NEURO QUIZ

1. Wendy has a significant history of Diabetes, Atheroschlerosis, Hypertension and COPD. Which is not a risk factor for a CVA?

COPD

Diabetes

Atheroschlerosis

2. Manny shows signs of cerebellar dysfunction. Which is not a priority assessment?

Cardiac condition

Gait

Balance

Muscle function

3. Which is not used to identify bacterial meningitis?

Cognition is normal

Fever

Kernig's sign

Brudzinski's sign

4. Multiple Schlerosis exhibits all but what symptom?

Mask-like affect

Bowel and bladder deficits

Ataxic gait

Sensory Deficits

5. Parkinson's disease exhibits all but what symptom?

Fluctuating exacerbations

Rigidity

Bradykinesia

Loss of inhibitory dopamine

6. Joanie presents with a cerebral vascular accident (CVA) involving the hypothalamus. Which is not indicative of hypothalamus function?

Sense of pain

Control of hormones

Sense of thirst

Homeostasis

7. Jack has been diagnosed with Parkinson's disease. All of these are included except

Contralateral sensory deficits

Degenerative Disease

Rigidity

Mask-like effect

8. The differentiation between Myasthenia gravis and cholinergic crisis includes which of the following symptoms that occur with cholinergic crisis?

Both hypotension and bradycardia

Hypotension

Bradycardia

Hypertension

9. Which match the following criteria: brief, no convulsive contractions, may be up to 100 times per day

Petit mal

Epilepsy

Tonic-clonic

Complex seizures

10. Mark has a lesion in the brain stem impairing his sympathetic innervation to his face. This results in pupillary constriction and red face with no sweat.

Horner's syndrome

Autonomic Dysreflexia

Trans Ischemic Attack

Parkinson's Disease

11. With a recurrent seizure due to excessive and sudden discharge of cerebral cortical neurons, which of the following terms match the criteria?

Epilepsy

Tonic-clonic seizures

Complex seizures

Petit mal seizure

12. Which bacterial organisms is not involved with meningitis?

Diplococcus pneumoniae

Haemophilus influenzae

Streptococcus pneumoniae

Neisseria meningitidis

13. Hemisection of the spinal cord resulting in ipsilateral weakness and loss of position and vibration sense below the level of the lesion. Which term matches the criteria?

Brown-Sequard syndrome

Anterior cord syndrome

Central cord syndrome

Sacral sparing

14. Which are signs/symptoms of Post-polio Syndrome (PPS)?

Abnormal fatigue, and pain related to myalgia

Abnormal fatigue

Quickly progressive muscle weakness

Pain from myalgia

15. Donna is hypertensive, profusely diaphoretic and complains of a throbbing headache throughout your shift. What is likely happening?

Autonomic Dysreflexia

Early onset of Horner's Syndrome

Acute Myocardial Infarction

Hypoglycemic condition

16. Multiple Schlerosis may be confirmed with the following tests except

Decreased gamma globulin

Lumbar puncture

CT/MRI

Myelogram

17. Which are signs/symptoms of Amyotrophic Lateral Schlerosis (Lou Gehrig's Disease)?

Spasticity

Death typically in 3-6 years

Cognition impairment

Only lower motor neuron involvement

18. Nancy shows signs of ICP (intracranial pressure). Choose the least significant intervention

Head of bed up 50 degrees

Suctioning as little as possible

Facilitate quiet surroundings

Decrease amount of sensory stimuli

19. Judy shows signs of an anterior cerebral CVA. Which is involved?

Ipsilateral sensory loss

Lower extremity more involved

Upper extremity more involved

Lower extremity less involved

20. A student nurse is performing the Valsalva maneuver while repositioning a patient. Which of the following does not occur during this maneuver?

Increased blood return to the heart

Slows the pulse

Increases intrathoracic pressure

Exhaling with the glottis and nose closed

21. Which are signs/symptoms of Myasthenia gravis involvement?

Anticholinesterase drug use & severe weakness

Use of anticholinesterase drug treatment

Severe weakness--proximal more so than distal

Fluctuating exacerabations

22. Sally presents with a middle cerebral artery (MCA) aneurysm. Which is not and aneurysm precaution?

Limit suctioning

Limit visitors

Avoid rectal temps

Avoid Valsalva maneuver

23. Which are signs/symptoms of Guillain-Barre?

Arrythmias

Motor paralysis in an decending pattern

Demyelination of peripheral and cerebellar nerves

10% mortality rate

Neuro Quiz