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FCCS Neurological Assessment Flashcards

6 cards from real FCCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 FCCS Neurological Assessment flashcards as text

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

    Answer: 5 minutes

    Status epilepticus is defined as seizure activity lasting ≥ 5 minutes or two or more seizures without return to baseline consciousness, requiring urgent treatment.

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

    Answer: Benzodiazepines (lorazepam or diazepam)

    IV benzodiazepines (lorazepam or diazepam) are first-line for status epilepticus due to their rapid onset GABA-A agonist activity that terminates seizure activity.

  3. Which pupillary finding is associated with opioid toxicity?

    Answer: Pinpoint pupils (miosis)

    Opioids stimulate the Edinger-Westphal nucleus via mu receptors, causing parasympathetic pupil constriction (miosis/pinpoint pupils).

  4. The FOUR Score assesses which neurological domains?

    Answer: Eyes, motor, brainstem reflexes, respiration

    The FOUR Score (Full Outline of UnResponsiveness) evaluates eye responses, motor responses, brainstem reflexes, and respiratory pattern, providing more detail than GCS.

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

    Answer: Above the midbrain (hemispheric/internal capsule)

    Decorticate posturing (arm flexion, leg extension) reflects disruption of corticospinal tracts above the midbrain, releasing primitive brainstem reflexes.

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

    Answer: Flumazenil

    Flumazenil can precipitate acute withdrawal seizures in chronically benzodiazepine-dependent patients and should be used with extreme caution.

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