Gettin' On My Nerves
This is the most appropriate test you can perform in the office to determine if a pt may have Carpal Tunnel Syndrome.
What is Phalen's Test?
A neurologic disorder in which the affected person displays behaviors associated with inattentiveness, hyperactivity, impulsivity or a combination of these.
What is ADHD?
A 10-g monofilament exam is required of all patients with this disease
What is DM
A condition present in early childhood that is characterized by difficulty communicating and forming relationships.
What is Autism Spectrum disorder?
a progressive neurodegenerative disease producing a syndrome of abnormal movement such as pill rolling
What is Parkinsons?
Another word for -Characterized by explosive episodes of uncontrolled and excessive electrical activity in the brain
seizure
Trigeminal Nerve Neuralgia is a condition that affects this nerve
What is CN 5- Trigeminal nerve This covers 3 types of sensation (temperature, pain and tactile) come from the nerve on 3 territories of the face
A progressive neurodegenerative disease that produces a typical profile of memory loss and mental deterioration.
What is Alzheimer's Disease?
A progressive degeneration and demyelination of neurons of the brain, spinal cord, and cranial nerves, especially the optic nerve.
What is Multiple Sclerosis?
A 60 year old female complains of a headache, jaw cramping, sudden vision change and an upper respiratory infection. You diagnose
What is Temporal Arteritis
A 75 year old woman is brought to you by her daughter because she has recently been confused and hallucinating. The easiest thing to rule out in the office is:
What is a UTI?
True or False- Patients with seizure disorders are allowed to drive a car
What is True- if they have been seizure free for at least a year
The difference between a TIA and a stroke is
What is time? Both can be from embolism (80%) or hemorrhagic (20%) but if symptoms last less than 24 hours it is considered a TIA, more than 24 hours a stroke
You suspect a patient is having a stroke or a TIA because they demonstrate what symptoms?
Aphasia, Amnesia, Dysphagia, Confusion, Dysarthria, Unilateral weakness, visual field defects
Certain foods, alcohol, excessive blue light (screen time) and hormone changes can trigger this
What is a migraine?
Bacterial Meningitis is definitively diagnosed due to this
What is a lumbar puncture?
The most severe complication of Temporal Arteritis is:
What is blindness
The nurse practitioner witnesses a patient with a seizure disorder as he suddenly stops talking, sits down and stares straight ahead. During the seizure, which lasts approximately 2 minutes, he makes chewing movements and repeatedly pulls at his shirt. After his seizure the patient can not recall the onset of the seizure or describe what happened to him. What type of seizure should the practitioner document?
Complex partial seizures are usually accompanied by an aura and impaired level of consciousness during which the patient stares blankly and loses awareness. In addition this type of seizure is frequently characterized by automatisms such as repeated chewing movements or pulling of clothes. Patient having CPS have trouble remembering the event
True or False You are at a holiday celebration at your daughters school and witness a child who begins convulsing and Mom lowers him to the floor. You know you should also restrict his limbs so he doesn't hurt himself and put a spoon upside down on his tongue and hold it there until the seizure is complete.
What is FALSE! Believe it or not these were previous recommendations before more research was done.
What are the most common presentations of Parkinson's Disease?
What are bradykinesia, muscle rigidity, resting tremor, postural instability, pill rolling, therapeutic response to Levadopa
Risk factors for meningitis include
What are smoking, communal living, exposure to virus/bacteria/fungi, <age 20, immunocompromised immune system
Prednisone, Zofran, Meclizine are medicines used to treat
What is dizziness/vertigo
This maneuver can be performed in the office to help a patient who has Benign Paroxysmal Positional Vertigo
What is the Epley Maneuver
In clinical, your preceptor tells you to call 911 because the epileptic patient has papilledema, This means the patient likely has
What is increased cranial pressure
Differential diagnoses for trigeminal neuralgia include
What is Migraine, dental abscess, MS, tumor
Pts with syncope get a million dollar workup. What are the most common causes for syncope?
What is orthostatic hypotension, cardiomyopathy, cardiac problems or vasovagal responses
A section of the brain where neurons deteriorate when one has Parkinson's disease
What is the basal ganlia?
A new patient is establishing care because they just moved here. The 35 year old female is on Gabapentin, Ditropan, Avonex and Sertraline. You suspect she takes these meds for:
What is Multiple Sclerosis
Trigeminal neuralgia is more common in people older than this age
What is 50?
The difference between seizures and epilepsy
What is more than 2 episodes of seizures are called epilepsy?