Susan, 55, presents with a right Intracerebral hemorrhage. Lab results show an elevated ICP. What would you expect to find in your neurological assessment?

Left-sided hemiparesis and dilated right pupil

Right-sided hemiparesis and dilated right pupil

Bilateral handgrip strength is equal and reactive pupils

Pupils are pinpoint but reactive

Answer and Explanation

The Correct Answer is A

A.   Right intracerebral hemorrhage typically causes symptoms on the opposite side of the body (left-sided hemiparesis) and a dilated ipsilateral (right) pupil due to pressure on the oculomotor nerve.
B.   Right intracerebral hemorrhage typically results in left-sided hemiparesis due to damage to the motor pathways on the right side of the brain, along with a dilated right pupil due to compression of the ipsilateral (right) oculomotor nerve.
C.   Bilateral handgrip strength being equal suggests no focal motor deficits, which would be unusual in the context of an intracerebral hemorrhage. Reactive pupils would not be expected in this scenario.
D.   Pinpoint pupils are typically associated with opioid overdose or pontine lesions, not intracerebral hemorrhage.

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Correct Answer is A

Explanation

A. After Trabeculectomy surgery, it's crucial to monitor for bleeding at the surgical site to ensure proper wound healing and to prevent complications such as infection or hematoma.
B. While diet may be important for overall health, it is not the priority immediately following Trabeculectomy surgery.
C. ADL assistance may be required postoperatively, but it is not the priority in this case.

D. These medications may be prescribed postoperatively, but monitoring for excessive bleeding takes precedence to prevent complications.

A. Steroid creams B. Taking antihistamines C. Drinking water D. Eating food

Correct Answer is ["A","B"]

Explanation

A. Steroid creams can suppress the immune response and alter the results of patch testing, so it's important for Sarah to avoid using them before undergoing the test.

B. Antihistamines can interfere with skin reactions and affect the accuracy of patch test results, so Sarah should avoid taking them before the test.
C. Drinking water does not interfere with patch testing, and Sarah should stay hydrated before the procedure.
D. Eating food does not interfere with patch testing, and Sarah can eat normally before the procedure.

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Susan, 55, presents with a right Intracerebral hemorrhage. Lab results show an elevated ICP. What would you expect to find in your neurological assessment?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Sarah, 20, has a history of atopic dermatitis and complains of worsening skin irritation. The physician orders a patch test. What should Sarah avoid before undergoing patch testing?

Correct Answer is ["A","B"]

Explanation

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