Fitzgerald Chapter 2 Neurological Questions
and Correct Answers, 90 Q&A. With Complete
Solution, Updated 2024.
Assessing vision and visual fields involves testing cranial nerve (CN):
A. I
B. II
C. III
D. IV
B. II
You perform an extraocular movement test on a middle-aged patient. He is unable
to move his eyes upward and inward. This indicates a possibility of paralysis of
CN:
A. II
B. III
C. V
D. VI
B. III
Loss of corneal reflex is in part seen in dysfunction of CN:
A. III
B. IV
C. V
D. VI
C. V
Match the CN with the appropriate function or test.
A. Tongue and throat, swallowing
B. Sense of smell
C. Facial asymmetry, drop of mouth (Bell's palsy)
CN I- B. Sense of smell
CN VII- C. Facial asymmetry, drop of mouth (Bell's palsy)
CN IX- A. Tongue and throat, swallowing
You examine a 29-year-old woman who has a sudden onset of right-sided facial
asymmetry. She is unable to close her right eyelid tightly, frown, or smile on the
affected side. Her examination is otherwise unremarkable. This presentation
likely represents paralysis of CN:
A. III
B. IV
C. VII
D. VIII
C. VII
Which represents the most appropriate diagnostic test for the patient in the
previous question?
A. complete blood cell count with white blood cell(WBC) differential
B. Lyme disease antibody titer
, C. computed tomography (CT) scan of the head with contrast medium
D. blood urea nitrogen and creatinine levels
B. Lyme disease antibody titer
In prescribing prednisone for a patient with Bell's palsy,the nurse practitioner
(NP) considers that its use:
A. has not been shown to be helpful in improving outcomes in this condition.
B. should be initiated as soon as possible after the onset of facial paralysis.
C. is likely to help minimize ocular symptoms.
D. may prolong the course of the disease
B. should be initiated as soon as possible after the onset of facial paralysis.
A 40-year-old man presents with a 5-week history of recurrent headaches that
awaken him during the night.The pain is severe, lasts about 1 hour, and is located
behind his left eye. Additional symptoms include lacrimation and nasal
discharge. His physical examination is within normal limits. This clinical
presentation is most consistent with:
A. migraine without aura.
B. migraine with aura.
C. cluster headache.
D. increased intracranial pressure (ICP)
C. cluster headache.
A 22-year-old woman presents with a 3-year history of recurrent, unilateral,
pulsating headaches with vomiting and photophobia. The headaches, which
generally last 3 hours, can be aborted by resting in a dark room. She can usually
tell that she is going to get a headache. She explains, "I see little 'squiggles'
before my eyes for about 15 minutes." Her physical examination is unremarkable.
This presentation is most consistent with:
A. tension-type headache.
B. migraine without aura.
C. migraine with aura.
D. cluster headache
C. migraine with aura.
Indicators that a headache can be the presenting symptom of a serious illness
and may require neuroimaging include all of the following except:
A. headaches that occur periodically in clusters.
B. increasing frequency and severity of headaches.
C. headache causing confusion, dizziness, and/or lack of coordination.
D. headache causing awakening from sleep.
A. headaches that occur periodically in clusters.
Prophylactic treatment for migraine headaches includes the use of:
A. amitriptyline.
B. ergot derivative.
C. naproxen sodium.
D. clonidine.
A. amitriptyline.
Among the following beta blockers, which is the least effective in preventing
migraine headache?
and Correct Answers, 90 Q&A. With Complete
Solution, Updated 2024.
Assessing vision and visual fields involves testing cranial nerve (CN):
A. I
B. II
C. III
D. IV
B. II
You perform an extraocular movement test on a middle-aged patient. He is unable
to move his eyes upward and inward. This indicates a possibility of paralysis of
CN:
A. II
B. III
C. V
D. VI
B. III
Loss of corneal reflex is in part seen in dysfunction of CN:
A. III
B. IV
C. V
D. VI
C. V
Match the CN with the appropriate function or test.
A. Tongue and throat, swallowing
B. Sense of smell
C. Facial asymmetry, drop of mouth (Bell's palsy)
CN I- B. Sense of smell
CN VII- C. Facial asymmetry, drop of mouth (Bell's palsy)
CN IX- A. Tongue and throat, swallowing
You examine a 29-year-old woman who has a sudden onset of right-sided facial
asymmetry. She is unable to close her right eyelid tightly, frown, or smile on the
affected side. Her examination is otherwise unremarkable. This presentation
likely represents paralysis of CN:
A. III
B. IV
C. VII
D. VIII
C. VII
Which represents the most appropriate diagnostic test for the patient in the
previous question?
A. complete blood cell count with white blood cell(WBC) differential
B. Lyme disease antibody titer
, C. computed tomography (CT) scan of the head with contrast medium
D. blood urea nitrogen and creatinine levels
B. Lyme disease antibody titer
In prescribing prednisone for a patient with Bell's palsy,the nurse practitioner
(NP) considers that its use:
A. has not been shown to be helpful in improving outcomes in this condition.
B. should be initiated as soon as possible after the onset of facial paralysis.
C. is likely to help minimize ocular symptoms.
D. may prolong the course of the disease
B. should be initiated as soon as possible after the onset of facial paralysis.
A 40-year-old man presents with a 5-week history of recurrent headaches that
awaken him during the night.The pain is severe, lasts about 1 hour, and is located
behind his left eye. Additional symptoms include lacrimation and nasal
discharge. His physical examination is within normal limits. This clinical
presentation is most consistent with:
A. migraine without aura.
B. migraine with aura.
C. cluster headache.
D. increased intracranial pressure (ICP)
C. cluster headache.
A 22-year-old woman presents with a 3-year history of recurrent, unilateral,
pulsating headaches with vomiting and photophobia. The headaches, which
generally last 3 hours, can be aborted by resting in a dark room. She can usually
tell that she is going to get a headache. She explains, "I see little 'squiggles'
before my eyes for about 15 minutes." Her physical examination is unremarkable.
This presentation is most consistent with:
A. tension-type headache.
B. migraine without aura.
C. migraine with aura.
D. cluster headache
C. migraine with aura.
Indicators that a headache can be the presenting symptom of a serious illness
and may require neuroimaging include all of the following except:
A. headaches that occur periodically in clusters.
B. increasing frequency and severity of headaches.
C. headache causing confusion, dizziness, and/or lack of coordination.
D. headache causing awakening from sleep.
A. headaches that occur periodically in clusters.
Prophylactic treatment for migraine headaches includes the use of:
A. amitriptyline.
B. ergot derivative.
C. naproxen sodium.
D. clonidine.
A. amitriptyline.
Among the following beta blockers, which is the least effective in preventing
migraine headache?
