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health assess neuro
| Question | Answer |
|---|---|
| Mrs. Bower is a 57-year-old patient who comes in for an office visit. Which of the following disorders is known to be hereditary? | Huntington chorea |
| Testing of cranial nerve ____ is not routinely performed unless a problem is suspected. | I |
| The patient is able to rapidly touch each finger to his thumb in rapid sequence. What does this finding mean? | The patient has appropriate 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?” |
| pt has a complaint of dizziness. The patient makes the following statement: “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 of the following findings should an examiner consider a normal finding if associated with pregnancy? | Acroparesthesia |
| Situation: 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. |
| Situation: Jack is a 52-year-old obese man with a history of poorly controlled diabetes. He also smokes. Which of the following assessment findings should not be surprising to an examiner 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. She complains that she is experiencing foot drop. Which of the following problems should the examiner 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 of the following scores should be documented? | 2+ |
| a 68-year-old patient presents to your office for follow-up. He tells you, “I have a hard time finding the right words when I am talking;” he also is experiencing numbness. On examination you note postural instability. This symptom may be: | a late symptom of Parkinson’s disease. |
| Mr. Smith, a 75-year-old, tells you during his physical that he is experiencing tremors in his right hand that occur at rest. Which of the following would you suspect is occurring? | Parkinson s disease |
| Mrs. Morrison brings in her 5-year-old son in for an examination. How can an examiner best gain the cooperation of a child to perform a neurologic examination? | Make various aspects of the neurologic examination a game. |
| Which of the following 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 of the following responses made by 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? | Heat 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.” |
| Mr. Loughren is a 48-year-old patient who presents for a routine follow-up examination. Which of the following findings is associated with an increased risk of skin breakdown and injury? | An inability to feel pressure applied by a monofilament |
| The autonomic nervous system is characterized by which of the following? | The individual has no voluntary control over his or her body functions. |
| The main function of cerebrospinal fluid is to: | act as a shock absorber. |
| During times of physiologic and psychologic stress, which of the following is put into action? | Sympathetic nervous system |
| The cerebellum is primarily responsible for: | controlling reflexive control of muscle tone, equilibrium, and posture. |
| The basal ganglia function in which of the following ways? | Exert a fine-tuning effect on motor movements |
| The spinothalamic and posterior dorsal column are part of | the ascending spinal tracts. |
| 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. Lemanski is a 72-year-old patient who presents for a routine examination. Which of the following best characterizes changes that occur in the neurologic system in older adults? | Nerve impulse conduction slows, therefore slowing response time to various stimuli. |
| 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 of the following? | The patient should identify each taste bilaterally. |
| The finger-to-finger 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. Which of the following is an expected finding when observing an individual’s gait? | The trunk posture should sway with the gait phase and arm swing should be smooth and symmetric. |
| Which of the following is required when testing the sensory function of an individual? | Individual's eyes closed |
| Mrs. Bowers is a 63-year-old patient. On examination you need to test position sensation. In testing position sensation, the examiner moves the individual’s: | finger/toe up or down. |
| Discrimination between sharp and dull sensations is testing for: | superficial pain. |
| 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. |
| The motor cortex of the brain is in the: | frontal lobe. |
| The thalamus is the major integration center for perception of: | pain. |
| The awareness of body position is known as: | proprioception. |
| Nerves that arise from the brain rather than the spinal cord are called: | cranial. |
| The major portion of brain growth and myelinization occurs between ____ year(s) of age. | birth and 1 |
| Motor maturation proceeds in an orderly progression from: | head to toe |
| Normal changes of the aging brain include: | diminished perception of touch. |
| The area of body surface innervated by a particular spinal nerve is called a: | dermatome. |
| A neurologic past medical history should include data about: | circulatory problems. |
| You are examining a patient in the emergency department who has recently sustained head trauma. In order to initially assess this patient's neurologic status, you would: | test the six cardinal points of gaze. |
| The finger-to-nose test allows assessment of: | coordination and fine motor function. |
| You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the: | fingertips. |
| a PT enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: | cerebellar ataxia. |
| To assess a cremasteric reflex, the examiner strokes the: | inner thigh and observes whether the testicle and scrotum rise on the stroked side. |
| Which one of the following conditions is consistent with Brown-Séquard syndrome? | Motor paralysis on lesion side of the body |
| To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? | Patellar |
| To assess the cervical spine, which tendon reflexes should be tested? | triceps, biceps, and brachioradial |
| To assess the sacral spine, which deep tendon reflex should be tested? | Achilles tendon |
| When using a monofilament to assess sensory function, the examiner: | applies pressure to the monofilament until the filament bends. |
| Visible or palpable extension of the elbow is caused by reflex contraction of which muscle? | Triceps |
| On a scale of 0 to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a patient? | 3+ |
| Cranial nerve XII may be assessed in an infant by: | observing the infant suck and swallow. |
| You are most concerned for the infant that has a: | strong tonic neck at 6 months. |
| A positive Babinski sign is normal until what age? | 16 to 24 months |
| Ipsilateral Horner syndrome indicates a cerebrovascular accident (CVA) occurring in the: | posterior inferior cerebellar artery. |
| An acute polyneuropathy that commonly follows a nonspecific infection occurring 10 to 14 days earlier and that primarily affects the motor and autonomic peripheral nerves in an ascending pattern is: | Guillain-Barré syndrome. |
| The immune system attacks the synaptic junction between the nerve and muscle fibers blocking acetylcholine receptor sites in: | myasthenia gravis. |
Created by:
TwiggyG85