A. Hemiparesis of the left arm and leg with nystagmus: A left hemispheric stroke typically affects the right side of the body.
Eyelid and mouth drooping on the ipsilateral side: Facial drooping due to a stroke typically occurs on the contralateral side of the body.
Homonymous hemianopia of the left visual field of both eyes: A left hemispheric stroke typically causes right-sided homonymous hemianopia.
Hemiparesis of the right arm and leg with aphasia: A left hemispheric stroke often results in right-sided hemiparesis and can affect language centers, leading to aphasia.
The Correct Answer is A
A. The patient is now sleepy and won't wake up: Increased drowsiness or difficulty waking up could indicate worsening of the hemorrhagic stroke, potentially due to increased intracranial pressure or a secondary brain injury.
B. Identification of an elevated serum cholesterol level: Elevated cholesterol is a risk factor for ischemic strokes but is not a direct indicator of complications from a hemorrhagic stroke.
C. The presence of nausea and a headache: This could be a common symptom following a hemorrhagic stroke but is not necessarily a specific indicator of a complication.
D. A complaint of neck pain and light intolerance: These symptoms are less specific to complications of a hemorrhagic stroke and could be related to other issues.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Hyperproteinemia and increased drug effect: In cirrhosis, hypoproteinemia (low protein levels) occurs due to decreased protein synthesis by the liver, and drug metabolism is often impaired, leading to increased drug effects, but hyperproteinemia is not a typical finding.
B. Hyperkalemia and fluid retention: While fluid retention is common due to hypoalbuminemia and portal hypertension, hyperkalemia is not a direct consequence of hepatocyte dysfunction.
C. Hypercortisolism and increased infection risk: Hypercortisolism is not typically associated with cirrhosis. However, increased infection risk is common due to compromised immune function.
D. An elevated blood glucose and ammonia level: In cirrhosis, the liver's ability to metabolize ammonia is impaired, leading to elevated levels. Additionally, impaired glucose metabolism can result in hyperglycemia.
Correct Answer is A
Explanation
A. Adherence to a low-fat diet: The patient likely experienced a transient ischemic attack (TIA), which is a warning sign for future strokes. A low-fat diet is recommended to help manage cholesterol and reduce the risk of atherosclerosis and stroke.
B. The administration of clot-busting drugs: Clot-busting drugs (thrombolytics) are used in the acute management of a stroke, but this patient’s symptoms resolved spontaneously, and the focus is on prevention.
C. Reporting any signs of heat or cold intolerance: This is unrelated to the prevention of stroke or management after a TIA.
D. Avoiding red wine and chocolate: While moderation in alcohol and certain foods is generally advised for overall health, this specific recommendation does not address the primary concern of preventing future cerebrovascular events.
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