Pregunta 1
Pregunta
Acronym for early stroke awareness
Pregunta 2
Pregunta
What does the 'F' in FAST stand for?
Respuesta
-
Face
-
Fast Response
-
False
-
Finish a sentence
Pregunta 3
Pregunta
Movement of arms like a 'C' inward toward spinal cord is called:
Respuesta
-
decerebrate
-
'C'eizure
-
decorticate
-
muscle spasms
Pregunta 4
Pregunta
A transient ischemic attack or 'TIA' usually
Respuesta
-
lasts 2-3 hours
-
has permanent effects
-
lasts less than 1 hour
-
due to hemorrhage
Pregunta 5
Pregunta
Hemiplegia describes paralysis involving
Respuesta
-
unilateral side of body
-
lower extremeties
-
all four extremeties
-
muscles of the mouth
Pregunta 6
Pregunta
Clinical manifestations of CVA include:
Respuesta
-
HTN, dysphagia, arm drift, facial droop
-
burning in throat, epigastric pain
-
polyuria, polydipsia, polyphagia
-
chest pain and SOB
Pregunta 7
Pregunta
Types of ischemic stroke are:
Respuesta
-
thrombotic
-
hemorrhagic
-
transient
-
embolic
Pregunta 8
Pregunta
Cells involved in clearing blood debris of a hemorrhagic stroke include:
Respuesta
-
RBCs
-
lymphokines
-
astrocytes
-
macrophages
Pregunta 9
Pregunta
What are clinical manifestations of hemorrhagic stroke?
Pregunta 10
Pregunta
Decerebrate posturing is described as:
Respuesta
-
extensor posturing
-
arms like an 'X'
-
arms like a 'C'
-
stiff neck
Pregunta 11
Pregunta
Neurological symptoms of a stroke appear as:
Respuesta
-
symmetrical
-
opposite side of injury
-
gradual onset
-
hypotension
Pregunta 12
Pregunta
Pt is exhibiting signs of right brain stroke, which side of the body will you see s/s?
Respuesta
-
left side
-
right side
-
both sides
-
neither side
Pregunta 13
Pregunta
Documenting a pt as lethargic means
Respuesta
-
easy arousal
-
no verbal response
-
minimal verbal response
-
disorientation to time
Pregunta 14
Pregunta
Pt only opens eyes w/ vigorous and repeated stimulation
Respuesta
-
coma
-
obtundation
-
lethargy
-
stupor
Pregunta 15
Pregunta
Increased intracranial pressure causes decrease in cerebral perfusion
Pregunta 16
Pregunta
The most common cause of osteomyelitis is:
Pregunta 17
Pregunta
The pathogenesis of osteoporosis involves:
Respuesta
-
inadequate mineralization
-
impaired synthesis of bone organic matrix
-
alteration in the OPG/RANKL/RANK system
-
formation of sclerotic bone
-
none of these
Pregunta 18
Respuesta
-
destruction of the synovial membrane and subsynovial tissue
-
inflammation of ligaments
-
destruction of the articular cartilage
-
softening of the articular cartilage
-
destruction of the joint capsule
Pregunta 19
Pregunta
The causes of OA include which of the following? (More than one answer may be correct.)
Pregunta 20
Pregunta
Ankylosing spondylitis: (More than one answer may be correct.)
Respuesta
-
is a systemic immune inflammatory disease
-
is characterized by stiffening or fusion of the spine.
-
causes instability of synovial joints
-
begins with inflammation of fibrocartilage
-
is manifested early by low back pain and stiffness
Pregunta 21
Respuesta
-
the pathogenesis is formation of monosodium urate crystals in joints and tissues.
-
purine metabolism is altered.
-
affected individuals likely have an inherited enzyme defect.
