NURS 5220-Advanced Health Assessment-Test 2 Prep
Questions and Answers Latest Update
Types of agnosia: Visual - ANSWER -Occipital lobe
Types of agnosia: Auditory - ANSWER -Temporal lobe (lateral + superior)
Types of agnosia: Tactile - ANSWER -Parietal lobe
Types of agnosia: Body parts and relationships - ANSWER -Parietal lobe
(posterio-inferior)
Types of aphasia: Auditory receptive - ANSWER -Temporal lobe (Wernicke's
area)
Types of aphasia: Expressive speaking - ANSWER -Inferior posterior frontal area
(Broca's)
Types of aphasia: Visual receptive - ANSWER -Parietal-occiptal
Broca's aphasia - ANSWER -Expressive type of aphasia characterized by intact
reading comprehension, impaired writing skills, and using only nouns and verbs in
speech
Broca area (frontal lobe) contains the motor cortex, which is associated with
speech formation, as well as decision making, problem solving, the ability to
concentrate, and short-term memory
Which part of the brain contains the Wernicke's speech area? - ANSWER -
Temporal lobe
The temporal lobe is responsible for perception and interpretation of sounds as
well as localizing their source. It contains the Wernicke speech area, which allows
a person to understand spoken and written language. It is also involved in the
integration of behavior, emotion, and personality, as well as long-term memory
,Types of aphasia: Expressive writing - ANSWER -Posterior frontal
What are characteristics of delirium? - ANSWER -Characteristics of delirium
include a sudden onset of cognitive impairment, illogical flow of ideas, and
hallucinations that fluctuates during the day and last hours or days
What are characteristics of Parkinson's? - ANSWER -Slumped posture and a lack
of facial expression may indicate depression or a neurologic condition such as
Parkinson disease
Shuffling gait
What does the limbic system regulate? - ANSWER -Emotions
The limbic system mediates certain patterns of behavior that determine survival
(e.g., mating, aggression, fear, and affection). Reactions to emotions such as anger,
love, hostility, and envy originate here, but the expression of emotion and behavior
is mediated by connections between the limbic system and the frontal lobe
What tool tracks cognitive changes over time? - ANSWER -Mini-Mental Status
Exam (MMSE)
Deep tendon reflexes: Biceps - ANSWER -Elbow flexion
C5 & 6
Deep tendon reflexes: Brachioradial - ANSWER -Forearm pronation and elbow
flexion
C5 & 6
Deep tendon reflexes: Triceps - ANSWER -Elbow extension
C6, 7, 8
Deep tendon reflexes: Patellar - ANSWER -Lower leg extension
L2, 3, 4
Deep tendon reflexes: Clonus - ANSWER -Rhythmic oscillating movements
, Ankle
Associated with upper motor neuron disease
Deep tendon reflexes: Plantar - ANSWER -S1 & 2
Deep tendon reflex scoring - ANSWER -0 no response
1+ sluggish or diminished
2+ active or expected response
3+ more brisk than expected, slightly hyperactive
4+ brisk, hyperactive, with intermittent or transient clonus
Tinel sign - ANSWER -Medial nerve tingling, carpal tunnel
Brudzinski's sign - ANSWER -Involuntary flexion of the hips and knees when the
neck is passively flexed; indicates meningeal irritation
Kernig's sign - ANSWER -Evaluated by flexing the leg at the knee and hips and
then attempting to straighten the leg
Pain in the lower back and resistance to straighten is a positive Kernig sign
May indicate meningeal irritation
Multiple sclerosis - ANSWER -a progressive autoimmune disorder characterized
by a combination of inflammation and degeneration of the myelin of the brain's
white matter leading to decreased brain mass and obstructed transmission of nerve
impulses
Seizure disorder (epilepsy) - ANSWER -a chronic disorder characterized by
recurrent, unprovoked seizures secondary to an underlying brain abnormality
Encephalitis - ANSWER -acute inflammation of the brain and spinal cord
involving the meninges, often due to a virus
Meningitis - ANSWER -inflammation of the meninges of the brain and spinal
