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CCRN

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Rational
What is Kernig's sign?   Resistance to leg extension with the hip flexed   Indicative of meningeal irritation  
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What is Chovtek's sign?   It is facial spasm caused by tapping the origin of the facial nerve.   Indicative of hypocalemia  
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CISTERNOGRAM   SHOWS CSF FLOW    
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What is triple H therapy?   HYPERTENSION, HYPERVOLEMIA, HEMODILUTION   To reduce the potention for cerebral artery vasospasm.  
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What is Cushing triad or reflex?   Pt. present with an increase in systolic BP, a drecrease in diastolic BP (WIDENING PULSE PRESSURE)and bradycardia.   It is a late sign of increase intracranial pressure.  
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What range should cerebral perfusion pressure be maintained for autoregulation?   50 - 150 mmHg    
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What is Broca's aphasia?   It is the inability to express oneself (Motor or expressive aphasia)   Caused by a problem in the Broca area of the frontal lobe.  
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What is Wernicke's aphasia?   Sensory or receptive aphasia   Caused by problem in the Wernicke's area of the temporal lobe.  
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What is dysprosody?   The lack of inflection during speech    
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Where is the Broca area located?   It is in the frontal lobe   The frontal lobe controls voluntary motor functions.  
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Where is the Wernicke's area located?   It is in the temporal lobe.   The temporal lobe controls hearing  
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SUBDURAL HEMATOMA   VENOUS BLEED    
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EPIDURAL HEMATOMA   ARTERIAL BLEED    
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What are A waves in ICP waveforms   Spontaneous,Rapid increases in pressure between 50 - 200 mm Hg. That last 5 minutes or more.   A waves can cause cerebral ischemia. They are the most clinical significant wave form. Immediate intervention is necessary.  
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What is racoon eyes?   Indication of basilar skull fracture involving the anterior fossa    
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What is the first sign of UNCAL HERNIATION?   unilateral (ipsilateral) pupil dilation with sluggish reaction.   A result of pressure on cranial nerve III  
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Extracerebral stuctures.   Use mnemonic SCALP   1. SKIN 2. CUTANEOUS TISSUE 3. ADIPOSE TISSUE 4. LIGAMENT 5.PERICRANIUM  
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CRANIAL LAYERS   MNEMONIC: ED'S A Super Pizza Man   1. EPIDURAL SPACE 2. DURA MATER 3. SUBDURAL SPACE 4. ARACHNOID 5. SUBARACHNOID SPACE 6. PIA MATER 7. MENINGEAL LAYERS  
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CEREBRUM   governs all sensory and motor and learning; analyzes, associates, integrates, and stores information.    
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FRONTAL LOBE   motor function; motor speech area; controls morals, values, emotions, and judgment    
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PARIETAL LOBE   integrates general sensation; governs discrimination; interprets pain, touch, temperature, and pressure.    
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What are the four lobes of the CEREBRAL CORTEX   FRONTAL LOBE, PARIETAL LOBE, TEMPORAL LOBE, OCCIPITAL LOBE    
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TEMPORAL LOBE   Auditory center; sensory speech center    
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OCCIPITAL LOBE   visual area    
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BASAL GANGLIA   CENTRAL MOTOR MOVEMENT    
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DIENCEPHALON is composed of:   THALAMUS, EPITHALAMUS, SUBTHALAMUS, HYPOTHALAMUS    
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Central cord syndrome (CCS)   It is marked by a disproportionately greater impairment of motor function in the upper extremities than in the lower ones, as well as by bladder dysfunction and a variable amount of sensory loss below the level of injury.   Central cord syndrome (CCS) most often occurs after a hyperextension injury in an individual with long-standing cervical spondylosis.  
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Brown Sequard Syndrome   Ipsilateral motor loss Contralateral loss of pain and temperature   HEMISECTION OF CORD CUT  
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What is battle sign?   bruising of the mastoid   Indicative of Basal skull fracture  
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