-
the hyperuricemia can be the result of acquired chronic disease or a drug
-
all of these
Pregunta 22
Pregunta
A muscle contracture is:
Respuesta
-
the hyperuricemia can be the result of acquired chronic disease or a drug
-
muscle shortening possibly because of CNS injury
-
often helped by relaxation training and biofeedback
-
a consequence of reduced muscle protein synthesis
-
all of these
Pregunta 23
Respuesta
-
articular cartilages lose contact entirely
-
articular cartilages are partially separated
-
complete separation of a tendon or a ligament
-
a ligament tear
Pregunta 24
Pregunta 25
Pregunta 26
Pregunta 27
Pregunta 28
Pregunta 29
Pregunta
muscle diagnosis in which there is muscle weakness due to dysfunction of muscle fiber
Respuesta
-
fibromyalgia
-
myopathy
-
neuropathy
-
sprain
Pregunta 30
Pregunta
A sarcoma is a group of tumors arising from connective tissue
Pregunta 31
Pregunta
Arthritis is an inflammatory joint disease characterized by damage or destruction in the _____ or _____ and by systematic signs of inflammation (select all that apply)
Respuesta
-
connective tissue
-
synovial membrane
-
articular cartilage
-
nerve fibers
Pregunta 32
Pregunta
Non-inflammatory disease caused by a progression of loss in cartilage
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 33
Pregunta
Non-infectious disease caused by an autoimmune reaction
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 34
Pregunta
Sclerosis of bone underneath the cartilage and formation of bone spurs is possible with _____
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 35
Pregunta
_____ has a higher incidence in the elderly and is primarily idiopathic
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 36
Pregunta
Chronic condition caused by deterioration of cartilage (damaging chondrocytes). Cartilage becomes thin, flaky, then absent. Bone surfaces become less protected and therefore pt experiences pain upon weight bearing and mobilization
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 37
Pregunta
Risk factors for _____ include: advancing age, joint trauma, long-term mechanical stress, drugs, obesity, and endocrine DOs
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 38
Pregunta
Clinical manifestations of _____ include: deformity/nodules at ends of digits, worsening pain with activity, and asymmetrical symptoms
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 39
Pregunta
Pain worsens with activity
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 40
Pregunta
AM pain/stiffness diminishes in about 30 minutes after getting out of bed
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 41
Pregunta
Diagnosis of _____ can be done with an x-ray
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 42
Pregunta
An inflammatory autoimmune joint disease, primarily involving damage to the connective tissue in the synovial membrane. Cause is unknown, but multifactorial contributors and genetic predisposition have been noted
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 43
Pregunta
Neutrophils and other cells in synovial fluid become activated and thicken becoming inflammatory exudate. Joint become swollen and inflamed. Inflammation causes small venules to become occluded w/ cells --> decrease in vascular flow to the joint. Inflammatory cytokines induce enzymatic breakdown of cartilage and bone.
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 44
Pregunta
Pannus, which is associated with _____, grows over the articular surface and causes destruction
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 45
Pregunta
Pain worsens w/ rest
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 46
Pregunta
Morning pain/stiffness lasts 1+ hours after getting out of bed
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 47
Pregunta
Clinical manifestations of _____ include: fever, fatigue, weakness, anorexia, weight loss, joint pain/stiffness/tenderness, joints warm to touch, deformity (swan hands). and decreased ROM. Symptoms occur symmetrically
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 48
Pregunta
Starts in fingers and wrists w/ later involvement in weight bearing joints (ankles & feet).
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 49
Pregunta
Complications of _____ include: systemic effects including skin, cardiac valves, pericardium, pleura, lung parenchyma, and spleen; formation of nodules w/ central tissue necrosis and proliferation of connective tissue
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 50
Pregunta
Blood tests are used to diagnose _____
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 51
Pregunta
Osteomyelitis is most commonly caused by a _____ infection.
Pregunta 52
Pregunta
_____ osteomyelitis may originate from an open wound, open fracture, penetrating wound, or surgical procedure
Pregunta 53
Pregunta
_____ osteomyelitis may originate from pathogens carried in the blood from sites of infection elsewhere in the body
Pregunta 54
Pregunta
Clinical manifestations of _____ include: acute or chronic inflammation, fever, pain, and necrotic bone.
Respuesta
-
osteoarthritis
-
RA
-
osteomyelitis
Pregunta 55
Pregunta
As you age, the amount of cartilage in your body starts to build up
Pregunta 56
Pregunta
Fibrous connective tissue that attaches skeletal muscle to bone
Pregunta 57
Pregunta
band of fibrous connective tissue that connects bones where they meet in a joint
Pregunta 58
Pregunta
tearing or stretching of a muscle or tendon is commonly known as a:
Pregunta 59
Pregunta
Ligament tears are commonly known as:
Pregunta 60
Pregunta
What makes up the CNS
Respuesta
-
brain
-
spinal cord
-
cranial nerves
-
spinal nerves
Pregunta 61
Pregunta
What makes up the PNS
Respuesta
-
brain
-
spinal cord
-
cranial nerves
-
spinal nerves
Pregunta 62
Pregunta
The sympathetic and parasympathetic systems are components of the _____ nervous system
Pregunta 63
Pregunta
What are the types of pain?
