Updated Dunphy Chapter 6 Exam

Which statement about confusion is true? a. Confusion is a disease process b. Confusion is always temporary c. Age is a reliable predictor of confusion d. Polypharmacy is a major contributor to confusion in older adult - CORRECT ANSWER d. Polypharmacy is a major contributor to confusion in older adult Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help decrease edema in the labyrinth of the ear? a. Meclizine b. Diphenhydramine c. Diamox d. Promethazine - CORRECT ANSWER c. Diamox The hallmark of an absence seizure is: - CORRECT ANSWER A blank stare How often should drug levels be monitored when a seizure medication has controlled the seizures and the drug level is adequate? - CORRECT ANSWER Every 6mo Which of the following persons fits the classic description of a pt with multiple sclerosis? a. A teenage male b. A 65yo male c. A 25yo female d. A 60yo female - CORRECT ANSWER c. A 25yo female Which of the following is a specific test to MS? a. MRI b. CT c. LP d. There is no specific test - CORRECT ANSWER c. There is no specific test Which drug for Alzheimer's should be administered beginning at the time of diagnosis? a. Cholinesterase inhibitors b. Anxiolytics c. Antidepressants d. Atypical antipsychotics - CORRECT ANSWER a. Cholinesterase inhibitors Which hematoma occurs along the temporal cranial wall and results from tears in the middle meningeal artery? a. Epidural hematoma b. Subdural hematoma c. Subarachnoid hematoma d. Intraparenchymal hemorrhage - CORRECT ANSWER a. Epidural hematoma Which CN is affected in a patient with a cerebrovascular accident who has difficulty chewing? a. CN V b. CN VII c. CN IX d. CN X - CORRECT ANSWER a. CN V Which statement best describes a carotid bruit? a. It is felt with the middle three fingers over the carotid artery b. A bruit becomes audible when the lumen is narrowed to 1mm or less c. A low-pitched bruit is a medical emergency d. The higher the pitch of the bruit, the higher the degree of stenosis - CORRECT ANSWER d. The higher the pitch of the bruit, the higher the degree of stenosis Which patient is more likely to have cluster headache? a. A female in her reproductive years b. A 40yo African American male c. A 55yo female who drinks 10 cups of coffee daily d. A 45yo male awakened at night - CORRECT ANSWER d. A 45yo male awakened at night Inattention and sleep-wake cycle disturbance are the hallmark symptoms of: - CORRECT ANSWER Delirium Which type of meningitis is more benign, self-limiting, and caused primarily by a virus? a. Purulent meningitis b. Chronic meningitis c. Aseptic meningitis d. Herpes meningitis - CORRECT ANSWER c. Aseptic meningitis Which is the most sensitive neuroimaging test to evaluate patients with encephalitis? - CORRECT ANSWER MRI