cord
Questions and Answers Latest Update
Types of agnosia: Visual - ANSWER -Occipital lobe
Types of agnosia: Auditory - ANSWER -Temporal lobe (lateral + superior)
Types of agnosia: Tactile - ANSWER -Parietal lobe
Types of agnosia: Body parts and relationships - ANSWER -Parietal lobe
(posterio-inferior)
Types of aphasia: Auditory receptive - ANSWER -Temporal lobe (Wernicke's
area)
Types of aphasia: Expressive speaking - ANSWER -Inferior posterior frontal area
(Broca's)
Types of aphasia: Visual receptive - ANSWER -Parietal-occiptal
Broca's aphasia - ANSWER -Expressive type of aphasia characterized by intact
reading comprehension, impaired writing skills, and using only nouns and verbs in
speech
Broca area (frontal lobe) contains the motor cortex, which is associated with
speech formation, as well as decision making, problem solving, the ability to
concentrate, and short-term memory
Which part of the brain contains the Wernicke's speech area? - ANSWER -
Temporal lobe
The temporal lobe is responsible for perception and interpretation of sounds as
well as localizing their source. It contains the Wernicke speech area, which allows
a person to understand spoken and written language. It is also involved in the
integration of behavior, emotion, and personality, as well as long-term memory
,Types of aphasia: Expressive writing - ANSWER -Posterior frontal
What are characteristics of delirium? - ANSWER -Characteristics of delirium
include a sudden onset of cognitive impairment, illogical flow of ideas, and
hallucinations that fluctuates during the day and last hours or days
What are characteristics of Parkinson's? - ANSWER -Slumped posture and a lack
of facial expression may indicate depression or a neurologic condition such as
Parkinson disease
Shuffling gait
What does the limbic system regulate? - ANSWER -Emotions
The limbic system mediates certain patterns of behavior that determine survival
(e.g., mating, aggression, fear, and affection). Reactions to emotions such as anger,
love, hostility, and envy originate here, but the expression of emotion and behavior
is mediated by connections between the limbic system and the frontal lobe
What tool tracks cognitive changes over time? - ANSWER -Mini-Mental Status
Exam (MMSE)
Deep tendon reflexes: Biceps - ANSWER -Elbow flexion
C5 & 6
Deep tendon reflexes: Brachioradial - ANSWER -Forearm pronation and elbow
flexion
C5 & 6
Deep tendon reflexes: Triceps - ANSWER -Elbow extension
C6, 7, 8
Deep tendon reflexes: Patellar - ANSWER -Lower leg extension
L2, 3, 4
Deep tendon reflexes: Clonus - ANSWER -Rhythmic oscillating movements
, Ankle
Associated with upper motor neuron disease
Deep tendon reflexes: Plantar - ANSWER -S1 & 2
Deep tendon reflex scoring - ANSWER -0 no response
1+ sluggish or diminished
2+ active or expected response
3+ more brisk than expected, slightly hyperactive
4+ brisk, hyperactive, with intermittent or transient clonus
Tinel sign - ANSWER -Medial nerve tingling, carpal tunnel
Brudzinski's sign - ANSWER -Involuntary flexion of the hips and knees when the
neck is passively flexed; indicates meningeal irritation
Kernig's sign - ANSWER -Evaluated by flexing the leg at the knee and hips and
then attempting to straighten the leg
Pain in the lower back and resistance to straighten is a positive Kernig sign
May indicate meningeal irritation
Multiple sclerosis - ANSWER -a progressive autoimmune disorder characterized
by a combination of inflammation and degeneration of the myelin of the brain's
white matter leading to decreased brain mass and obstructed transmission of nerve
impulses
Seizure disorder (epilepsy) - ANSWER -a chronic disorder characterized by
recurrent, unprovoked seizures secondary to an underlying brain abnormality
Encephalitis - ANSWER -acute inflammation of the brain and spinal cord
involving the meninges, often due to a virus
Meningitis - ANSWER -inflammation of the meninges of the brain and spinal
cord
