C-NPT: Neurological

 Calculate the cerebral perfusion pressure (CPP) with the following findings:  BP 90/60, HR 110, RR 22, SpO₂ 98%, ICP 29, CVP 20, PA 32/14, PCWP 15.

A 15-year-old has a diagnosis of subarachnoid hemorrhage (SAH) secondary to a previously undiagnosed arteriovenous malformation (AVM).  What is the systolic blood pressure goal for this patient during transport?

A 16-year-old patient is diagnosed with Brown-Sequard syndrome. Brown-Sequard syndrome presents with which of the following signs/symptoms?

A 3.4 kg neonate starts demonstrating a repetitive mouth and tongue movement as well as rapid blinking. What type of seizure would this represent?

A basilar skull fracture is associated with all of the following EXCEPT:

A patient has an ICP of 25, and the current BP is 100/60.  Their cerebral perfusion pressure (CPP) is approximately what?

A patient has been involved in a traumatic fall from 30’, with associated upper extremity weakness, but not lower. What type of spinal cord injury is suspected?

A patient has paralysis from the nipple line down. What vertebrae and dermatome are affected?

A pediatric patient is presenting with clinical signs of a spinal cord injury after a diving accident. They have no lower extremity movement; however, they can flex their arms but not extend them. Where is the fracture?

Cushing’s triad consists of:

Diffuse axonal injury (DAI) will most likely represent how on a CT scan?

Increased irritability, increased heart rate and blood pressure, eye fluttering, and decreased SpO₂ may be subtle signs of which of the following?

The classic description of a patient suffering from an epidural hematoma is?

The drug of choice for treating seizures in the pediatric population is:

What is the target cerebral perfusion pressure (CPP) for the pediatric patient?

When monitoring invasive intracranial pressure lines, the transducer should be leveled at the:

You and your partner respond to a rural facility to pick up a pediatric patient with a diagnosis of a skull fracture. Upon arrival, the x-ray shows multiple fractures that radiate from a compressed area. What type of skull fracture does this patient have?

You and your partner respond to a 10-year-old that fell at school. On arrival, the patient has an altered level of consciousness.  EMS states that they had a brief loss of consciousness and a period of lucidness before the current decline in GCS.  This presentation most often presents with what type of head trauma?

You arrive on the scene to manage a 10-year-old fall victim. Vital signs: BP 70/32, HR 60, RR 30, SpO₂ 94%.  EMS reports the patient had a brief loss of consciousness, but now has a GCS of 14.  You note a deformity to the right femur and the patient is complaining of neck pain. Your suspected diagnosis of this patient is?