Respuesta
-
visceral
-
somatic
-
referred
Pregunta 64
Pregunta
In promoting health maintenance for prevention of strokes, the nurse understands that the highest risk for the most common type of CVA is seen in
Pregunta 65
Pregunta
the name given to a collection of language disorders caused by damage to the brain. loss of ability to understand or express speech, caused by brain damage
Pregunta 66
Pregunta
the name given to a collection of language disorders caused by damage to the brain. loss of ability to understand or express speech, caused by brain damage. With speech, the messages from the brain to the mouth are disrupted, and the person cannot move his or her lips or tongue
Pregunta 67
Pregunta
is the inability to process sensory information. Often there is a loss of ability to recognize objects, persons, sounds, shapes, or smells while the specific
Pregunta 68
Pregunta
means 'weakness'
Pregunta 69
Pregunta
means paralysis or no movement at all
Pregunta 70
Pregunta
Which is not a neuromodulator of pain?
Respuesta
-
prostaglandins
-
5-hydroxytryptamine
-
norepinephrine
-
lymphokines
-
heparin
Pregunta 71
Pregunta
An individual shows flexion in upper extremities and extension in lower extremities. This is:
Respuesta
-
decorticate posturing
-
decerebrate posturing.
-
excitation posturing
-
caloric posturing
Pregunta 72
Pregunta
Alzheimer disease:
Respuesta
-
can be caused by increased cerebral levels of acetylcholine
-
is most prevalent as a late-onset dementia
-
manifests as nerve cell tangles
-
manifests as neuron senile plaques.
-
all of these
Pregunta 73
Pregunta 74
Respuesta
-
orientation to person, time, and place
-
slow vocalization, decreased oculomotor activity
-
inability to think clearly
-
vocalization in response to pain stimuli
-
no arousal
Pregunta 75
Respuesta
-
orientation to person, time, and place
-
slow vocalization, decreased oculomotor activity
-
inability to think clearly
-
vocalization in response to pain stimuli
-
no arousal
Pregunta 76
Respuesta
-
unilateral neurologic deficits that slowly resolve.
-
generalized neurologic deficits that occur a few seconds every hour
-
focal neurologic deficits that develop suddenly, last more than an hour, and clear without evidence of infarction
-
neurologic deficits that slowly evolve or develop.
Pregunta 77
Pregunta
Which is a risk factor for the development of CVAs?
Respuesta
-
polycythemia vera
-
HTN
-
DM
-
hyperhomocysteinemi
-
all of these
Pregunta 78
Pregunta
Which most typically characterizes the victims of a cerebral embolic stroke
Respuesta
-
individuals older than 65 years with a history of hypertension
-
individuals with a long history of TIA
-
middle-aged individuals with a history of heart disease
-
individuals with gradually occurring symptoms that then rapidly disappear
Pregunta 79
Pregunta
Ruptured aneurysms are most likely in which of the following cerebrovascular accidents.
Respuesta
-
TIA
-
thrombotic
-
embolic
-
hemorrhagic
Pregunta 80
Pregunta
Pain is a compensatory mechanism to stabalize the environment and maintain homeostasis
Pregunta 81
Pregunta
Not all pain involves tissue injury, release of chemical (inflammatory), mediators, and sensitization of spinal cord neurons
Pregunta 82
Pregunta
The _____ Theory asserts that non-painful input 'closes' the gates to painful input, which prevents pain sensation from traveling to the CNS.
