Buy Stupor and Coma Discussion Questions

Buy Stupor and Coma Discussion Questions
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Buy Stupor and Coma Discussion Questions
QUESTIONS
1. A 76-year-old male presents with the inability to maintain attention. He
is easily distracted, fidgety, and occasionally mistakes the wires in the
room for snakes. This has been going on for 2 days, but there are periods
when he is completely alert. Which of the following describes this patient’s disease?
A. Frontotemporal dementia
B. Dementia with Lewy bodies
C. Delirium
D. Transient global amnesia
E. None of the above
2. Which of the following has not been associated with delirium?
A. Cobalamin
B. Niacin
C. Thiamine
D. Thyroxine
E. All of the above are associated with delirium.
3. A 67-year-old woman presents with an acute confusional state. She is
diagnosed with a stroke. Which of the following is most likely the location of the stroke?
A. Basal forebrain
B. Anterior inferior cerebellar artery territory infarct
C. Left lateral geniculate
D. Subthalamic nucleus
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CTStupor and Coma
CHAPTER
Buy Stupor and Coma Discussion Questions
4. A 65-year-old man presents in an acute comatose state. Magnetic resonance
imaging (MRI) is performed and shows a stroke affecting his ascending
reticular activating system. Which of the following areas would correspond
with this lesion?
A. Right parietal lobe
B. Left occipital lobe
C. Cerebral peduncle
D. Tegmentum of the upper pons
E. Basal ganglia
5. A 40-year-old man presents to the intensive care unit in a comatose state.
He is hyperventilating, on arterial blood gas, and there is a metabolic acidosis. Which of the following is probably not the cause of his coma?
A. Diabetic ketoacidosis
B. Acetaminophen overdose
C. Ethylene glycol ingestion
D. Excessive vomiting
6. A 35-year-old female who recently ran a marathon in the summer presents
in a comatose state. Her core body temperature is 41°C. She is diagnosed
with heat stroke. What are other possible causes for her hyperthermia?
A. Wernicke’s encephalopathy
B. Adrenal failure
C. Hypothyroidism
D. Anticholinergic intoxication
E. None of the above
7. An 87-year-old man is found unresponsive in his home. On presentation,
he has ataxic breathing, fixed pinpoint pupils, absent vestibuloocular
reflexes, and has no movement of his extremities. Which of the following is a possible etiology for his coma?
A. Tumor compressing the lower pons
B. Stroke to the midbrain
C. Herpes encephalitis
D. Bilateral thalamic infarcts
E. None of the above
56 Section I • Neurology
8. A 76-year-old man presents to the emergency department (ED) with
Cheyne-Stokes respiration, which started acutely. On computed tomography (CT) scan of his head, bilateral parietal lobe infarcts are seen in the
middle cerebral artery (MCA) distribution. Which of the following could
also cause a similar breathing pattern?
A. Right posterior cerebral artery infarct
B. Alcohol intoxication
C. Cardiomyopathy
D. Opiate overdose
E. None of the above
9. A 34-year-old female presents to the ED in a deep coma. Which of the following skin lesions would support that she had severe head trauma?
A. Hypermelanosis
B. Icterus
C. Battle’s sign
D. Ecthyma gangrenosum
E. None of the above
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10. A 19-year-old female presents to the ED with severe head injury due to a
recent motor vehicle accident. Her Glasgow coma scale is 4. Which of the
following is not possible for her to be performing?
A. Extension response to pain
B. Incomprehensible sounds
C. Eyes open in response to pain
D. Inappropriate words
E. None of the above
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