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week 10
| Question | Answer |
|---|---|
| Enumerate the types of Multiple Sclerosis. | Relapsing-Remitting MS (RRMS) Secondary Progressive MS (SPMS) Primary Progressive MS (PPMS) Progressive Relapsing MS |
| Enumerate the common clinical manifestations of MS. | Fatigue Visual disturbances Muscle weakness Numbness/tingling Poor coordination Balance problems Bladder dysfunction |
| Enumerate the complications of MS. | Paralysis Severe fatigue Depression Cognitive impairment Urinary infections |
| Enumerate the nursing education for MS patients. | Avoid extreme heat Manage stress Maintain balanced diet Exercise regularly Adhere to medications |
| Chronic autoimmune disease causing demyelination of CNS neurons | Multiple Sclerosis |
| Destruction of the protective covering of nerve fibers | Demyelination |
| Most common age of onset of MS | 20–40 years old |
| Gender more commonly affected by MS | Women |
| Vitamin deficiency associated with MS risk | Vitamin D deficiency |
| Most common type of MS with relapses and remissions | Relapsing-Remitting MS (RRMS) |
| Type of MS that gradually worsens after RRMS | Secondary Progressive MS (SPMS) |
| Type of MS with continuous worsening from onset | Primary Progressive MS (PPMS) |
| Sudden interruption of blood flow to the brain causing neurologic deficits | Stroke (CVA) |
| Brain cells begin to die within minutes without these two substances | Oxygen and glucose |
| artery supplying anterior brain circulation | Internal carotid artery |
| Most common type of stroke caused by blocked artery | Ischemic stroke |
| Type of ischemic stroke caused by clot formed within the vessel | Thrombotic stroke |
| Type of ischemic stroke caused by traveling clot | Embolic stroke |
| Stroke caused by ruptured blood vessel | Hemorrhagic stroke |
| Bleeding within brain tissue | Intracerebral hemorrhage |
| Bleeding in the space surrounding the brain | Subarachnoid hemorrhage |
| First event in stroke due to lack of oxygen | Ischemia |
| Area of irreversible brain damage | Infarct core |
| Area of salvageable brain tissue | Ischemic penumbra |
| Paralysis on one side of the body | Hemiplegia |
| Weakness on one side of the body | Hemiparesis |
| Difficulty expressing language due to Broca’s area damage | Expressive aphasia |
| Difficulty understanding language due to Wernicke’s area damage | Receptive aphasia |
| Drug used to dissolve clots in ischemic stroke | Alteplase |
| Time window for giving Alteplase | Within 4.5 hours |
| Drug used in atrial fibrillation to prevent stroke | Warfarin |
| Head elevation used to reduce intracranial pressure | 30 degrees |
| Lifestyle habit that increases stroke risk | Smoking |
| Sudden uncontrolled electrical disturbance in the brain | Seizure |
| Recurrent, unprovoked seizures | Epilepsy |
| Main excitatory neurotransmitter in the brain | Glutamate |
| Main inhibitory neurotransmitter in the brain | GABA (Gamma-aminobutyric acid) |
| Imbalance of excess excitation or decreased inhibition leads to this | Seizure |
| Seizures originating from one part of the brain | Focal (partial) seizure |
| Involuntary actions like lip smacking or picking clothes | Automatisms |
| Seizure with stiffening then jerking movements | Tonic-clonic seizure |
| Brief staring spell common in children | Absence seizure |
| Sudden brief muscle jerks | Myoclonic seizure |
| Sudden loss of muscle tone leading to falls | Atonic seizure |
| Muscle stiffening only | Tonic seizure |
| Rhythmic jerking only | Clonic seizure |
| Phase occurring hours or days before seizure with mood changes | Prodromal phase |
| Warning sign just before seizure (e.g., smell, déjà vu) | Aura |
| Active phase of seizure | Ictal phase |
| Seizure lasting more than 5 minutes | Status epilepticus |
| Test used to detect abnormal brain waves | EEG |
| Emergency drug for status epilepticus (benzodiazepine) | Diazepam |