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1. 30-year-old male patient is in the emergency room because he was
belligerent, confused, and delirious. His girlfriend called the police because
of this behavior, and she said it started after smoking marijuana. Suspicions
are that the marijuana was altered with phencyclidine (PCP). Which
receptors are mainly altered by PCP?
A) N-methyl-D-aspartate (NMDA)
B) Serotonin receptors
C) Monoamine receptors
D) Dopamine receptors - ANSWER A
2. Children in comparison to adults with major depressive disorders are more
likely to exhibit:
A) weight changes.
B) low self-esteem.
C) insomnia.
D) somatic complaints such as stomach ache. - ANSWER D
3. A patient with increased intracranial pressure will have:
A) dilated scalp veins.
B) a rapid increase in head size.
C) visual changes.
, D) prominence of forehead - ANSWER C
4. What is a key difference between dementia and delirium?
A) Delirium onset is usually slow and insidious.
B) Hallucinations and delusions may be present with delirium.
C) Behavior is usually agitated early on in dementia.
D) The sleep wake cycle is usually disrupted in delirium. - ANSWER B
5. Which of the following is a characteristic of brainstem death?
A) Apnea
B) Comatose
C) Vegetative state
D) Lack of movement - ANSWER A
6. A 75-year-old man had a cerebrovascular accident. What type of paralysis
will be most likely?
A) Ipsilateral hypotonic muscles and flaccid paralysis
B) Contralateral hypotonic muscles and flaccid paralysis
C) Ipsilateral contractures and spastic paralysis
D) Contralateral contractures and spastic paralysis - ANSWER D
7. Which of the following neurologic disorders is characterized by cortical
nerve cell processes that have become twisted and dilated?
A) Delirium
B) Parkinson disease
C) Alzheimer disease
D) Multiple sclerosis - ANSWER C
,8. A 60-year-old woman has just had a cerebrovascular accident (CVA). The
most likely cause of her stroke is:
A) intracerebral hemorrhage.
B) atrial fibrillation.
C) cerebral aneurysm.
D) subarachnoid hemorrhage. - ANSWER B
9. A 25-year-old was playing baseball and was hit in the head by a bat. At first
he lost consciousness for a short period and then was alert, so he decided
to just go home and put ice on his head. While at home, he started having a
headache, became confused, and started to vomit. The most likely type of
cerebral injury is a(n):
A) intracerebral hemorrhage.
B) subdural hematoma.
C) epidural hematoma.
D) subarachnoid hemorrhage. - ANSWER C
10.A man who sustained a cervical spinal cord injury 2 days ago suddenly
develops severe hypertension and bradycardia. He reports severe head pain
and blurred vision. The most likely explanation for these clinical
manifestations is that he is:
A) experiencing acute anxiety.
B) developing spinal shock.
C) developing autonomic hyperreflexia.
D) experiencing parasympathetic areflexia. - ANSWER C
11.A 27-year-old woman is coming in to discuss preconception counseling. She
is told to take folate. What is the purpose of this supplementation?
A) It reduces the risk of neural tube defects.
B) It reduces the risk of anemia.
, C) It helps with fertility and implantation.
D) It prevents down syndrome. - ANSWER A
12.A child is being examined, and a tuft of hair over a birthmark in the
sacrococcygeal area is noted with no other abnormalities. This could
represent:
A) meningocele.
B) spina bifida occulta.
C) myelomeningocele.
D) split cord malformation. - ANSWER B
13.Benign febrile seizures are characterized by or associated with:
A) extremely high temperatures.
B) respiratory or ear infections.
C) onset after 5 years old.
D) lasting 30 minutes or more. - ANSWER B
14.Which of the following types of nerve cells produce myelin?
A) Astrocytes
B) Neurocytes
C) Microglia
D) Schwann - ANSWER D
15.The ability of the brain synapse numbers and strength to change is termed:
A) neuroplasticity.
B) neural adaptation.
C) neural transmission.
D) neural gaining. - ANSWER C