Deck 20: Diseases and Disorders of the Neurological System
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Deck 20: Diseases and Disorders of the Neurological System
1
The body of the neuron is known as the:
A)axon.
B)dendrite.
C)myelin.
D)soma.
A)axon.
B)dendrite.
C)myelin.
D)soma.
D
2
Which of the following amino acid-derived neurotransmitters is linked to the etiology of ALS?
A)tyrosine
B)arginine
C)tryptophan
D)glutamate
A)tyrosine
B)arginine
C)tryptophan
D)glutamate
D
3
All of the following individuals are at high risk for having a stroke except:
A)someone who smokes at least 1 pack of cigarettes a day.
B)someone with elevated LDL levels.
C)someone with a blood pressure of 175/95.
D)someone with elevated high-density lipoproteins.
A)someone who smokes at least 1 pack of cigarettes a day.
B)someone with elevated LDL levels.
C)someone with a blood pressure of 175/95.
D)someone with elevated high-density lipoproteins.
D
4
ALS, also known as Lou Gehrig's disease, is a progressive neurological disease that affects the:
A)afferent neurons.
B)efferent neurons.
C)sensory neurons.
D)motor neurons.
A)afferent neurons.
B)efferent neurons.
C)sensory neurons.
D)motor neurons.
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5
Damage to the occipital lobe results in _____
A)partial or complete deafness
B)compromise of analytic capabilities
C)partial or complete blindness
D)loss of short-term memory
A)partial or complete deafness
B)compromise of analytic capabilities
C)partial or complete blindness
D)loss of short-term memory
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6
You have a patient who has had a car accident and has damage to his temporal lobe Which of the following describes how brain functions will be compromised?
A)loss of sensation of pain
B)vision loss
C)partial or complete deafness
D)memory loss
A)loss of sensation of pain
B)vision loss
C)partial or complete deafness
D)memory loss
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7
GB is an acute peripheral nervous system disease characterized by:
A)memory loss.
B)loss of taste and sensation in the mouth.
C)progressive paralysis.
D)recurrent seizures.
A)memory loss.
B)loss of taste and sensation in the mouth.
C)progressive paralysis.
D)recurrent seizures.
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8
You have a patient with Parkinson's disease who is being treated with L-dopa In order to promote the effectiveness of this medication, you choose which of the following nutrition therapy interventions?
A)high CHO : low protein
B)high fat : high protein
C)high protein : low fat
D)high fat : low CHO
A)high CHO : low protein
B)high fat : high protein
C)high protein : low fat
D)high fat : low CHO
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9
Treatment for a patient with myasthenia gravis sometimes includes:
A)recommending more frequent and small meals.
B)inducing a proinflammatory state.
C)promoting the reduction of protein from animal sources.
D)thymectomy.
A)recommending more frequent and small meals.
B)inducing a proinflammatory state.
C)promoting the reduction of protein from animal sources.
D)thymectomy.
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10
A patient is reporting symptoms of a loss of sensation of pain, touch, and taste One possible explanation is that there has been to damage to the:
A)parietal lobe.
B)limbic lobe.
C)frontal lobe.
D)cerebellum.
A)parietal lobe.
B)limbic lobe.
C)frontal lobe.
D)cerebellum.
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11
Epilepsy is characterized by:
A)loss of memory.
B)vision loss.
C)recurrent seizures.
D)progressive paralysis.
A)loss of memory.
B)vision loss.
C)recurrent seizures.
D)progressive paralysis.
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12
Parkinson's disease involves abnormalities of cells within the:
A)hippocampus.
B)hypothalamus.
C)frontal lobe.
D)substantia nigra.
A)hippocampus.
B)hypothalamus.
C)frontal lobe.
D)substantia nigra.
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13
MS is characterized by:
A)hearing loss.
B)demyelination of cells within the CNS.
C)inadequate secretion of acetylcholine.
D)loss of dopamine-producing cells in the substantia nigra.
A)hearing loss.
B)demyelination of cells within the CNS.
C)inadequate secretion of acetylcholine.
D)loss of dopamine-producing cells in the substantia nigra.
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14
You have a patient who has been admitted to the hospital with a stroke When you visit your patient at meal time, you notice that the small amount of food that has been eaten is pocketed on one side of your patient's mouth This is a characteristic of which common condition?
A)dysphagia
B)oxidative stress
C)aspiration
D)GERD
A)dysphagia
B)oxidative stress
C)aspiration
D)GERD
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15
Parkinson's disease is characterized as a progressive loss of:
A)serotonin.
B)acetylcholine.
C)dopamine.
D)nitric oxide.
A)serotonin.
B)acetylcholine.
C)dopamine.
D)nitric oxide.
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16
Myasthenia gravis results in an autoimmune reaction that damages or destroys the cellular receptor for:
A)dopamine.
