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IMF-029-02-0001-en	Why is apparently poor memory approached by identifying the failed operation rather than a damaged centre?	The same poor performance can arise because information was not attended to, not consolidated, not retrieved by effective strategies, or could not be expressed, each implicating a different network.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0002-en	Why should bedside testing begin with arousal and sustained attention before memory or language scores are interpreted?	Arousal and attention networks underpin every other test, so tasks such as digit span or months backward must show they are intact before other scores can be read as specific deficits.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0003-en	Why can behaviour in a quiet examination underestimate the daily-life disability of a frontal syndrome?	Frontal syndromes are shaped by fatigue, medication, mood, and the structure supplied by the environment, so a quiet examination setting can mask how disabled the patient is in daily life.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0004-en	How does the memory impairment of frontal disease differ from that of bilateral medial temporal injury?	Medial temporal injury causes severe anterograde amnesia with immediate span and motor skills relatively spared; frontal disease impairs organisation, free recall, and source monitoring, often improving with cueing or recognition.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0005-en	Why is establishing a reliable yes-or-no channel important when assessing language?	A patient who cannot understand language may seem confused, while a severely dysarthric patient may be cognitively intact, so a reliable channel prevents dangerous misclassification.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0006-en	Why is no single neurotransmitter a consciousness switch?	Wakefulness is a stabilised network state produced by mutual reinforcement among several ascending arousal systems and inhibition of sleep-promoting neurons.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0007-en	How does loss of orexin signalling explain the features of narcolepsy type one?	Orexin stabilises wakefulness and prevents inappropriate state transitions, so its loss allows sleep attacks, cataplexy, sleep paralysis, and REM phenomena to intrude into wakefulness.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0008-en	What happens when rapid-eye-movement atonia fails, and why does it matter beyond sleep?	Loss of the pontine suppression of spinal motor output permits dream enactment, which may precede synuclein neurodegenerative disease.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0009-en	Why is obstructive sleep apnoea severity not captured by the event count alone?	Harm also depends on oxygen burden, sleep fragmentation, symptoms, comorbidity, and driving risk, which a count of events does not reflect.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0010-en	How do time awake in bed, irregular rising, and excessive time in bed each maintain insomnia?	Time awake in bed conditions the bed as a cue for vigilance, irregular rising weakens circadian stability, and excessive time in bed reduces sleep pressure.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0011-en	What does a unilateral dilated, poorly reactive pupil with declining consciousness suggest, and what can mimic it?	It suggests compression of the third nerve and requires emergency action, although ocular disease and drugs can produce a similar pupil.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0012-en	Why is an isolated Glasgow Coma Scale total less informative than component scores and trend?	Intubation, aphasia, deafness, paralysis, sedation, and facial trauma distort individual components, so the total can mislead while components and change over time show the true pattern.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0013-en	Why is hypoactive delirium dangerous, and what role do antipsychotics have?	Its quiet withdrawal is mistaken for cooperation or fatigue; antipsychotics do not cure delirium and are reserved for selected severe distress or immediate safety risk after reversible triggers are addressed.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending
IMF-029-02-0014-en	How does the heart-rate response on standing distinguish volume depletion from neurogenic orthostatic hypotension?	In volume depletion heart rate usually rises as pressure falls, whereas in neurogenic orthostatic hypotension the rise is disproportionately small because sympathetic efferent failure is part of the disease.	Integrated Medical Foundations; chapter 29, TTS module 2; https://theisegoria.github.io/medical-textbook/integrated-medical-foundations-expanded-english.md; module SHA256 at export: 83c07eb7c23002e190def0afe2b4c7b9899ff114aaea2aec47c5acbb0d011840; editorial review pending	imf lang::en chapter::029 module::029-02 review::pending