Neurologic Examination - 2 Lectures : Bns Exam 2 (Msq Drill 278)

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  • 1/59 Questions

    The words spastic and rigid are describing the _____- of a muscle.

    • Fitness
    • Tone
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  • 2. 

    A patient has ful motion of their arm and the examiner cannot break. The patient can resist the examiner fully.

    • 0/5

    • 1/5

    • 2/5

    • 3/5

    • 5/5

    Correct Answer
    A. 5/5
  • 3. 

    Cerebellar function can also be assessed by observing a patient's gait. True or false?

    • True

    • False

    Correct Answer
    A. True
    Explanation
    So tremor, gair and smoothness give an idea of cerebellar function.

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  • 4. 

    Closing the patient's left eye and then using your right hand, you ask the patient to notify you if they can see your fingers that you are wiggling in their peripheral vision. What are you testing?

    • Visual acuity

    • Visual fields

    Correct Answer
    A. Visual fields
  • 5. 

    Why should each nostril be tested individually?

    • Because they have one central innervation

    • Because each has its own innervation

    Correct Answer
    A. Because each has its own innervation
    Explanation
    A patient can have an olfactory tract impingement that could be missed if the nostrils are not tested individually.

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  • 6. 

    When checking muscle strength it is important to check only the distal portions as these have the greatest effect against gravity. True or false?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Both proximal and distal portions of the muscle must be checked.

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  • 7. 

    Groin:

    • T8

    • T9

    • T10

    • T11

    • T12

    Correct Answer
    A. T12
  • 8. 

    No reflex is elicited. What is the grading?

    • 0/4

    • 1/4

    • 2/4

    • 3/4

    • 4/4

    Correct Answer
    A. 0/4
  • 9. 

    A brisk reflex is elicited.

    • 0/4

    • 14

    • 2/4

    • 3/4

    • 4/4

    Correct Answer
    A. 3/4
  • 10. 

    The heel of the patient's leg is stroked with a continous lateral stroke applied by the examiner. The examiner continues to stroke the ball of the foot of the patient. The patient's toes flair in response to this test. How would you interprete this finding?

    • Negative babinski

    • Positive babinski

    Correct Answer
    A. Positive babinski
  • 11. 

    Cranial nerve 11 is essentialy a ____ nerve.

    • Sensory

    • Motor

    Correct Answer
    A. Motor
  • 12. 

    Muscle fasciculations are always pathological. Tue or false?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Sleep deprivation and coffee can cause fasciculations. But, they are also seen in patients with Lou Gehrigs and AMS.

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  • 13. 

    You perform a pronator drift test on a patient with a left sided cortical stroke. On what side would you expect the arm to pronate and drift.

    • Left hand drift

    • Right hand drift

    Correct Answer
    A. Right hand drift
  • 14. 

    When testing cranial nerve 1, it is important to use a noxious substance in order to elicit the maximum response. True or false?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Do not use a noxious substance that can irritate their nasal lining.

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  • 15. 

    Why is it important to check the olfactory nerve in patient's with parkinson's disease?

    • They never lose their sense of smell unless the disease has worsened.

    • They have no sense of smell

    • They have a tendency to lose their sense of smell.

    Correct Answer
    A. They have a tendency to lose their sense of smell.
  • 16. 

    The Rhine test tests for conductivity of both:

    • Air

    • Bone

    • Hair

    • Skin

    Correct Answer(s)
    A. Air
    A. Bone
  • 17. 

    When checking the gag reflex, does the palate go up or down?

    • Up

    • Down

    Correct Answer
    A. Up
  • 18. 

    A patient's muscle is flaccid:

    • 0/5

    • 1/5

    • 2/5

    • 3/5

    Correct Answer
    A. 0/5
  • 19. 

    A patient with a fine tremor may have a lesion in their:

    • Cortex

    • Cerebellum.

    • Hippocampus

    • Thalamus

    • Internal capsule

    Correct Answer
    A. Cerebellum.
    Explanation
    Parkinsonian patient mey exhibit a high amplitude tremor.

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  • 20. 

    You tap on the patient's forehead. You stop tapping but notice that the patient's eyes keep blinking. How would you interprete this test?

    • Negative frontal test

    • Positive glabellar

    • Negative frontal test

    • Negative glabellar

    Correct Answer
    A. Positive glabellar
    Explanation
    It is a normal finding in infants though.

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  • 21. 

    You observe a patient laughing uncontrolably and at times crying for no reason. You document this as inapprpriateness of:

    • Demeanor

    • Emotion

    Correct Answer
    A. Emotion
    Explanation
    Patients with Parkinson's disease have a form of emotional incontinence known as pseudobulbar palsy

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  • 22. 

    Which of the following has the tendency to menifest itself in a dermatomal fashion?

    • Sensory

    • Motor

    Correct Answer
    A. Sensory
  • 23. 

    Umbilicus:

    • T7

    • T8

    • T9

    • T10

    • T11

    Correct Answer
    A. T10
  • 24. 

    A comatose patient may have a grasp reflex. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 25. 

    How would you assess a patient's function?

    • By observing their behavior and activities

    • By establishing whether their thinking is abstract or concrete

    • By checking to see if they are alert and oriented

    • By checking their intermediate memory

    Correct Answer
    A. By observing their behavior and activities
  • 26. 

