NURSING Jeopardy

Neurological

100

What makes up the Peripheral Nervous System and what makes up the Central Nervous System?

Nervous system (2 parts : Peripheral and Central) Peripheral system is every nerve that travels from your spinal cord and brain; Central nervous system includes your brain and spinal cord; The peripheral nervous system has two subsystems - Autonomic ( brain runs automatically without thinking about them) and Somatic ( functions you manage by thinking about them )

500

What are the three components of the Glasgow Coma Scale or GCS?

EMV - EYES , MOTOR, VERBAL 

Miscellaneous

100

Rest and Digest describes which portion of the PNS or peripheral nervous system ?

Parasympathetic

300

Fight or Flight describes which portion of the PNS or peripheral nervous system ?

Sympathetic nervous system 

500

Cranial Nerves: I-XII

These are tough! These are usually good test questions ... 

CN I: Olfactory - Smell 

CN II: Optic- Vision 

CN III: Oculomotor- elevate upper lid, pupillary constriction, most extraocular movements

CN IV: Trochlear - downward, inward movement of the eye

CN V: Trigeminal- Chewing, Clenching the jaw, lateral jaw movement, corneal reflexes, face sensation 

CN VI: Abducens - Lateral eye deviation

CN VII: Facial- facial motor, taste, lacrimation, salivation

CN VIII: Acoustic- hearing , equilibrium (balance) 

CN IX: Glossopharyngeal - swallowing , gag reflex, taste on posterior tongue 

CN X: Vagus - swallowing, gag reflex, abdominal viscera, phonation, 

CN XI: Spinal Accessory - head and shoulder movement

CN XII: Hypoglossal - tongue movement

Neurologic Medications

500

Levetiracetam (Keppra) ?

Anti-convulsant used to manage partial onset, myoclonic, and generalized tonic- clonic seizures in patients with epilepsy; Half-life of Keppra is 6-8 hours depending on renal impairment ; May cause behavioral abnormalities ( risk vs benefit), 250mg-1000mg ; IVP or PO

Emergency Preparedness

300

Seizure Precautions

Padded bed rails, suction set up, oxygen and tubing, do not stick anything in oral cavity, roll on side if mobility is appropriate

What other interventions can you think of ?

500

Each of you name three things you would want to make sure you have for a patient to be prepared for an emergent situation (any unit, floor, specialty, facility, etc)

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Neurologic Diseases

100

What is ALS ?

ALS or Amyotrophic Lateral Sclerosis also known as Lou Gehrig's Disease : Nervous system disorder, nerve cells break down, progressive neurodegenerative disease; Motor neurons die and the ability to initiate and control movements is lost

200

What is the biggest difference between Dementia and Alzheimers?

Dementia is a syndrome, Alzheimers is a disease and type of dementia. Dementia is used in a more general way to convey memory,language concerns; alzheimers is usually progressive in nature

300

What is Parkinson's Disease?

Neurodegenerative disorder, Affects predominantly dopamine - producing (dopaminergic) neurons; Can present as tremors, slow movements, rigidity, gait and balance problems

400

What is Huntington's Disease?

Genetic condision, Nerve cells in the brain break down over time , Progressive, involves movement and thinking and psychiatric symptoms ; It can affect movement, cognition, perception, awareness, thinking, judgement, and mental health

500

What is Multiple Sclerosis or MS ?

Auto-immune/Neurologic disorder caused by inflammatory , demyelinating nerve fibers/sheaths in the nervous system; progressive, think about a disruption in communication from the brain to the body because the protective covering (myelin) ;