Question

1.ICP readings for a patient with a CVA would be Select

A.high

B.low

C.normal

2.

Match the type of seizure to the correct descriptive word.

Grand mal convulsive Absence seizure medical emergency Status epilepticus petit mal

3.

Match the drug to the correct category.

Ibuprofen analgesic Valium anticonvulsive Tylenol dopamine agonist Sinemet NSAID Carfergot regulates serotonin Phenobarbital tranquilizers

4.A secondary brain tumor typically BLANK

A.originates in the brain

B.is always benign

C.originates outside of the brain

5.A drug to treat the symptoms of Parkinson’s disease is BLANK

A.Cafergot

B.Neurpro

C.Compazine

Answer 1

1. Option 'A' (high) is correct

Justification: Intracranial pressure (ICP), pressure exerted by brain, blood and CSF, would be high for a patient with cerebrovascular accident (CVA), which is medical term for stroke. During the cerebrovascular accident, intracranial pressure will be increased due to increased cerebral blood volume or edema caused by stroke.

Justification for incorrect options:

• Options 'B' and 'C' are incorrect because intracranial pressure (ICP) would be increased for a patient with cerebrovascular accident (CVA) due to the cerebral edema, but NOT low or normal.

2.

• Grand mal - Tonic-clonic or convulsive seizure, Sometimes medical emergency
• Absence seizure - Petit mal
• Status epilecticus - Medical emergency

Justification:

• Grand mal seizure involves loss of consciousness and muscle contractions, causes usually by epilepsy. It also causes low blood sugar, high fever or a stroke. It sometimes will be a medical emergency.
• Absence seizures are sometimes called petit mal. They causes rapid blinking or a few seconds of staring into space.
• Status epilecticus is a medical emergency because any seizure which lasts for more than 5 minutes or more than 1 seizure within 5 minutes without returning to normal conscious levels is called status epilecticus and this can even lead to death.

3.

Ibuprofen - NSAID

Valium - Anticonvulsive

Tylenol - Tranquilizers

Sinemet - Dopamine agonist

Carfergot - Regulates serotonin

Phenobarbital - Anticonvulsive

Justification:

• Ibuprofen belongs to a class of non-steroidal anti-inflammatory drugs (NSAIDS). These are used to treat mild to moderate pain, inflammation and fever.
• Other name for valium is diazepam and it belongs to a class of benzodiazepine anti-convulsants.
• Other name for tylenol is acetaminophen and it is an anti-anxiety drug which helps to relieve tension or anxiety.
• Sinemet is used a dopamine agonist which helps in treating Parkinson's disease.
• Carfergot belongs to a class of anti-migraine drugs and helps in treating headaches, migraines. It constricts blood vessels and effects brain receptors like serotonin.
• Phenobarbital belongs to a class of barbiturate anti-convulsants or hypnotics. It helps in controlling abnormal electrical activity in the brain occurring due to seizures.

4. Option 'C' (originates outside of the brain) is correct

Justification: Secondary brain tumors are also known as metastatic brain tumors and they originate in another part of body and then spread to the brain. So, they will originate outside of the brain.

Justification for incorrect options:

• Option 'A' is incorrect because secondary brain tumors will be originated in other parts of brain outside the brain and then spreads to the brain but they will NOT originate in the brain. So, this option is incorrect.
• Option 'B' is incorrect because secondary brain tumors are always 'malignant' which is very infectious, but NOT benign.

Thank you!