B)acetylcholine.
C)serotonin.
D)nitric oxide.
A)dopamine.
B)acetylcholine.
C)serotonin.
D)nitric oxide.
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17
Children suffering from epilepsy are sometimes treated with a ketogenic diet, which provides:
A)70-90% of their total caloric intake from carbohydrates.
B)3 grams of fat for 1 gram of protein.
C)10-20% of their total caloric intake from carbohydrate.
D)4 grams of fat for 1 gram of protein and carbohydrate.
A)70-90% of their total caloric intake from carbohydrates.
B)3 grams of fat for 1 gram of protein.
C)10-20% of their total caloric intake from carbohydrate.
D)4 grams of fat for 1 gram of protein and carbohydrate.
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18
The difference between an ischemic stroke vs a hemorrhagic stroke is:
A)artery occlusion vs.ruptured artery.
B)traveling clot vs.ruptured artery.
C)ruptured artery vs.artery occlusion.
D)artery occlusion vs.traveling clot.
A)artery occlusion vs.ruptured artery.
B)traveling clot vs.ruptured artery.
C)ruptured artery vs.artery occlusion.
D)artery occlusion vs.traveling clot.
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19
Nutrition therapy interventions for Parkinson's patients may include limiting overall protein intake because:
A)this may improve drug effectiveness.
B)excess ammonia can cross the blood-brain barrier and interrupt the balance of neurotransmitters.
C)moderate to high levels of protein increase the need for pyridoxine.
D)moderate to high levels of protein may lead to kidney stones.
A)this may improve drug effectiveness.
B)excess ammonia can cross the blood-brain barrier and interrupt the balance of neurotransmitters.
C)moderate to high levels of protein increase the need for pyridoxine.
D)moderate to high levels of protein may lead to kidney stones.
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20
Phenytoin, a common drug used to treat epilepsy, interacts with which of the following nutrients?
A)vitamin B12
B)biotin
C)folate
D)thiamin
A)vitamin B12
B)biotin
C)folate
D)thiamin
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21
KL is a 34 yo male admitted to the hospital after suffering a TBI secondary to motor vehicle accident.He was in excellent health prior to accident.
HT: 6'2" WT: 190#
In addition to meeting KL's protein and energy requirements, what is an additional concern for the RD?
A)proving adequate minerals
B)providing adequate fiber
C)providing adequate vitamins
D)providing adequate fluids
HT: 6'2" WT: 190#
In addition to meeting KL's protein and energy requirements, what is an additional concern for the RD?
A)proving adequate minerals
B)providing adequate fiber
C)providing adequate vitamins
D)providing adequate fluids
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22
Proposed treatments for AD include all of the following except:
A)neurotransmitters.
B)cholinesterase inhibitors.
C)NMDA receptor antagonists.
D)vitamin E (in early stages).
A)neurotransmitters.
B)cholinesterase inhibitors.
C)NMDA receptor antagonists.
D)vitamin E (in early stages).
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23
KL is a 34 yo male admitted to the hospital after suffering a TBI secondary to motor vehicle accident.He was in excellent health prior to accident.
HT: 6'2" WT: 190#
Which of the following might reduce KL's metabolic requirements?
A)use of parenteral nutrition
B)patient's gender
C)use of morphine
D)use of appetite stimulant
HT: 6'2" WT: 190#
Which of the following might reduce KL's metabolic requirements?
A)use of parenteral nutrition
B)patient's gender
C)use of morphine
D)use of appetite stimulant
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24
Which of the following statements is true about a patient with a traumatic brain injury?
A)Protein needs for this patient will remain the same.
B)This patient will have decreased lipolysis activity.
C)This patient will have very low glucose levels.
D)An increase in gluconeogenesis will occur.
A)Protein needs for this patient will remain the same.
B)This patient will have decreased lipolysis activity.
C)This patient will have very low glucose levels.
D)An increase in gluconeogenesis will occur.
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25
You have a patient with MS He/she has been treated with corticosteroids long term What nutrition intervention is appropriate?
A)supplementation with vitamin D and calcium
B)increasing complex CHO intake
C)supplementation with antioxidants
D)promoting the Atkins diet
A)supplementation with vitamin D and calcium
B)increasing complex CHO intake
C)supplementation with antioxidants
D)promoting the Atkins diet
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26
KL is a 34 yo male admitted to the hospital after suffering a TBI secondary to motor vehicle accident.He was in excellent health prior to accident.
HT: 6'2" WT: 190#
How would you estimate RD's protein needs?
A)0.8-1.0 g/kg
B)1.0-1.25 g/kg
C)1.2-1.5 g/kg
D)1.5-2.0 g/kg
HT: 6'2" WT: 190#
How would you estimate RD's protein needs?
