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Example Questions
Example Question #1081 : Nclex
Which of the following symptoms describes the typical "aura" experienced during a complex-partial seizure?
Odd taste in the mouth
Olfactory disturbances: unusual smells, smelling things that are not present
A sense of déjà-vu or a feeling that everything is strangely unfamiliar (jamais-vu).
All of these are correct
Visual disturbances such as sparks, color fluctuations, or blurry vision
All of these are correct
The "aura" experienced before a seizure, while frequently thought-of as a primarily visual experience, can include disturbances in taste or smell, bodily sensations such as stomach ache or tingling, anxiety, or a sense that everything is oddly familiar (déjà vu) or unfamiliar (jamais vu).
Example Question #1081 : Nclex
Which of the following describes a generalized seizure?
A seizure that involves a specific area limited to one hemisphere of the brain in which there is loss or impairment of consciousness
30 minutes or more of uninterrupted seizure activity
A seizure that involves both sides of the brain simultaneously from onset and results in loss of consciousness
A seizure that involves a specific area limited to one hemisphere of the brain in which there is no loss of consciousness
A seizure that involves both sides of the brain simultaneously from onset and results in loss of consciousness
A generalized seizure is one which involves both sides of the brain simultaneously from onset and results in loss of consciousness. This is contrasted with complex and simple partial seizures, in which only one area of the brain is involved and the individual may or may not lose consciousness (in complex and simple partial seizures, respectively). Seizure activity that lasts for 30 or more minutes is a rare and serious condition known as status epilepticus. Any seizure that lasts for over five minutes is considered a medical emergency and requires emergency assistance.
Example Question #1083 : Nclex
Which of the following is not a type of seizure?
Simple partial
All of these are seizure types
Myoclonic
Absence
All of these are seizure types
Currently there are over 40 distinct types of seizures recognized by the medical community. Some of the most common seizure types are generalized tonic-clonic, absence, myoclonic, clonic, tonic, febrile, and atonic. Some other less common types include refractory seizures, gelastic seizures, and dacrystic seizures.
Example Question #1082 : Nclex
A seven year old girl is having issues in school due to lack of attention. Her teacher states that she will "space out" frequently for a period of 10-20 seconds. During these times she will stare straight ahead and will not respond to questions, even if she is called on directly. She does not have any tics or facial movements during these episodes, other than a slight fluttering of the eyelids. Her teacher states she does this several times during the school day, and that it is impacting her performance in school because she is unable to remember what the teacher was talking about during the spell.
This child is most likely experiencing which of the following types of seizures?
Myoclonic
Atonic
Clonic
Absence
Absence
Absence seizures are typified by a brief, 2-30 second loss of consciousness in the absence of other symptoms. Individuals with this condition generally will not experience muscle rigidity (as in a tonic seizure) or jerking (as in clonic or myoclonic seizures), nor do they experience a loss of muscle tone, as seen in atonic seizures. Absence seizures present frequently in young children as "staring spells" and may cause issues with learning or appear as inattentive behavior in school until correctly diagnosed by a medical professional.
Example Question #1083 : Nclex
A seven year old girl is having issues in school due to lack of attention. Her teacher states that she will "space out" frequently for a period of 10-20 seconds. During these times she will stare straight ahead and will not respond to questions, even if she is called on directly. She does not have any tics or facial movements during these episodes, other than a slight fluttering of the eyelids. Her teacher states she does this several times during the school day, and that it is impacting her performance in school because she is unable to remember what the teacher was talking about during the spell.
Which of the following diagnostic tool would help this child's provider identify her "spells" as absence seizures?
CNS ultrasound
Computed tomography (CT)
Electroencephalography (EEG)
Magnetic resonance imaging (MRI)
Electroencephalography (EEG)
While CT and MRI may aid in discovering structural abnormalities associated with certain seizure disorders, the correct tool for diagnosis of seizures is electroencephalography (EEG). An EEG can show abnormal surges in brain activity responsible for temporary loss of consciousness in absence seizures.
Example Question #1086 : Nclex
A three year old patient presents for a seizure that occurred at home. To her father's knowledge, she has never had a seizure in the past. She was not ill at the time of the seizure, and she is not on any type of medication. There was no head trauma before the incident. Her father states that her older brother was diagnosed with epilepsy at age seven, and that his grandmother was also epileptic. Is it safe to assume that this child is also epileptic?
No, epilepsy is not hereditary, and must present with a history of at least two seizure episodes before diagnosis.
No, a diagnosis of epilepsy requires two or more seizures without a clear provocation.
Yes, epilepsy is defined as seizures in the absence of fever, head trauma, or medication.
Yes, she has a positive family history for epilepsy, and has had a seizure with no clear provocation.
No, a diagnosis of epilepsy requires two or more seizures without a clear provocation.
While epilepsy may certainly be hereditary, the diagnosis of epilepsy requires the occurrence of at least two seizures during two separate incidents, regardless of positive family history. These must occur in the absence of provocative factors such as fever, head trauma, or medication.
Example Question #1087 : Nclex
Which of the following is not a form of generalized seizure?
Complex partial
Myoclonic
Tonic clonic
Atonic
Complex partial
Generalized seizures are defined as seizures in which both hemispheres of the brain are affected by seizure activity from the onset. There are four main types of generalized seizures: tonic-clonic, myoclonic, atonic, and absence. All of these result in loss of consciousness and may or may not cause spasm or clonus. Complex partial seizures, while also resulting in a loss of consciousness, are restricted to one hemisphere of the brain.
Example Question #1088 : Nclex
What is the most common type of seizure in adults?
Tonic clonic
Nonepileptic
Myoclonic
Simple partial
Tonic clonic
The most common type of seizure in adults is the tonic clonic seizure, also known as grand-mal. These seizures have two stages: a tonic stage, characterized by muscle stiffening and rigidity, followed by a clonic phase, characterized by jerking and twitching of the muscles and the face. Some individuals may have a tendency to have more tonic symptoms or more clonic symptoms, or may go in a tonic-clonic-tonic pattern of alternating rigidity and jerking motions. Individuals in a tonic clonic seizure experience loss of consciousness and may experience headache, lethargy, confusion, or may want to go to sleep on recovery of consciousness.
Example Question #1089 : Nclex
Which of the following is a term for total absence of sense of smell?
Dysosmia
Hyperosmia
Hyposmia
Anosmia
Anosmia
A total loss or absence of sense of smell is called anosmia. It may be caused by a wide variety of medical conditions, including trauma to the head, stroke, nasal blockage, various dementias, viral infection, toxic exposure, autoimmune disease, or zinc deficiency.
Hyposmia is a state in which sense of smell is reduced but not absent, while hyperosmia is an increased sensitivity to smell. Dysosmia is an alteration in the perception of smell which may include olfactory hallucinations or distortions.
Example Question #1090 : Nclex
Which of the following is a condition of reduced sensitivity to taste?
Parageusia
Ageusia
Hypogeusia
Dysgeusia
Hypogeusia
Hypogeusia is a condition of reduced sensitivity to taste. This may be due to various causes, including brain injury, viral infection, zinc deficiency, certain medications such as chemotherapeutic agents or antibiotics.
Dysgeusia and parageusia both describe alterations in the perception of taste. These conditions can have similar etiologies to hypogeusia. Ageusia is the total absence of taste perception.
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