Respuesta
-
Gate Control
-
Specificity of Pain
-
Intensity of Pain
-
Pattern of Pain
Pregunta 83
Pregunta
These fibers are associated w/ 'fast' pain
Pregunta 84
Pregunta
These fibers are associated w/ 'slow' pain
Pregunta 85
Pregunta
Nociceptors are free nerve ending in the _____ PNS
Pregunta 86
Pregunta
_____ are widespread in the superficial layers of the skin, periosteum, arterial walls, and joint surfaces
Respuesta
-
nociceptors
-
neurons
-
neuromodulators
-
axons
Pregunta 87
Pregunta
_____ are myelinated
Pregunta 88
Pregunta
_____ fibers are associated with mechanical or thermal stimulation (needle stick, knife cut, acute burn) and are transmitted in less than 0.1 seconds
Pregunta 89
Pregunta
associated with acute pain
Pregunta 90
Pregunta
_____ fibers are stimulated by chemicals, mechanically, or thermally. Some examples include aches, throbbing, and nauseous pain
Pregunta 91
Pregunta
_____ fibers transmit signals at a rate of over 1 second
Pregunta 92
Pregunta
Associated w/ chronic pain
Pregunta 93
Pregunta
Neuromodulators are messengers released from a neuron in the _____, or in the periphery that affects groups of neurons or effector cells that have the appropriate receptors.
Pregunta 94
Pregunta
_____ trigger responsiveness
Respuesta
-
nociceptors
-
neurons
-
neuromodulators
-
axons
Pregunta 95
Pregunta
Choose the following tissue injury neuromodulators
Respuesta
-
prostaglandins
-
bradykinin
-
lymphokines
-
substance P
-
histamine
-
glutamate
-
somatostatin
Pregunta 96
Pregunta
Choose the following excitatory neuromodulators
Respuesta
-
prostaglandins
-
bradykinin
-
lymphokines
-
substance P
-
histamine
-
glutamate
-
somatostatin
Pregunta 97
Pregunta
_____ pain is a protective mechanism against immediate harm. It is the response of excessive adrenergic (sympathetic) activity
Pregunta 98
Pregunta
Somatic, visceral, referred, and neuropathic pain are types of _____ pain
Pregunta 99
Pregunta
pain in the body framework (skin, bones, muscle)
Respuesta
-
somatic
-
visceral
-
referred
-
neuropathic
Pregunta 100
Pregunta
pain in the organs of the body (chest pain, abdominal pain)
Respuesta
-
somatic
-
visceral
-
referred
-
neuropathic
Pregunta 101
Pregunta
pain felt in remote areas away from the original point of pain generation
Respuesta
-
somatic
-
visceral
-
referred
-
neuropathic
Pregunta 102
Pregunta
The disruption of nerves or hypersensitization of nerves.
Respuesta
-
somatic
-
visceral
-
referred
-
neuropathic
Pregunta 103
Pregunta
_____ pain occurs in ppl w/ DM
Respuesta
-
somatic
-
visceral
-
referred
-
neuropathic
Pregunta 104
Pregunta
_____ pain may be treated (off-label) w/ tricyclic antidepressants, anticonvulsants, or antiarrhythmics
Respuesta
-
somatic
-
visceral
-
referred
-
neuropathic
Pregunta 105
Pregunta
_____ pain lasts as little as a few seconds to as much as 3 months. There is a temporary or minor disruption in normal ADL's and lifestyle
Pregunta 106
Pregunta
_____ pain persists more than 3 months. It imposes severe emotional, physical, economic, and social stresses on pts and their family
Pregunta 107
Pregunta
Acute pain is a very costly health care problem. Is is usually caused from a complex underlying DO
Pregunta 108
Pregunta
_____ pain affect employment, finances, family structure, social relationships
Pregunta 109
Pregunta
Personality changes are apparent with chronic pain
Pregunta 110
Pregunta
Negative health consequences of _____ pain include increased stress, decreased GI motility and appetite, increased blood clotting, delayed healing, decreased immune system, interference with sleep, and hormonal imbalances
Pregunta 111
Pregunta
In the PQRST approach to pain assessment, which letter/factor involves what increases or decreases the pain level
Pregunta 112
Pregunta
In the PQRST approach to pain assessment, which letter/factor involves a description of what the pain feels like (sharp, dull, hot, stinging, ect)
Pregunta 113
Pregunta
In the PQRST approach to pain assessment, which letter/factor involves where the pain is (localized, referred)
Pregunta 114
Pregunta
In the PQRST approach to pain assessment, which letter/factor involves rating the pain on a scale of 1-10
Pregunta 115
Pregunta
