STROKE & NEURO
TOXICOLOGY
PSYCHIATRIC EMERGENCIES
EENT & AIRWAY
“WHAT’S THE DIAGNOSIS?”
100

This assessment finding is considered positive during an arm drift test for stroke.

What is one arm drifting downward with pronation?

100

This class of toxins is most dangerous when absorbed through the skin.

What are pesticides (organophosphates)?

100

This type of abnormal behavior is caused by an underlying physical illness or substance effect.

What is organic brain syndrome?

100

This condition presents with vertigo, tinnitus, and a feeling of fullness in the ear.

What is Ménière’s disease?

100

A child develops a seizure after a rapid increase in body temperature.

What is a febrile seizure?

200

Aphasia typically indicates damage to this side of the brain.

What is the left hemisphere?

200

This gas forms hydrochloric acid when it contacts moist mucous membranes.

What is chlorine gas?

200

This is the BEST approach when questioning an emotionally disturbed patient.

What is using open-ended questions (how/what)?

200

This condition is most associated with vertigo following a recent infection.

What is labyrinthitis?

200

A patient with chronic alcoholism presents with impaired clotting and bleeding tendencies.

What is liver dysfunction/coagulopathy?

300

This type of posturing indicates more severe brain injury and brainstem involvement.

What is decerebrate posturing?

300

This condition causes rapid, deep respirations due to metabolic acidosis in toxic alcohol ingestion.

What are Kussmaul respirations?

300

This psychiatric symptom involves the belief that thoughts are being placed into one’s mind.

What is thought insertion?

300

This reflex can cause bradycardia when the eye is stimulated.

What is the oculocardiac reflex?

300

A patient presents with progressive headaches over months and worsening symptoms.

What is an intracranial neoplasm?

400

This vital sign abnormality has the MOST negative impact on outcomes in ICP.

What is hypotension?

400

This antidote is commonly used in aspirin overdose to correct acidosis.

What is sodium bicarbonate?

400

This condition is characterized by sudden, intense fear without a clear trigger.

What is panic disorder?

400

This is the MOST important intervention for a chemical eye burn.

What is prolonged irrigation?

400

A patient becomes violent, tachycardic, hypertensive, and agitated after drug use.

What is a stimulant overdose?

500

In contrast to dementia, this condition presents with an acute and often reversible change in mental status.

What is delirium?

500

This poisoning prevents cells from utilizing oxygen at the mitochondrial level.

What is cyanide poisoning?

500

This neurologic side effect of antipsychotics causes muscle spasms of the face, neck, and back.

What is an acute dystonic reaction?

500

This condition causes difficulty swallowing and is a hallmark sign of a life-threatening airway emergency.

What is epiglottitis?

500

A patient on a new antipsychotic presents with neck rigidity and abnormal posturing.

What is an acute dystonic reaction?