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Acceleration-deceleration movements of the head often result in polar injuries in which


A) injury is localized to the site of initial impact.
B) widespread neuronal damage is incurred.
C) bleeding from venules fills the subdural space.
D) focal injuries occur in two places at opposite poles.

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Which group of clinical findings indicates the poorest neurologic functioning?


A) Spontaneous eye opening, movement to command, oriented to self only
B) Eyes open to light touch on shoulder, pupils briskly reactive to light bilaterally
C) Assumes decorticate posture with light touch, no verbal response
D) No eye opening, responds to painful stimulus by withdrawing

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The stroke etiology with the highest morbidity and mortality is


A) intracranial hemorrhage.
B) intracranial thrombosis.
C) intracranial embolization.
D) cardiac arrest.

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________ edema occurs when ischemic tissue swells because of cellular energy failure.


A) Interstitial
B) Osmotic
C) Vasogenic
D) Cytotoxic

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The most important determinant for prescribing therapy for acute stroke is


A) location of ischemia.
B) thrombotic versus embolic cause.
C) ischemic versus hemorrhagic cause.
D) age of the patient.

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The most important preventative measure for hemorrhagic stroke is


A) anticoagulation.
B) blood pressure control.
C) thrombolytics.
D) management of dysrhythmias.

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Rupture of a cerebral aneurysm should be suspected if the patient reports


A) ringing in the ears.
B) transient episodes of numbness.
C) transient episodes of vertigo.
D) sudden, severe headache.

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________ occurs when a brainstem impaired patient exhibits a persistent rhythmic or jerky movement in one or both eyes.


A) Nystagmus
B) Dysconjugate movement
C) Ocular palsy
D) Doll's eye

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