Neuro and Parkinson

NEURO

100

• A patient suddenly develops right sided weakness and expressive aphasia. Which side of the brain is likely affected?

Left Cerebral Hemisphere- Left hemisphere controls language (Broca’s and Wernicke’s areas) and motor function of the right side

200

• The patient has a GCS score of:

Eyes – 2

Verbal – 3

Motor – 5

What is the total score and what does it indicate?

10 – moderate neurological impairment

300

Which neurological finding requires immediate intervention?

a. sluggish pupils 

b. patient reports blurred and hazy vision 

c. unilateral dilated pupil 

d. headache 

C. suggests increasing ICP with possible brain herniation 

400

A client arrives with right sided weakness and slurred speech. Which is the nurse’s first actions?

NIHSS scale and check blood glucose 

500

A patient with a traumatic brain injury becomes increasingly restless and confused. What is the nurse’s priority action?

Assess oxygenation 

PARKINSON

100

What neurotransmitter is deficient in Parkinson syndrome?

dopamine 

200

Name the four classic motor symptoms of Parkinson syndrome. 

1. resting tremor 

2. bradykinesia

3. rigidity 

4. postural instability 

300

What is the name of the complication that makes aspiration a major concern in Parkinson disease?

Dysphagia 

400

What is an early symptom of Parkinson syndrome?

Resting tremor 

500

What are two of the biggest safety risks of someone diagnosed with Parkinson syndrome?

Aspiration and falls 

PARKINSON MEDS

100

Which medication is considered the gold standard treatment for Parkinson syndrome?

Levodopa Carbidopa 

200

When should levodopa be taken in relation to meals?

Best taken on an empty stomach 

300

List out major 3 side effects of dopamine agonists.

1. orthostatic hypotension 

2. hallucinations

3. excessive daytime sleepiness

4. nausea

5. impulse control disorders 

400

Which medication is preferred for nausea in Parkinson syndrome?

Ondansetron 

500

Which anticholinergic is useful for Parkinson tremor?

Benztropine 

CRANIAL NERVES

100

What does cranial nerve 5 control?

Trigeminal - facial sensation and chewing 

200

What does cranial nerve 12 control?

hypoglossal - tongue movement 

300

what does cranial nerve 8 control?

vestibulocochlear - hearing and balance 

400

what does cranial nerve 2 control?

optic - vision 

500

what does cranial nerve 9 control?

glossopharyngeal - taste, swallowing, gag reflex 

MULTIPLE SCLEROSIS

100

A patient experiencing an acute MS relapse is most likely prescribed this medication to decrease inflammation.

intravenous methylprednisolone

200

A nurse is teaching a patient with MS about fatigue management. This intervention should be recommended first.

planning activities during periods of highest energy and allowing frequent rest periods

300

A patient with MS develops urinary urgency and frequent urinary tract infections. These symptoms occur because of dysfunction of this body system.

neurogenic bladder

400

This imaging study is considered the gold standard for identifying plaques and demyelinating lesions in MS.

MRI 

500

A patient reports blurred vision, eye pain with movement, and decreased color perception. This common early manifestation of MS is suspected.

Optic neuritis