N312 Neuro/ Mental Status
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This is a basic quiz to test your knowledge on neurological and mental disorders. Enjoy
- 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.
- 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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