A)0.8-1.0 g/kg
B)1.0-1.25 g/kg
C)1.2-1.5 g/kg
D)1.5-2.0 g/kg
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27
Case Study Multiple Choice
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
What is your primary concern?
A)weight
B)increased glucose
C)speech therapist's input on dysphagia
D)nutrition education on new diet
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
What is your primary concern?
A)weight
B)increased glucose
C)speech therapist's input on dysphagia
D)nutrition education on new diet
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28
Case Study Multiple Choice
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
Calculate % IBW for this patient using the Hamwi method
A)149%
B)134%
C)74%
D)139%
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
Calculate % IBW for this patient using the Hamwi method
A)149%
B)134%
C)74%
D)139%
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29
Case Study Multiple Choice
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
What type of treatment was CF likely given upon presentation to the emergency room?
A)IV fluids
B)multivitamin infusion
C)tPA
D)anti-inflammatory
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
What type of treatment was CF likely given upon presentation to the emergency room?
A)IV fluids
B)multivitamin infusion
C)tPA
D)anti-inflammatory
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30
KL is a 34 yo male admitted to the hospital after suffering a TBI secondary to motor vehicle accident.He was in excellent health prior to accident.
HT: 6'2" WT: 190#
KL is at a trauma center What is the best means of determining his caloric needs?
A)Mifflin-St Jeor equation
B)Harris-Benedict equation
C)indirect calorimetry
D)WHO standards
HT: 6'2" WT: 190#
KL is at a trauma center What is the best means of determining his caloric needs?
A)Mifflin-St Jeor equation
B)Harris-Benedict equation
C)indirect calorimetry
D)WHO standards
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31
Case Study Multiple Choice
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
If it is determined that he has severe dysphagia, what is the best way to feed this patient?
A)parenteral nutrition
B)enteral nutrition
C)keep NPO
D)with nursing assistance
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
If it is determined that he has severe dysphagia, what is the best way to feed this patient?
A)parenteral nutrition
B)enteral nutrition
C)keep NPO
D)with nursing assistance
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32
KL is a 34 yo male admitted to the hospital after suffering a TBI secondary to motor vehicle accident.He was in excellent health prior to accident.
HT: 6'2" WT: 190#
What level of energy intake appears the most appropriate?
A)2400 kcal
B)2000 kcal
C)1800 kcal
D)3000 kcal
HT: 6'2" WT: 190#
What level of energy intake appears the most appropriate?
A)2400 kcal
B)2000 kcal
C)1800 kcal
D)3000 kcal
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33
In AD, the first pathophysiological changes affect which area of the brain?
A)cerebral cortex
B)medulla oblongata
C)brain stem
D)hippocampus
A)cerebral cortex
B)medulla oblongata
C)brain stem
D)hippocampus
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34
KL is a 34 yo male admitted to the hospital after suffering a TBI secondary to motor vehicle accident.He was in excellent health prior to accident.
HT: 6'2" WT: 190#
What is the best way to feed this patient?
A)nasogastric tube
B)nasoenteric tube
C)keep NPO
D)parenteral nutrition
HT: 6'2" WT: 190#
What is the best way to feed this patient?
A)nasogastric tube
B)nasoenteric tube
C)keep NPO
D)parenteral nutrition
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35
Case Study Multiple Choice
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
CF has been discharged to a skilled nursing facility for rehabilitation Which of the following is not part of his care team?
A)physical therapist
B)occupational therapist
C)kinesiotherapist
D)neurologist
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
CF has been discharged to a skilled nursing facility for rehabilitation Which of the following is not part of his care team?
A)physical therapist
B)occupational therapist
C)kinesiotherapist
D)neurologist
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36
Case Study Multiple Choice
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
On day 9, your patient is doing much better, hemiparesis has resolved, and anticoagulation is underway He is to be discharged in a few days What would be your next intervention?
A)consult speech therapist for upgrade in diet
B)consult social worker to assess living situation
C)screen for depression due to hospitalization
D)weight reduction
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
On day 9, your patient is doing much better, hemiparesis has resolved, and anticoagulation is underway He is to be discharged in a few days What would be your next intervention?
A)consult speech therapist for upgrade in diet
B)consult social worker to assess living situation
C)screen for depression due to hospitalization
D)weight reduction
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37
You have a patient who has been admitted to the hospital with a spinal cord injury Your main goal in the acute phase is to provide which of the following interventions?
A)provide 22.7 kcal/kg
B)prevent excessive weight gain
C)provide 2.0 g/kg of protein
D)ensure fluid intake
A)provide 22.7 kcal/kg
B)prevent excessive weight gain
C)provide 2.0 g/kg of protein
D)ensure fluid intake
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38
Match between columns
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