TIA & Stroke
MS
Parkinson's
Dementia & Delirium
Seizures and Epilepsy
100

Which of the following is NOT a typical symptom of a stroke?

  • A) Sudden numbness or weakness in the face, arm, or leg
  • B) Difficulty walking or dizziness
  • C) Gradual loss of memory
  • D) Sudden confusion or trouble speaking

Gradual memory loss 

100

Which of the following statements about Multiple Sclerosis is true?

  • A) It only affects motor function.
  • B) It is caused by a bacterial infection.
  • C) It involves the immune system attacking the myelin sheath around nerves.
  • D) It primarily affects children.

It involves the immune system attacking the myelin sheath around nerves.

100

The hallmark of Parkinson’s disease includes which of the following symptoms?

  • A) Muscle weakness
  • B) Tremor at rest, bradykinesia, and rigidity
  • C) Sudden memory loss
  • D) Visual disturbances

Tremor at rest, bradykinesia, and rigidity

100

Which of the following differentiates delirium from dementia?

  • A) Delirium has a sudden onset, whereas dementia has a gradual onset.
  • B) Both have a gradual onset.
  • C) Both conditions are irreversible.
  • D) Delirium and dementia present with the same symptoms.

Delirium has a sudden onset, whereas dementia has a gradual onset.

100

True/False: Absence seizures are typically seen in older adults. 

False

200

True/False: A TIA typically results in permanent damage to brain cells.

False 

200

True/False: Corticosteroids are commonly used in managing acute MS exacerbations. 

True

200

Describe the role of dopamine in Parkinson’s disease and why dopamine replacement therapies are often used.

In Parkinson's disease, the brain loses dopamine-producing neurons, leading to a significant drop in dopamine levels, which results in the characteristic motor symptoms like tremors, rigidity, and slowness of movement; therefore, dopamine replacement therapies are commonly used to replenish the depleted dopamine and alleviate these symptoms by restoring the balance needed for proper muscle control.

200

The most common type of dementia is ____________.

Alzheimer’s disease 

200

Which medication is commonly prescribed for long-term seizure management?

  • A) Warfarin
  • B) Lorazepam
  • C) Phenytoin
  • D) Atorvastatin

Phenytoin

300

List two modifiable risk factors for ischemic stroke.

Smoking, inactivity, high blood pressure, diabetes, obesity, high cholesterol
300

Which of the following is a common relapsing-remitting symptom pattern seen in MS?

  • A) Continuous symptom progression with no relapses
  • B) Long periods of stable function interrupted by symptom flare-ups
  • C) Complete recovery of all symptoms after each relapse
  • D) None of the above

Long periods of stable function interrupted by symptom flare-ups

300

True/False: Levodopa is the primary treatment option used to manage symptoms of Parkinson’s disease.

True

300

Delirium is always caused by a preexisting neurological condition.

False

300

Which of the following is a priority nursing intervention for a patient experiencing a seizure?

  • A) Placing a tongue depressor in the mouth
  • B) Turning the patient on their side
  • C) Restraining the patient’s movements
  • D) Applying oxygen immediately

Turning the patient on their side

400

Which assessment tool is commonly used to evaluate stroke severity in patients?

  • A) Braden Scale
  • B) Glasgow Coma Scale
  • C) NIH Stroke Scale
  • D) Mini-Mental State Examination (MMSE)

NIH Stroke Scale 

400

Name two common symptoms of Multiple Sclerosis.

Vision problems: Double vision or pain when moving the eyes, which can be a sign of optic neuritis 

Muscle weakness: Weakness in the arms and legs, along with muscle stiffness and spasms
Numbness and tingling: Persistent numbness or tingling in the arms, legs, trunk, or face
Balance issues: Difficulty staying balanced, or feeling like the room is spinning
Bladder control problems: Frequent urinary tract infections
Fatigue: A common symptom that can be managed with exercise
Depression: A common mental health issue that can be caused by MS
Sexual dysfunction: Decreased libido, anorgasmia, dyspareunia, or erectile dysfunction

400

Which of the following is a characteristic side effect of long-term Levodopa use?

  • A) Peripheral neuropathy
  • B) Dyskinesias
  • C) Cognitive decline
  • D) Vision loss

Dyskinesias

400

List two possible causes of delirium.

Advanced cancer, Alcohol or drugs, Dehydration and electrolyte imbalances, Dementia, Hospitalization, especially in intensive care, Infections, Medicines, Metabolic disorders, Organ failure, Poisoning, Serious illnesses or pain, Sleep deprivation, Surgeries, including reactions to anesthesia.

400

During a seizure, a seizure log or diary should be used to document the seizure’s  __________, __________, and __________.  

duration, characteristics, and any precipitating factors

500

Daily Double 

Describe the significance of the "golden hour" in stroke treatment.

500

The diagnostic criteria for MS often include MRI findings of ___________ in the brain or spinal cord.

lesions or plaques

500

___________ is a common surgical procedure for advanced Parkinson's disease where medications are no longer effective.

Deep brain stimulation

500

Which assessment tool is frequently used to screen for cognitive impairment in patients suspected of having dementia?

  • A) NIH Stroke Scale
  • B) Glasgow Coma Scale
  • C) Mini-Mental State Examination (MMSE)
  • D) Apgar Score

Mini-Mental State Examination (MMSE)

500

Daily Double 

Differentiate between a focal seizure and a generalized seizure.