    The gag reflex should be elicited by irritating the middle portion of the uvula only. True or false?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Each side should be checked separately. The motion of the uvula should be symmetrical.

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  • 27. 

    When a patient is brain dead can a relfex still be elicited?

    • Yes

    • No

    Correct Answer
    A. Yes
    Explanation
    lower motor neuron, there is no cortical input in a simple motor reflex.

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  • 28. 

    When checking two point discrimination the further apart the two points that they can distinguish the ________ the problem

    • Less severe

    • Worse

    Correct Answer
    A. Worse
  • 29. 

    When checking a patient with a lesioned right cranial nerve 12, the tongue will be observed deviated to the:

    • Right

    • Left

    Correct Answer
    A. Right
    Explanation
    The tongue will deviate to the weak side.

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  • 30. 

    The nipple line is around:

    • T3

    • T4

    • T5

    • T6

    Correct Answer
    A. T4
  • 31. 

    Is the visual fields by confrontation test a very specific diagnostic test that usually will pick up minute visual deficincies?

    • Yes

    • No

    Correct Answer
    A. No
    Explanation
    It is a gross exam. Visual field testing may be needed for more accurate diagnosis although a stroke such as an occipital lobe stroke can be picked up by visual field testing.

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  • 32. 

    In order to expedite the neurologic exam, all the divisions of the trigeminal nerve should be checked at the same time. True or false?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Each division should be checked individually.

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  • 33. 

    You place a vibrating fork on a patient's head and ask them where they are feeling the vibration. You are perfomring a ______ test.

    • Rhinne

    • Kernig's

    • Weber's

    Correct Answer
    A. Weber's
  • 34. 

    Triceps reflex tests____ .

    • C5

    • C6

    • C7

    • C8

    Correct Answer
    A. C7
  • 35. 

    When doing a funduscopic exam, it is important to examine the head of the ________ .

    • Cornea

    • Optic nerve

    • Retina

    Correct Answer
    A. Optic nerve
    Explanation
    AKA disc.

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  • 36. 

    The sensory portion of the facial nerve innervates:

    • Post 1/3 of the tongue

    • Ant 2/3rds of the tongue

    • Post 2/3 of the tongue

    • Ant 1/3 of the tongue

    Correct Answer
    A. Ant 2/3rds of the tongue
  • 37. 

    A pontine stroke will manifest itself on a patient's face as:

    • Paralysis to the top part of the face

    • Paralysis to the whole side

    • Paralysis to the bottom part of the face

    Correct Answer
    A. Paralysis to the whole side
  • 38. 

    What nerve is responsible for taste to the posterior 2/3 of the tongue?

    • CN-5

    • CN-7

    • CN-12

    • CN 9

    Correct Answer
    A. CN 9
  • 39. 

    Patellar reflex ______- and Achilles reflex _________.

    • L3 & S1

    • L4 & S2

    • L4 & S1

    • L2 & S2

    Correct Answer
    A. L4 & S1
  • 40. 

    Testing the sensation of pain to the skin on the upper face is testing done for which of the following?

    • V-2

    • V-3

    • V-1

    • CN-7

    Correct Answer
    A. V-1
  • 41. 

    The finger to nose test is usually done with the patient's eyes open or closed?

    • Open

    • Closed

    Correct Answer
    A. Closed
  • 42. 

    You are testing a patient's muscles and you notice that they can elicit a contraction but cannot move the extremity. How would you grade them?

    • 0/5

    • 1/5

    • 2/5

    • 3/5

    • 4/5

    Correct Answer
    A. 1/5
  • 43. 

    A normal reflex is elicited.

    • 1/4

    • 2/4

    • 3/4

    • 4/4

    Correct Answer
    A. 2/4
  • 44. 

    A patient can move their muscle but cannot resist gravity:

    • 1/5

    • 2/5

    • 3/5

    • 4/5

    Correct Answer
    A. 2/5
  • 45. 

    Which of the following can you use to assess diabetic neuropathy in a diabetic patient?

    • Weber's test

    • Vibrating tuning fork to hands and feet

    • Babinski

    Correct Answer
    A. Vibrating tuning fork to hands and feet
  • 46. 

    Biceps reflex tests ________ and brachioradialis reflex tests ___________ respectively.

    • C2 & C3

    • C5 & C6

    • C4 & C5

    • C6 & C7

    Correct Answer
    A. C5 & C6
  • 47. 

    Xiphoid process:

    • T3

    • T4

    • T5

    • T6

    • T7

    Correct Answer
    A. T7
  • 48. 

    When perfomring the Weber's test, if a patient has a lesioned nerve on the right, on which side will they hear feel the vibrating fork?

    • Right

    • Left

    Correct Answer
    A. Left
    Explanation
    Conductive hearing lateralizes away from the affected side.

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  • 49. 

    When observing the motion, an intact cerebellum will manifest itself in smooth movements. What is the term used to describe a patient that has a lesion that breaks up the movement into component "unsmooth parts?"

    • Decrepitation of movement

    • Decomposition of movement

    • Delineation of movement

    Correct Answer
    A. Decomposition of movement

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  • Jul 07, 2022
    Quiz Edited by
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  • Mar 03, 2010
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