differentiate a cholinergic crisis from a myasthenia crisis

differentiate a cholinergic crisis from a myasthenia crisis

Midterm Exam ANP 652

1 Patients with central nervous system injury may commonly have a specific type of gastric ulcer known as (select the best answer):

Curling’s ulcer



Duodenal ulcer



H. pylori ulcer



Barrett’s ulcer




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2 How do you differentiate a cholinergic crisis from a myasthenia crisis? Select the best answer.

Perform a Tensilon (edrophonium) test.



Order a stat plasmapheresis trial.



Obtain a stat cortisol stimulation test.



Administer rapid immunomodulating therapies (IVIG).




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3 Complications of giant cell arteritis include:














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4 On the Folstein Mini-Mental State Exam, the maximum score is 30, but a score of 23 or less indicates _____.

Cognitive impairment



Mental retardation



Alzheimer’s dementia



Parkinson’s dementia




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5 Atypical antipsychotics like Seroquel, Zyprexa, and Risperdol are the preferred treatments for dementia-related aggression.

True  False

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6 A 67-year-old male with a past medical history significant for lung cancer is admitted with sepsis. On assessment, you notice petechiae and bruising. Which of the following statements about DIC is not true?

Results from activation of the clotting cascade and results in clotting factor consumption.



Diffuse clothing occurs simultaneously with bleeding.



Heparin may improve lab parameters, but may aggravate bleeding.



Lab results indicate increased platelet, increased fibrinogen, and prolonged PT/INR.




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7 Rickettsial infections include which of the following:

Rocky Mountain spotted fever and Q fever



Malaria and toxoplasmosis



Histoplasmosis and cryptococcosis



Epstein-Barr virus and cytomegalovirus




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8 A 20-year-old female has periodic episodes that begin with decreased vision that lasts for about 30 minutes and is followed by a throbbing occipital headache. Which of the following is the most likely diagnosis?




Vertebral-basilar insufficiency



Tension headache



Panic attack




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9 Conductive hearing loss and sensorineural hearing loss are common in the elderly. What are three differential diagnoses for sensorineural hearing loss to include the most common pattern?

Barotraumas, viral cochleitis, osteoma



Acoustic neuroma, ototoxic drugs, presbycusis



Exostosis, meningioma, vascular disease



Presbycusis, trauma, Paget’s disease




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10 Fever of unknown origin, by definition, is a fever of 101 Fahrenheit or greater rectally persisting over at least how many weeks?

2 weeks



3 weeks



1 week



6 weeks




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11 Brain death criteria vary from state to state and involve the absence of breathing, absence of spontaneous movement, and several other neurological findings. Ancillary tests to prove brain death include all of the following except:

Transcranial Doppler






Cerebral blood flow study



Nerve conduction studies




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12 The classic triad of Parkinson’s includes all of the following except:

Resting tremor



Rigidity arms, legs, and neck stiffness






Severe cognitive deficits




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13 Focal seizures are often accompanied by automatisms, which are behaviors that include all of the following except:

Lip smacking



Picking at clothes










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14 Loss of central vision is a hallmark of:

Macular degeneration






Retinal detachment







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15 Which of the following diseases cause degeneration or loss of nerve cells in the brain?

Alzheimer’s, Parkinson’s, and Huntington’s



Sepsis, chronic kidney disease, and scleroderma



Rheumatoid Arthritis, Alzheimer’s, and Scleroderma



Parkinson’s, B12 deficiency, and Myasthenia Gravis




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16 Immunologic mediators that play a role in the pathophysiology of fever include all of the following except:

Interleukin 1 – primary



Interleukin 2



Interleukin 6



Tumor necrosis factor




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17 The most common causes of fever in a geriatric patient include all of the following except:




Medication effect



Connective tissue disorders (rheumatoid arthritis, sarcoidosis, temporal arteritis)



Sexually transmitted infections (chlamydia, herpes)




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18 Anemia is the reduction of one or more of the following major red blood cell measurements:

Hemoglobin, hematocrit, RBC count



B12, folic acid, hemoglobin



Hemoglobin, folic acid, fibrinogen



Hemoglobin, RBC, and B12

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