NGN AGNP BOARD EXAM NEUROLOGY
ASSESSMENT WITH NGN QUESTIONS 100%
CORRECT|VERIFIED WITH EXPLANATION
Neurological exam includes: - ANSWER: mental status, cranial nerve, sensory, motor
and reflexes
three major functioning units - ANSWER: spinal cord( lowest functional level,
controls automatic motor responses), brain stem ( controls bp, respiration), corticol (
cognition)
Central Nervous System - ANSWER: receives it blood supply from 2 internal arteries
and 2 vertebral arteries that join together form the basilar artery (** blood supply
15-25% of total cardiac output that goes into the brain) ** three major units:
cerebrum, cerebellum, brainstem
Cerebrum - ANSWER: frontal lobe: personality, judgment, abstract thinking, social
behavior
parietal lobe: sensation and aware of bodys shape
temporal: hearing
occipital: vision
cerebellum - ANSWER: helps with movement and motor process, works with
vestibular system (cranial nerve 8)- produce steady and precise movements
brain stem - ANSWER: breathing, heart rate, blood pressure, swallowing and
coughing
diencephalon - ANSWER: hypothalamus: maintain body temp, emotions, hunger,
thirst, circadian rhythm
thalamus- sensory processes( pain, temperature control)
Severe brain stem injury : decerebrate posture: - ANSWER: flexed out
severe brain stem injury: decorticate posture - ANSWER: flexed inward toward core:
WORSE
CNS: spinal cord and tracts - ANSWER: 40-50 cm length, 2 tracts descending and
ascending tract, common pathway
Descending tract - ANSWER: carries MOTOR impulse from the brain ( meter motor*)
ascending - ANSWER: carries SENSORY data to the brain (ahhhh, touch stove)
ANS- sympathetic system - ANSWER: fight or flight ( responds to stressor)
, ANS- parasympathetic - ANSWER: rest or digest ( balancing and conservation)
Dermatones - ANSWER: 2 point discrimination- (bigger ones on back, can't feel two
points as you get closer)
CN 1 - ANSWER: olfactory nerve: smell
- make sure no inflammation
CN2 - ANSWER: optic nerve
- snellen chart
- fundascopy
- confrontation test
CN 3, 4, 6` - ANSWER: ocular motor never ( movement of eye)
- look for nystagus ( jerking of movement
- drooping of eyelip
- lazy eye
- D (distance, dilate)
- C ( constrict, converge)
CN 5 - ANSWER: Trigeminal ( motor- puff out cheeks, sensory- cotton wisp,
mandibular- clench teeth together)
CN 7 - ANSWER: facial nerve
- raise eyebrowns and frown
- show their teeth
- whistle
CN 8 - ANSWER: Ear
- rhomberg test ( swaying)
- whisper test
-clock test
- WEBER- tuning fork
-rinne test ( on mastoid and then in front of ear)
CN 9 - ANSWER: glossaphargeal- tongue
- gag reflex before they eat
CN 10 - ANSWER: vagus nerve (9+10 done together)
** rectal temp
- rise of phaynx is equal
ahhhh
CN 11 - ANSWER: accessory
- have patient turn head and resist
-life shoulders and resist
ASSESSMENT WITH NGN QUESTIONS 100%
CORRECT|VERIFIED WITH EXPLANATION
Neurological exam includes: - ANSWER: mental status, cranial nerve, sensory, motor
and reflexes
three major functioning units - ANSWER: spinal cord( lowest functional level,
controls automatic motor responses), brain stem ( controls bp, respiration), corticol (
cognition)
Central Nervous System - ANSWER: receives it blood supply from 2 internal arteries
and 2 vertebral arteries that join together form the basilar artery (** blood supply
15-25% of total cardiac output that goes into the brain) ** three major units:
cerebrum, cerebellum, brainstem
Cerebrum - ANSWER: frontal lobe: personality, judgment, abstract thinking, social
behavior
parietal lobe: sensation and aware of bodys shape
temporal: hearing
occipital: vision
cerebellum - ANSWER: helps with movement and motor process, works with
vestibular system (cranial nerve 8)- produce steady and precise movements
brain stem - ANSWER: breathing, heart rate, blood pressure, swallowing and
coughing
diencephalon - ANSWER: hypothalamus: maintain body temp, emotions, hunger,
thirst, circadian rhythm
thalamus- sensory processes( pain, temperature control)
Severe brain stem injury : decerebrate posture: - ANSWER: flexed out
severe brain stem injury: decorticate posture - ANSWER: flexed inward toward core:
WORSE
CNS: spinal cord and tracts - ANSWER: 40-50 cm length, 2 tracts descending and
ascending tract, common pathway
Descending tract - ANSWER: carries MOTOR impulse from the brain ( meter motor*)
ascending - ANSWER: carries SENSORY data to the brain (ahhhh, touch stove)
ANS- sympathetic system - ANSWER: fight or flight ( responds to stressor)
, ANS- parasympathetic - ANSWER: rest or digest ( balancing and conservation)
Dermatones - ANSWER: 2 point discrimination- (bigger ones on back, can't feel two
points as you get closer)
CN 1 - ANSWER: olfactory nerve: smell
- make sure no inflammation
CN2 - ANSWER: optic nerve
- snellen chart
- fundascopy
- confrontation test
CN 3, 4, 6` - ANSWER: ocular motor never ( movement of eye)
- look for nystagus ( jerking of movement
- drooping of eyelip
- lazy eye
- D (distance, dilate)
- C ( constrict, converge)
CN 5 - ANSWER: Trigeminal ( motor- puff out cheeks, sensory- cotton wisp,
mandibular- clench teeth together)
CN 7 - ANSWER: facial nerve
- raise eyebrowns and frown
- show their teeth
- whistle
CN 8 - ANSWER: Ear
- rhomberg test ( swaying)
- whisper test
-clock test
- WEBER- tuning fork
-rinne test ( on mastoid and then in front of ear)
CN 9 - ANSWER: glossaphargeal- tongue
- gag reflex before they eat
CN 10 - ANSWER: vagus nerve (9+10 done together)
** rectal temp
- rise of phaynx is equal
ahhhh
CN 11 - ANSWER: accessory
- have patient turn head and resist
-life shoulders and resist
