Name: ________________________________ Date: __________ Neurologic disorder (Circle the correct answer ) Q1 : Options :TRUE rationale: It acts by raising serum osmolarity causing excess fluid from A: the brain (caused by cerebral edema) to be drawn into the blood stream. Q2 : Options :A. electroencephalogram rationale: An electroencephalogram (EEG) is a test that detects electrical activity in your brain using small, metal discs A: (electrodes) attached to your scalp. A cervical spine xray is used to rule out cervical spine injury Q3 : Options :A. 1 to 10 mm Hg is WNL Rationale: ~ A ICP level greater than 15 mm Hg A: requires further assessment 10 to 20 is the expected intraocular pressure (varies per text book) Q4 : Options :C. sunken fontanel and dry mucous membranes Rationale: C. indicates dehydration. A & B are all signs of ICP in infants specifically. Setting-sun sign A: is when the sclera of the eyes are showing over top of the iris (Pg. 477 pic) and is common in ICP and hydrocephalus in infants Q5 : Options :A. "Backward arching of the legs and arms, extended neck and clenched jaw is EXTENTSION posturing" (AKA. Decerebrate posturing) Rationale: Flexion A: posturing is a late finding in a severe injury related to dysfunction of the cerebral cortex, whereas extension posturing is dysfunction at the midbrain Q6 : Options :False Rationale: hearing impairments DO affect speech and the ability to A: process linguistic sounds, identifying the impairment early can minimize this. Q7 : Options :A. Alpha-fetoprotein in maternal blood Rationale: There will be a decrease in A: the protein, an increase signifies neural tube defect ~chromosome analysis and a echo is for Diagnostic testing for infants Q8 : Options :A. Hyperopia (farsightedness) Rationale: cause is related to accommodation A: Myopia (nearsighted) Sees close objects clearly, but not objects in the distance Amblyopia (Lazy eye) is Reduced visual acuity in one eye Q9 : Options :B. Gray opacity of the lens which prevents light from entering into the eye A: rationale: ~Uneven refractive curvatures in vision is r/t astigmatism ~Glaucoma is r/t increased intraocular pressure Q10 : Options :A. CONDUCTIVE LOSSES RATIONALE: It can result from otitis media, foreign bodies or excessive ear wax Sensorineural is related to interference along A: nerve pathways Central auditory imperception is r/t all other types of hearing losses related to natural cases, like inability to interpret sound Q11 : Options :TRUE Rationale: whistling occurs due to feedback, when sound coming out A: the device loops back into the ear (thus readjust to ear and turn down the vol) Q12 : Options :A. Cochlear implant Rationale: It sends impulses to the auditory nerve and A: can be surgically implanted under the skin or worn externally. its used for sensorineural hearing loss