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EXAM (Actual Exam) 2026-2027
ACTUAL (2026) UPDATE 2026\2027
ACTUAL COMPLETE EXAM Questions
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What are the typical first manifestations of Guillian-Barre? - ANSWERS-numbness,
pain, paresthesia, or weakness in limbs
When does weakness plateau or improve with Guillain-Barre? - ANSWERS-in 90% of
cases by the 4th week
What causes Multiple Sclerosis? - ANSWERS-Autoimmune response to self-antigens in
genetically susceptible individuals
What can prelude Multiple Sclerosis? - ANSWERS-The first demyelentation event
(clinically isolated syndrome) is a single episode of neurological dysfunction lasting >24
hours
, What is myesthenia gravis? - ANSWERS-chronic autoimmune disease mediated by
acetylcholine receptors antibodies that act at the neuromuscular junction
When do the first clinical manifestations of myesthenia gravis appear? - ANSWERS-
during pregnancy, during the postpartum period, or in conjunction with the
administration of certain anesthetic
What are characteristics of autonomic hyperreflexia? - ANSWERS-Paroxysmal
hypertension, pounding headache, blurred vision, sweating above level of lesion with
flushing of skin, nasal congestion, nausea, piloerection causes by pilomotor spasm, and
bradycardia.
What is the sequence of events leading to hyperreflexia induced bradycardia? -
ANSWERS-Stimulation of the carotid sinus nerve to the sinoatrial nose
The intact autonomic nervous system reflexively responds with arteriolar spasm that
increases blood pressure
Baroreceptors in the cerebral vessels, carotid sinus, and aorta sense the hypertension
and stimulation the parasympathetic nervous system
The heart rate decreases, but the visceral and peripheral vessels do not dilate because
efferent impulses cannot pass through the cord
What are the onset of delirium and dementia? - ANSWERS-Delirium - acute and
common during hospitalization
Dementia - usually insidious and can be acute in situations such as trauma or stroke
What can happen with increased intracranial pressures? - ANSWERS-Collateral
dysfunction such as Diabetes Insipidus
What conditions are associated with dementia? - ANSWERS-May have no other
conditions
What is the course of delirium? - ANSWERS-Fluctuates and remits with treatment
What is the course with dementia? - ANSWERS-chronic slow decline