What are the initial symptoms of ICP (increased intracranial pressure)?
Increased LOC and increased range of motion
Restlessness, irritability, and decreased LOC
Pain in the calf and neck
Fever and chills
The Correct Answer is B
A. Increased LOC (level of consciousness) and increased range of motion are not typical symptoms of increased intracranial pressure (ICP). In fact, ICP usually leads to a decreased level of consciousness, not an increase.
B. Restlessness, irritability, and decreased LOC are early signs of increased intracranial pressure. As pressure inside the skull rises, the brain becomes less able to function normally, leading to changes in behavior and cognition, such as restlessness and irritability, followed by a decrease in consciousness.
C. Pain in the calf and neck is not a typical symptom of ICP. While neck pain may occur with certain neurological conditions, it is not a hallmark of increased intracranial pressure.
D. Fever and chills are not initial symptoms of ICP. These symptoms are more indicative of infection, such as meningitis, rather than increased intracranial pressure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bowel or bladder incontinence is a medical emergency and should be immediately reported. This symptom can indicate cauda equina syndrome, a condition caused by compression of the spinal nerves at the lower end of the spinal cord. This requires urgent surgical intervention to prevent permanent nerve damage.
B. Lower back pain is a common symptom of a herniated lumbar disk, but it is not an immediate emergency unless accompanied by other severe symptoms.
C. Muscle spasms are also common with a herniated disk and, while uncomfortable, are not immediately life-threatening.
D. Pain radiating down one leg (sciatica) is a typical symptom of a herniated lumbar disk and is often managed conservatively, unless it is severe or accompanied by other neurological deficits.
Correct Answer is D
Explanation
A. A positive Romberg sign (difficulty maintaining balance with eyes closed) can indicate a neurological issue, but it is not directly associated with a migraine.
B. A subnormal temperature (low body temperature) is not typically associated with migraines and may indicate another issue, but it is not as concerning as other findings.
C. An ill college roommate might suggest a viral illness, but it is not a direct concern for the student’s migraine. Migraines are not contagious, and other signs of illness would be more concerning.
D. Positive Brudzinski sign, which involves involuntary flexion of the hips and knees when the neck is flexed, is indicative of meningeal irritation, a sign of meningitis. This is a medical emergency and much more concerning than the symptoms of a migraine. The student should be further assessed for signs of meningitis, which requires urgent treatment.
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