620 ADULT - NEURO SYSTEM - ADULT-
GERONTOLOGY AND FNP CERTIFICATION
EXAM 4TH ED. WINLAND-BROWN AND
DUNPHY
1.which of the following drugs used for parkinsonism mimics dopamine?
a. anticholinergics
b. levodopa
c. bromocriptine
d. tolcapone
c. bromocriptine (correct answers)
2.how often does the agency for Healthcare Research and quality recommend that providers ask clts
about their tobacco-use status?
a. at every visit
b. at least every 6 months
c. once a year
d. at the initial h/p examination
a. at every visit (correct answers)
3.what is the most common cause of cerebellar disease?
a. hypothyroidism
,b. use of drugs such as 5-fluorouracil or phenytoin
c. cerebellar neoplasm
d. alcoholism
d. alcoholism (correct answers)
4.current pharmacological therapy for relapsing-remitting multiple sclerosis involves:
a. high dose steroids
b. baclofen or diazepam
c. interferon B (betaseron)
d. benzodiazepines
c. interferon B (betaseron) (correct answers)
5.Julie, age 58, has had several TIAs. After a diagnostic evaluation, what medication would you start her
on?
a. ticlopidine (ticlid)
b. clopidogrel (plavax)
c. warfarin (coumadin)
d. nitroglycerin (nitro-dur)
b. clopidogrel (plavax) (correct answers)
,6.Bob, age 49, is complaining of recurrent, intrusive dreams since returning from his Marine combat
training. You suspect:
a. depersonalization
b. schizophrenia
c. PTSD
d. anxiety
c. PTSD (correct answers)
7.Jessie, age 29, sees flashing lights 20 minutes before experiencing severe headaches. How would you
describe her headache?
a. migraine without aura
b. classic migraine
c. tension headache
d. cluster headache
b. classic migraine (correct answers)
8.Marian, age 39, has MS. She tells you that she heard that the majority of people with MS have the
chronic-relapsing type of disease and that she has nothing to live for. How do you respond?
a. the majority of people have this response to MS
b. there are many different clinical courses of MS, and the chronic-relapsing type is only one of them
c. the chronic-relapsing type of MS is in the minority
d. there is an even chance that you have this type
, b. there are many different clinical courses of MS, and the chronic-relapsing type is only one of them
(correct answers)
9.deficiency of which nutritional source usually presents with an insidious onset of paresthesias of the
hands and feet that are usually painful?
a. thiamine
b. vitamin B12
c. folic acid
d. vitamin K
b. vitamin B12 (correct answers)
10.Dan, age 82, recently lost his wife to breast cancer. He presents with weight loss, fatigue, and
difficulty sleeping. What should your first response be?
a. do you have a hx of thyroid problems in your family
b. do you think a sleeping pill might help you sleep at night
c. things might look up if you added nutritional supplements to your diet
d. have you thought of suicide?
d. have you thought of suicide? (correct answers)
11.decreased facial strength indicates a lesion of which CN?
a. CNIII
b. CN V
GERONTOLOGY AND FNP CERTIFICATION
EXAM 4TH ED. WINLAND-BROWN AND
DUNPHY
1.which of the following drugs used for parkinsonism mimics dopamine?
a. anticholinergics
b. levodopa
c. bromocriptine
d. tolcapone
c. bromocriptine (correct answers)
2.how often does the agency for Healthcare Research and quality recommend that providers ask clts
about their tobacco-use status?
a. at every visit
b. at least every 6 months
c. once a year
d. at the initial h/p examination
a. at every visit (correct answers)
3.what is the most common cause of cerebellar disease?
a. hypothyroidism
,b. use of drugs such as 5-fluorouracil or phenytoin
c. cerebellar neoplasm
d. alcoholism
d. alcoholism (correct answers)
4.current pharmacological therapy for relapsing-remitting multiple sclerosis involves:
a. high dose steroids
b. baclofen or diazepam
c. interferon B (betaseron)
d. benzodiazepines
c. interferon B (betaseron) (correct answers)
5.Julie, age 58, has had several TIAs. After a diagnostic evaluation, what medication would you start her
on?
a. ticlopidine (ticlid)
b. clopidogrel (plavax)
c. warfarin (coumadin)
d. nitroglycerin (nitro-dur)
b. clopidogrel (plavax) (correct answers)
,6.Bob, age 49, is complaining of recurrent, intrusive dreams since returning from his Marine combat
training. You suspect:
a. depersonalization
b. schizophrenia
c. PTSD
d. anxiety
c. PTSD (correct answers)
7.Jessie, age 29, sees flashing lights 20 minutes before experiencing severe headaches. How would you
describe her headache?
a. migraine without aura
b. classic migraine
c. tension headache
d. cluster headache
b. classic migraine (correct answers)
8.Marian, age 39, has MS. She tells you that she heard that the majority of people with MS have the
chronic-relapsing type of disease and that she has nothing to live for. How do you respond?
a. the majority of people have this response to MS
b. there are many different clinical courses of MS, and the chronic-relapsing type is only one of them
c. the chronic-relapsing type of MS is in the minority
d. there is an even chance that you have this type
, b. there are many different clinical courses of MS, and the chronic-relapsing type is only one of them
(correct answers)
9.deficiency of which nutritional source usually presents with an insidious onset of paresthesias of the
hands and feet that are usually painful?
a. thiamine
b. vitamin B12
c. folic acid
d. vitamin K
b. vitamin B12 (correct answers)
10.Dan, age 82, recently lost his wife to breast cancer. He presents with weight loss, fatigue, and
difficulty sleeping. What should your first response be?
a. do you have a hx of thyroid problems in your family
b. do you think a sleeping pill might help you sleep at night
c. things might look up if you added nutritional supplements to your diet
d. have you thought of suicide?
d. have you thought of suicide? (correct answers)
11.decreased facial strength indicates a lesion of which CN?
a. CNIII
b. CN V
