MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Which is a late sign of increased intracranial pressure (ICP)?
A
Altered respiratory patterns
B
Headache
C
Slow speech
D
Irritability
Explanation: 

Detailed explanation-1: -As ICP rises, the patient’s condition worsens. Late signs and symptoms include: deterioration of the level of consciousness (LOC) until the patient becomes comatose. decreased respiratory and pulse rates.

Detailed explanation-2: -Early symptoms include restlessness, confusion, and headaches. Later symptoms include rigid posturing, changes in the pupils, and Cushing’s triad. Cushing’s triad results in increased blood pressure, decreased heart rate, and decreased respirations. Mannitol is the first-line treatment in early cases of ICP.

Detailed explanation-3: -Headache. Blurred vision. Feeling less alert than usual. Vomiting. Changes in your behavior. Weakness or problems with moving or talking. Lack of energy or sleepiness.

There is 1 question to complete.