Week 11 – Neurology
Week 11 – Neurology
Which symptoms may occur with Bell’s palsy? (Select all that apply.)
Alteration in taste
Drooling
Inability to open the eye Correct!
Decreased hearing
Tinnitus
A patient is brought to the emergency department after being hit in the head with a baseball. The
patient is awake and talking, but is confused and disoriented and does not obey simple commands. The
patient is able to point to the area of pain and opens eyes only when commanded to do so. Bystanders
report a period of unconsciousness lasting almost 5 minutes. Which severity of traumatic brain injury is
likely?
Severe
Moderate
Normal You Answered
Mild
You are examining a patient who has just been diagnosed with Bell's palsy. Bells's palsy is characterized
by all of the following except:
Inability to close the eye on the affected side Correct!
Inability to swallow
Drooling
Drooping of the corner of the mouth on the affected side
A 70 year old male is diagnosed with vertigo. Which choice below indicates that the vertigo is more
likely to be of central etiology?
Brief duration
Correct! Persistent
symptoms Nystagmus
present Nausea and
vomiting
What characteristic is true of tension headaches, but not of cluster headaches?
Tension headaches cause photosensitivity
Cluster headaches are always bilateral
Cluster headaches always cause nausea Correct!
Tension headaches are always bilateral
, Week 11 – Neurology
[Cluster headaches are always unilateral]
A patient exhibits visual field defect, ataxia, and dysarthria and complains of a mild headache. A
family member reports that the symptoms began several hours prior. An examination reveals normal
range of motion of the neck. What type of cerebrovascular event is most likely?
Ischemic stroke
Hypertensive intracerebral hemorrhage
Transient ischemic attack
Hemorrhagic stroke
A 72 year old patient with history of polymyalgia rheumatica complains of new onset unilateral
headache and visual changes. Her sedimentation rate is elevated. Her neurological exam is otherwise
normal. What is the most likely reason for her symptoms?
Meningitis
TIA
CVA
Temporal arteritis
A 50 year old man complains of marked scalp tenderness accompanied by a bad headache at his left
temple. He reports a sudden loss of vision in the left eye for the past several hours. The
neurological exam is normal except for the loss of vision in the left eye. Which of the following
conditions is most likely?
Cluster headache
Migraine headache without aura
Migraine headache with aura
Giant cell arteritis
A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur with
weather changes or when sleep patterns are disrupted and describes them as severe, with throbbing
on one side of the head and sometimes accompanied by nausea. What is the recommended treatment
for this type of headache?
Gabapentin
Rizatriptan
Topiramate
Propranolol
Week 11 – Neurology
Which symptoms may occur with Bell’s palsy? (Select all that apply.)
Alteration in taste
Drooling
Inability to open the eye Correct!
Decreased hearing
Tinnitus
A patient is brought to the emergency department after being hit in the head with a baseball. The
patient is awake and talking, but is confused and disoriented and does not obey simple commands. The
patient is able to point to the area of pain and opens eyes only when commanded to do so. Bystanders
report a period of unconsciousness lasting almost 5 minutes. Which severity of traumatic brain injury is
likely?
Severe
Moderate
Normal You Answered
Mild
You are examining a patient who has just been diagnosed with Bell's palsy. Bells's palsy is characterized
by all of the following except:
Inability to close the eye on the affected side Correct!
Inability to swallow
Drooling
Drooping of the corner of the mouth on the affected side
A 70 year old male is diagnosed with vertigo. Which choice below indicates that the vertigo is more
likely to be of central etiology?
Brief duration
Correct! Persistent
symptoms Nystagmus
present Nausea and
vomiting
What characteristic is true of tension headaches, but not of cluster headaches?
Tension headaches cause photosensitivity
Cluster headaches are always bilateral
Cluster headaches always cause nausea Correct!
Tension headaches are always bilateral
, Week 11 – Neurology
[Cluster headaches are always unilateral]
A patient exhibits visual field defect, ataxia, and dysarthria and complains of a mild headache. A
family member reports that the symptoms began several hours prior. An examination reveals normal
range of motion of the neck. What type of cerebrovascular event is most likely?
Ischemic stroke
Hypertensive intracerebral hemorrhage
Transient ischemic attack
Hemorrhagic stroke
A 72 year old patient with history of polymyalgia rheumatica complains of new onset unilateral
headache and visual changes. Her sedimentation rate is elevated. Her neurological exam is otherwise
normal. What is the most likely reason for her symptoms?
Meningitis
TIA
CVA
Temporal arteritis
A 50 year old man complains of marked scalp tenderness accompanied by a bad headache at his left
temple. He reports a sudden loss of vision in the left eye for the past several hours. The
neurological exam is normal except for the loss of vision in the left eye. Which of the following
conditions is most likely?
Cluster headache
Migraine headache without aura
Migraine headache with aura
Giant cell arteritis
A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur with
weather changes or when sleep patterns are disrupted and describes them as severe, with throbbing
on one side of the head and sometimes accompanied by nausea. What is the recommended treatment
for this type of headache?
Gabapentin
Rizatriptan
Topiramate
Propranolol
