Neurological disability MCQ ALS for Pacific Family Medicine pre-course test. This is an open book exam, and candidates may refer to the Youtube videos, ALS handbook, or other resources. However, candidates may not ask other candidates for their answers - this is cheating! OK Question Title * 1. Please enter your name in the text box ... OK Question Title * 2. Which one of the following is NOT true regarding the primary survey assessment of neurological Disability? The assessment comes after first dealing with Airway, Breathing and Circulation. The assessment is to establish a baseline from which changes can be observed, important in determining further management. The assessment involves a thorough neurological examination of conscious state, pupils, and regions of the body for neurological deficit and localising signs. The assessment uses the AVPU scale in the critically ill patient. OK Question Title * 3. Which one of the following is NOT true regarding the management of head injury? Management starts by attending to the Airway, Breathing and Circulation. If the GCS is <9, then urgent endotracheal intubation is required to protect the airway. The Cerebral Perfusion Pressure (CPP) will fall if the Blood Pressure falls or IntraCranial Pressure rises. Patients with normal observations may be discharged home accompanied by a responsible adult and follow up advice. OK Question Title * 4. Which one of the following is NOT a "Red flag" signal of serious pathology in head injury: A GCS deterioration of 1 level. Seizures. Vomiting. Changing pupil size and reaction to light. OK Question Title * 5. Which one of the following is TRUE ? A useful acronym for the causes of impaired consciousness is: DRS ABCDE DDIT SHAVED AEIOUtips OK Question Title * 6. Which one of the following is NOT true in the management of impaired consciousness? Dealing with the Airway, Breathing and Circulation, and controlling seizures is most important. Initial specific treatments may include phenytoin for seizures, glucose for hypoglycaemia, and buprenorphine for narcotic overdose. Further history and examination includes peripheral and neurological examinations. Further investigations may include BSL, biochemistry, FBC, VBG's, drug levels and screens, and ECG. OK Question Title * 7. Which one of the following is NOT true regarding head injury? A head injury is defined as any trauma to the head other than superficial injuries to the face. Head injury is a common cause of death and disability in ages 1-40 years. 97% of presentations are with GCS 13-15, the category in which most deaths occur. Treatment aims to minimise secondary brain injury. OK Question Title * 8. Which one of the following is NOT true regarding head injury? Cervical spine injury may occur in any patient with head injury. Criteria for high impact mechanisms of injury may include a MVA at >60 km/h, any vehicle rollover, or a fall from > the patient's own height. Management usually includes oxygen and the Trendelenburg position (15-30 degrees head down tilt). Transtentorial herniation may result in ipsilateral pupil dilatation and contralateral hemiplegia. OK Question Title * 9. Which one of the following is NOT true regarding seizures? Most seizures stop spontaneously within 3 minutes of onset. The emergency treatment includes the early use of an oropharyngeal airway or padded spoon inserted into the mouth to prevent swallowing the tongue. The historical definition of status epilepticus is seizures persisting over 30 minutes without an intervening period of recovery. In seizures persisting over 3 minutes, drug treatment should be given within 5 minutes of the onset of seizures. OK DONE