In the PQRST approach to pain assessment, which letter/factor involves how long the pain has been present (acute, chronic)
Pregunta 116
Pregunta
The _____ nervous system has motor and sensory pathways regulating voluntary motor control of skeletal muscle
Pregunta 117
Pregunta
The somatic nervous system regulates _____ motor control
Pregunta 118
Pregunta
The _____ nervous system has motor and sensory pathways regulating the body's internal environment thru involuntary control of organ systems
Pregunta 119
Pregunta
The _____ nervous system controls the body's fight or flight response
Respuesta
-
sympathetic
-
parasympathetic
Pregunta 120
Pregunta
The _____ nervous system conserves the body's energy
Respuesta
-
sympathetic
-
parasympathetic
Pregunta 121
Pregunta
The _____ pathway is ascending and messages go from the body to the brain
Pregunta 122
Pregunta
The _____ pathway is descending and messages travel from the brain to the body
Pregunta 123
Pregunta
_____ neurons transmit impulses from sensory receptors to the CNS
Respuesta
-
sensory
-
motor
-
associational/inter
Pregunta 124
Pregunta
_____ neurons transmit impulses from the CNS to an effector organ
Respuesta
-
sensory
-
motor
-
associational/inter
Pregunta 125
Pregunta
_____ neurons transmit impulses from neuron to neuron
Respuesta
-
sensory
-
motor
-
associational/inter
Pregunta 126
Pregunta
A pts pain _____ is the lowest intensity of pain that a person can recognize
Pregunta 127
Pregunta
A pt's pain _____ is the greatest intensity of pain that a person can endure
Pregunta 128
Pregunta
_____ is a respiratory rate of less than 12 breathes a minute and is associated w/ neurological conditions, electrolyte disturbances, narcotic or barbituate OD, or is seen postanesthesia
Pregunta 129
Pregunta
_____ results in a persistent respiratory rate of more than 20 breathes per minute and is associated with trauma, injury, stress, pain; respiratory, cardiac, or liver disease
Pregunta 130
Pregunta
_____ is a cyclic breathing pattern characterized by shallow breathing alternating w/ periods of apnea. They are associated with neurologic problems, head trauma, brain abscess, and heatstroke
Pregunta 131
Pregunta
_____ is a cyclic breathing pattern characterized by periods of respirations of increased rate and depth alternating w/ periods of apnea. They are associated w/ CHF, drug OD, increased intracranial pressure, and impending death
Pregunta 132
Pregunta
_____ are respirations of increased rate and depth and are associated w/ metabolic acidosis, DKA, and renal failure
Pregunta 133
Pregunta
Which of the following shows the stages of altered consciousness
Respuesta
-
confusion, disorientation, lethargy, obtundation, stupor, coma
-
disorientation, confusion, obtundation, lethargy, coma, stupor
-
confusion, disorientation, stupor, lethargy, obtundation, coma
-
obtundation, disorientation, confusion, lethargy, stupor, coma
Pregunta 134
Pregunta
loss of ability to think, impaired judgement and decision making
Respuesta
-
confusion
-
disorientation
-
lethargy
-
obtundation
-
stupor
-
coma
Pregunta 135
Pregunta
beginning loss of consciousness, unable to tell name, place, or time
Respuesta
-
confusion
-
disorientation
-
lethargy
-
obtundation
-
stupor
-
coma
Pregunta 136
Pregunta
limited spontaneous movement or speech; easy arousal w/ normal speech or touch; may or may not be oriented to time, place, and person
Respuesta
-
confusion
-
disorientation
-
lethargic
-
obtundation
-
stupor
-
coma
Pregunta 137
Pregunta
mild to moderate reduction in arousal w/ limited response to environment; fall asleep unless stimulated verbally or tactilely; answer questions w/ minimal responses
Respuesta
-
confusion
-
disorientation
-
lethargy
-
obtundation
-
stupor
-
coma
Pregunta 138
Pregunta
condition of deep sleep or unresponsiveness; opens eyes only w/ vigorous and repeated stimulation
Respuesta
-
confusion
-
disorientation
-
lethargy
-
obtundation
-
stupor
-
coma
Pregunta 139
Pregunta
no verbal response to external environment or to any stimuli
Respuesta
-
confusion
-
disorientation
-
lethargy
-
obtundation
-
stupor
-
coma
Pregunta 140
Pregunta
_____ posturing include flexing and the arms are like 'C's' and move in toward the spinal cord
Pregunta 141
Pregunta
_____ posturing involves extension and the arms are like 'e's'