MSN 572 Quiz 6 Questions & Answers

MSN 572 Quiz 6 Questions & Answers Question 1 (1 point) Saved The acronym "POUND" is suggested by Bates' guide to help diagnosis what type of headache: Question 1 options: Tension Cluster None of the choices Question 2 (1 point) Saved A 75-year-old retired short-order cook presents to the office for evaluation of weakness. He has a history of hypertension; he stopped taking his medication a few months ago because he couldn't tell that it was making a difference and it was too expensive. On physical examination his blood pressure is 220/110 mm Hg. He has deviation of the tongue to the left side. Which cranial nerve would have to be affected for this finding to be present? Question 2 options: CN I CN V CN VII Question 3 (1 point) Saved While assessing neurologic function the NP touches a cotton wisp on the patient's forehead cheeks and chin. Which cranial nerve is the provider testing? Question 3 options: Cranial nerve IV Cranial nerve VI Cranial nerve VII Question 4 (1 point) Saved In long-standing and poorly controlled hypertension, white matter tracts in the brain are subjected to arteriosclerotic affects. Which one of the following is most vulnerable to this process? Question 4 options: Thalamus Basal ganglia Reticular activating system Diencephalon Question 5 (1 point) Saved Which cranial nerves more commonly undergo demyelination in a patient with multiple sclerosis? Question 5 options: Cranial Nerve I and II Cranial Nerve VIII Cranial Nerve VI and IX Question 6 (1 point) Saved While assessing the deep tendon reflexes in a patient the NP finds that the responses are very brisk and hyperactive with clonus. Which grade should the NP enter in the patient's medical record? Question 6 options: 1+ 2+ 3+ Question 7 (1 point) Saved How would an adult patient normally respond to the plantar reflex? Question 7 options: By flexing the elbow By extending the great toe By extending the lower leg Question 8 (1 point) Saved Which tests should the NP perform to assess balance function in a patient? Question 8 options: Extinction test Stereognosis test Finger-to-nose test Question 9 (1 point) Saved How would an NP test a patient's superficial reflex? Question 9 options: Test the elevation of the ipsilateral testicle Test the rhythmic contractions of the calf muscle Test the deep tendon reflexes of the lower extremities Question 10 (1 point) Saved Which lobe of the brain is associated with language comprehension? Question 10 options: Parietal lobe Occipital lobe Temporal lobe Question 11 (1 point) Saved Which part of the brain is associated with personality and intellectual functioning? Question 11 options: Parietal lobe Occipital lobe Temporal lobe Question 12 (1 point) Saved While assessing a patient with lower motor neuron lesion, the NP sees that the patient has an asymmetric smile and is unable to wrinkle the forehead. Damage to which cranial nerve could cause these findings? Question 12 options: Cranial nerve II (optic nerve) Cranial nerve III (oculomotor nerve) Cranial nerve VIII (auditory nerve) Question 13 (1 point) Saved While performing a neurologic assessment on a patient the NP asks the patient to stand straight and to close the eyes. The NP then instructs the patient to stretch out both arms with the palms facing up and to hold that position. The NP observes that the patient's left palm starts turning downwards within 10 seconds though the patient can hold the right hand steady. How does the NP document this finding? Question 13 options: Positive athetosis. Positive dysarthria Positive astereognosis Question 14 (1 point) Saved A 35-year-old reporter presents to your office for evaluation of back pain and weakness in his left leg. He was play-wrestling with his nephew and hurt his back 2 weeks ago. He states that he has noticed tingling in his left leg as well. He has not noticed incontinence of bowel or bladder function. You perform a physical examination and confirm that he is dragging his left foot when he walks and that his Achilles reflex is diminished. You diagnose him with a herniated disc. Which nerve root are you testing with the Achilles reflex? Question 14 options: C5 C6 L2 L3 L4 L4 L5 Question 15 (1 point) Saved An 18-year-old college freshman presents to the urgent care center for evaluation of fever headache and neck stiffness. On physical examination the patient is resting quietly and has a flushed face. His vital signs are as follows: temperature 104°F; pulse 110 bpm; and BP 105/70 mm Hg. He has no rashes. During the physical examination you flex the patient's neck and his hips and knees flex in response indicating meningeal irritation. The name of this positive sign is: Question 15 options: Kernig's sign Babinski's sign Lachman's sign Question 16 (1 point) Saved A 63-year-old gardener makes an appointment with the office for a pain in his right leg for three days. Since working in the garden moving heavy bags over the weekend, he has begun having intermittent but excruciating pain shooting down the posterior aspect of his right leg. On examination, sensory loss to light touch in the right leg posteriorly corresponding to the S1 (sacral 1) dermatome is noted. Which reflex would be expected to be decreased compared to the other side? Question 16 options: Right plantar Left knee Left ankle Left plantar Right knee Question 17 (1 point) Saved Which of the following cranial nerves have both a motor and sensory component? Question 17 options: CN I CN VI CN XI Question 18 (1 point) Saved What is the maximum score given to a patient in the Mini- Mental State Examination (MMSE)? Question 18 options: 5 20 25 Question 19 (1 point) Saved The NP tells the patient You should get out of the chair and walk 10 feet forward. The patient mockingly mumbles Get out of the chair and walk 10 feed forward. Get out of the chair and walk 10 feet forward. What does the NP document as the speech pattern? Question 19 options: The patient exhibits neologism. The patient exhibits perseveration. The patient exhibits circumstantiality Question 20 (1 point) Saved A 70-year-old retired musician is brought to your clinic for a hospital follow-up visit after sustaining a stroke. He is able to articulate words but they sound slurred or indistinct. As the astute NP student you would document his speech as: Question 20 options: Dysphonia Dysphagia Aphasia Question 21 (1 point) Saved A 70-year-old retired insurance broker complains of difficulty in walking, having to consciously lift up his feet so he does not trip stumble or fall. Both feet are affected equally. He has no sensory complaints and no pain. This has been worsening over the past three years, and he has had to give up his beloved hiking. The symptoms are improved while wearing tall boots and worse when walking around the house with house slippers. What is the likely location of the pathology in this man? Question 21 options: Lumbar spinal cord Brainstem Distal muscle