FCCS FCCS Neurological Assessment 2

Question 1

Status epilepticus is defined as continuous seizure activity lasting longer than how many minutes?

Accepted Answer

5 minutes

Answer

2 minutes

Answer

10 minutes

Answer

30 minutes

Question 2

What is the first-line pharmacologic treatment for status epilepticus?

Accepted Answer

Benzodiazepines (lorazepam or diazepam)

Answer

Phenytoin IV

Answer

Levetiracetam

Answer

Propofol infusion

Question 3

Which pupillary finding is associated with opioid toxicity?

Accepted Answer

Pinpoint pupils (miosis)

Answer

Dilated pupils (mydriasis)

Answer

Unequal pupils

Answer

Mid-position fixed pupils

Question 4

The FOUR Score assesses which neurological domains?

Accepted Answer

Eyes, motor, brainstem reflexes, respiration

Answer

Eyes, verbal, motor, breathing

Answer

Orientation, memory, attention, language

Answer

Cognition, reflex, motor, sensory

Question 5

Decorticate posturing indicates injury at which level of the nervous system?

Accepted Answer

Above the midbrain (hemispheric/internal capsule)

Answer

Brainstem below the pons

Answer

Spinal cord at C4

Answer

Peripheral nerve level

Question 6

Which benzodiazepine reversal agent should be used cautiously in patients with chronic benzodiazepine use?

Accepted Answer

Flumazenil

Answer

Naloxone

Answer

Neostigmine

Answer

Physostigmine