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Neuro
| Question | Answer |
|---|---|
| You are obtaining a history on a new patient. A family history of which disorder would be of greatest concern? | Huntington chorea |
| esting of cranial nerve ____ is not routinely performed unless a problem is suspected. | 1 |
| The patient is able to touch each finger to his thumb in rapid sequence. What does this finding signify? | The patient has normal cerebellar function |
| Which question asked by the examiner may help to determine prevention strategies for seizures that a patient is experiencing? | "Are there any factors or activities that seem to start the seizures?" |
| Mr. McKnight is a 48-year-old patient who presents to your office with a complaint of dizziness. He states "I sometimes feel as if the whole room is spinning." What type of neurologic dysfunction should the examiner suspect? | Inner ear dysfunction affecting the acoustic nerve |
| The examiner asks the patient to close her eyes, then places a vibrating tuning fork on the patient's ankle and asks her to indicate what is felt. What is being assessed? | Peripheral nerve sensory function |
| Which finding should an examiner consider normal finding if associated with pregnancy? | Acroparesthesia |
| Jack is a 52-year-old obese man with a history of poorly controlled diabetes. He also smokes. Based on the above data, the examiner should recognize that Jack has several risk factors for: | cerebrovascular accident |
| ack is a 52-year-old obese man with a history of poorly controlled diabetes. He also smokes. Which assessment finding should not be surprising given Jack's history? | An inability to discern superficial touch or two-point discrimination on the legs |
| Mrs. Jones is a 24-year-old patient who presents to your office 2 days postpartum with a complaint of foot drop. Which problem should you consider? | Lumbosarcal plexopathy |
| The examiner is assessing deep tendon reflex response in a 12-year-old boy. The response is an expected reflex response. Which score should be documented? | 2+ |
| Mr. Tucker is a 68-year-old patient who presents to your office for follow-up. He tells you, "I feel numb and I am so slow when I move." On examination, you note postural instability. This assessment data are suggestive of which problem? | Parkinson's disease |
| Mr. Smith, a 75-year-old, tells you during his physical that he is experiencing tremors in his hands that occur at rest. Which disorder does this finding cause you to suspect? | Parkinson's disease |
| Mrs. Morrison brings in her 5-year-old son in for an examination. What is your best approach to the neurologic assessment of the child? | Make various aspects of the neurologic examination a game. |
| Which infant reflex responses is considered normal? | A 2-month-old infant's legs flex up against the body when the infant is held in an upright position, and the dorsal side of the foot touches the table. |
| The examiner is conducting an interview with the mother of a 3-month-old infant as part of the neurologic system examination. Which response of the mother may indicate a need for further evaluation? | "I had problems with hypertension the entire time I was pregnant." |
| Mr. Harrien is a 56-year-old patient who presents to your office. On examination, you note impaired pain sensation. Which additional test is appropriate to further evaluate this finding? | Temperature and deep pressure sensation |
| Mr. Black is a 41-year-old construction worker who comes in to your office. You squeeze the patient's biceps muscle as part of an examination. Which of the following responses verbalized by the patient is considered normal? | That is uncomfortable." |
| Which finding is associated with an increased risk of skin breakdown and injury? | An inability to feel pressure applied by a monofilament |
| A patient presents with a bilaterally symmetric intention tremor of the hands that she describes as "worse when I'm stressed and better when I have a cocktail." How would you document this tremor | Essential tremor |
| The main function of cerebrospinal fluid is to: | act as a shock absorber. |
| Which assessment finding is consistent with upper motor neuron disease affecting the face? | Movement of the affected side occurs with emotion but not volition |
| The cerebellum is primarily responsible for: | controlling reflexive control of muscle tone, equilibrium, and posture |
| Which is a function of the basal ganglia? | Exert a fine-tuning effect on motor movements |
| Which assessment finding is consistent with lower motor neuron disease affecting the face? | Total paralysis of the affected side of the face |
| The upper motor neurons are part of the descending pathways that connect the: | brain with the spinal cord. |
| Motor maturation in an infant proceeds in which direction? | Cephalocaudal |
| Mrs. Green brings her 6 month old infant in for examination. Which observation is most indicative of a normal timetable of neurological development? | The infant takes and holds a spoon in one hand |
| A dermatome is that part of the body that: | is innervated by a particular spinal nerve |
| A functioning CN I allows an individual to | differentiate various odors |
| By asking the individual to make various faces at you, you are testing: | CN VII. |
| The sensory component of CN VII is responsible for which function? | Taste |
| The finger-to-nose test is used to test for: | accuracy of movement. |
| During the examination of a 49-year-old patient you test rapid rhythmic alternating movements. This tests an individual's: | coordination and fine motor skills |
| Mr. Treven is a 48-year-old patient who presents to your office with a complaint of poor balance. In assessing this complaint which test do you perform first? | Romberg test |
| Which condition is required when testing discriminatory sensory function of an individual? | Individual's eyes closed |
| Mrs. Bowers is a 63-year-old patient. On examination, you need to test joint position sensation. In testing position sensation, the examiner moves the individual's: | finger/toe up or down |
| A pill rolling tremor is an expected finding in patients with which disorder? | Parkinson's disease |
| By simultaneously touching the individual in two distinct areas of the body and asking how many stimuli are present, you are testing: | extinction phenomenon |
| When stroking the inner thigh of a male, which of the following is expected to occur? | The scrotum and testicle on the stroked side will rise. |
| The Babinski response of the plantar reflex is normally seen in individuals who: | are younger than 24 months of age |
| Pronation of the forearm and flexion of the elbow is an expected response of the | brachioradialis deep tendon reflex |
| A deep tendon reflex that is more brisk than expected and slightly hyperactive would be graded as: | 3+ |
| Clonus is associated with reflexes that are: | hyperactive |
| Mr. Arena is a 64-year-old patient. On examination, you note a positive Brudzinski and Kernig sign. The Brudzinski and Kernig signs are indicators of: | meningeal irritation |
Created by:
Christina5sd