N312 Neuro/ Mental Status

20 Questions | By Tyraikaika | Last updated: Dec 14, 2012

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This is a basic quiz to test your knowledge on neurological and mental disorders. Enjoy

Questions and Answers

1.

Which of the following is a major role of the central nervous system?
- A.
  
  Involuntary control of internal environment
- B.
  
  Personality and strength
- C.
  
  Body control and coordination
- D.
  
  Fight or flight
2.

True or False? The parasympathetic system is a fight or flight response.
- A.
  
  True
- B.
  
  False
3.

What is the function of the cerebellum?
- A.
  
  Body control and coordination
- B.
  
  Integration of voluntary movement: posture, balance, coordination
- C.
  
  Involuntary control of internal environment
- D.
  
  Comprehension of written words and symbols
4.

Which of the following s/sx are associated with upper motor neuron lesions?
- A.
  
  Muscle spasticity, contractures
- B.
  
  Absent abdominal reflex
- C.
  
  Fasiculations
- D.
  
  Muscle flaccidity, decreased tone
- E.
  
  Hyperreflexia
5.

Which of the following s/sx are associated with lower motor neuron lesions?

Discuss
- A.
  
  Little of no muscle atrophy
- B.
  
  Paralysis: same side as lesion at and below level of injury
- C.
  
  Decreased to no plantar reflex
- D.
  
  Absent abdominal reflex
- E.
  
  Positive Babinski reflex
6.

When should cranial nerves be assessed in the physical examination?
- A.
  
  Peripheral vascular
- B.
  
  Musculoskeletal
- C.
  
  Head and Neck
- D.
  
  Integumentary
7.

Which of the following is not a risk factor for acquiring stroke/ CVA
- A.
  
  HTN
- B.
  
  Hyperlipidemia
- C.
  
  Contraceptive use
- D.
  
  Being over 55
8.

Which of the following is not a chief complaint for patients with neurological disorders?
- A.
  
  Seizures
- B.
  
  Nausea
- C.
  
  Pain
- D.
  
  Weakness or paresthesia
9.

Which of the following is the most sensitive indicator of changes in the neurological status of patients with neurological disorders?
- A.
  
  LOC
- B.
  
  Orientation
- C.
  
  Cognitive function
- D.
  
  Coordination
10.

Which test is the most effective when testing arousability?
- A.
  
  Testing the patients orientation to person, place, and time
- B.
  
  Pouring ice cold water into the patients ear
- C.
  
  Screaming into the patients left ear for six seconds
- D.
  
  Applying a painful (noxious) stimulus to the nail bed
11.

When examining a patients general appearance and behavior—look at:
- A.
  
  Facial expressions and orientation to place
- B.
  
  How they are sitting and facial expressions
- C.
  
  Grooming and orientation to time
- D.
  
  Facial expressions and object identification
12.

All of the following are crucial components of the mental status examination EXCEPT?
- A.
  
  Thought processes and perceptions; Motor activity integration
- B.
  
  LOC; General Appearance and Behavior
- C.
  
  Language and speech; Cognitive function
- D.
  
  Emotional status; Pain perception
13.

Of the following, which one is not one of the functions assessed in the Glasgow Coma Scale.
- A.
  
  Eye opening
- B.
  
  Verbal response
- C.
  
  Motor response
- D.
  
  Pain response
14.

When screening a patients sensory perception which techniques would you avoid?
- A.
  
  Check from distal to proximal
- B.
  
  Increase the volume of the patient’s TV
- C.
  
  Map out abnormalities
- D.
  
  Compare sides
- E.
  
  Have the client’s eyes open throughout the tests
15.

Pick two tests that you could used on your patient when assessing cerebellar coordination.
- A.
  
  Back bends
- B.
  
  Tandem walking
- C.
  
  Touching toes
- D.
  
  Hopping
16.

How do you facilitate a Romberg’s test?
- A.
  
  Client touches finger to nose, finger-finger
- B.
  
  Client stands on one foot, puts arms above head, and does one knee bend
- C.
  
  Client stands with feet together, hands at sides and eyes closed
- D.
  
  Client sits on chair and then tries to stand back up
17.

True of false a + Romberg’s test is pathological?
- A.
  
  True
- B.
  
  False
18.

Which of the following is not a component of the cerebellar examination?
- A.
  
  Coordination
- B.
  
  Motor activity integration
- C.
  
  Balance
- D.
  
  Fine coordination
- E.
  
  Muscle strength
19.

Which of the following gait disturbances does not match with their clinical manifestations?
- A.
  
  Spastic hemiparesis: arm flexed, close to side
- B.
  
  Parkinsons’: stooped, hips, knees flexed; short shuffling steps
- C.
  
  Cerebellar ataxia: staggering, unsteady, wide based
- D.
  
  Scissor gait: paralysis of the lower foot
- E.
  
  Steppage gait: feet lifted high, slapped down
20.

Out of the following involuntary movements which one doesn't match?
- A.
  
  Fasiculations : visible twitching of muscle bundle
- B.
  
  Chorea : chomping of the teeth
- C.
  
  Athetosis : choreform movement affecting tongue, lips, face
- D.
  
  Tardive dyskensia : slower, twisting, writhing

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