MRCP UK EXAMINATIONS

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NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
  High risk of this during acute phase  Why?* Immobilized pt* Cognitive impairments* Limb paralysis* Hemineglect  Calf pain / tenderness, tight feeling in calf, swelling of foot / ankle  47% of pts get this ____   chest pain, tachypnea, tachycardia, anxiety, restlessness, apprehension together w/ persistent cough  tx:supplemental O2, intubation, anticoagulants, thrombolytic drugs, surgery
A
Seizures
B
Bladder and Bowel Dysfunction
C
Cardiopulmonary Dysfunction
D
DVT and PE
Explanation: 

Detailed explanation-1: -Hemineglect is an unawareness or unresponsiveness to objects, people, and other stimuli-sometimes patients even ignore or disown their own left limbs-in the left side of space. It is not that the patient can’t see the stimuli, but rather that they have lost the will or motivation to attend to them or respond to them.

Detailed explanation-2: -Hemispatial neglect is most frequently associated with a lesion of the right parietal lobe (in yellow, at top).

Detailed explanation-3: -Neglect syndrome is a neurophysiologic condition characterized by a malfunction in one hemisphere of the brain, resulting in contralateral hemispatial neglect in the absence of sensory loss and the right parietal lobe lesion being the most common anatomical site leading to it.

Detailed explanation-4: -When the right parietal lobe is damaged, it can no longer attend to the left or right side of the body or the space it inhabits, but an intact left parietal lobe can still attend to the right side. That’s why the left side of the body is most often impacted by hemineglect.

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