no known cause.


d. Hypotension. - Answer✔✔-D. Hypotension is typically not a sign of acute stroke.

Hypertension, extremity weakness or numbness, confusion and sudden headache are all

symptoms of stroke.




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, EMILLECT 2024/2025 ACADEMIC YEAR ©2024 EMILLECT. ALL RIGHTS RESERVED. FIRST PUBLISH OCTOBER 2024.



When evaluating the 68-year-old stroke patient for fibrinolytic therapy, the relative

contraindication to fibrinolytic therapy is:


a. Stroke within the last three months.


b. History of previous intracranial hemorrhage.


c. Current use of an anticoagulant with an INR greater than 1.7.


d. Myocardial infarction 2 months ago. - Answer✔✔-D. A myocardial infarction is a relative

exclusion criterion if the MI occurred in the previous 3 months. The others are all exclusion

criteria and should be reported to the ED physician.


Fibrinolytic therapy should be considered in hemorrhagic stroke.


a. True


b. False - Answer✔✔-B. Because of the bleeding risk, fibrinolytics and anticoagulants should not

be used in hemorrhagic strokes, but should be the treatment considered first for ischemic

stroke.


An elderly man with a laceration on his elbow presents to the emergency department. He is

obviously confused and appears to be frightened. His daughter is with him and explains that he

has Stage 2 Alzheimer's disease and that she needs to stay with him. The correct response in

this situation is:


a. Allow the daughter to accompany the patient to his room.


b. Ask the daughter to wait in the waiting room until after the exam is complete.


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