NU 664 FNP Midterm || 100% Verified Solutions.
Cranial nerve i correct answers Olfactory (smell)
Cranial nerve II correct answers Optic (visual acuity, gross visual fields, fundoscopic exam)
Cranial nerve III correct answers Oculomotor (pupillary response, eye movement, upward and
medial gaze)
Cranial nerve IV correct answers Trochlear (eye movement downward and medial gaze)
Cranial nerve V correct answers Trigeminal (teeth clenching, corneal reflex, respnsible for
trigeminal neuralgia)
Cranial nerve VI correct answers Abducens (lateral eye movement)
Cranial nerve VII correct answers Facial (frown, smile, puff out cheeks, assess symmetry)
Cranial nerve VIII correct answers Acoustic (Hearing and balance) (vestibular)
Cranial nerve IX correct answers Glossopharyngeal (gag reflex)
Cranial nerve X correct answers Vagus - swallowing and speaking, gag reflex
Cranial nerve XI correct answers Spinal Accessory - controls trapezius & sternocleidomastoid &
controls swallowing movements, shrug shoulder and turn head
Cranial nerve XII correct answers Hypoglossal Articulation. And tongue movement
,Gross motor strength correct answers Upper and lower extremities, look for symmetry and
strength
Cerebella Function correct answers Romberg test, coordination, reflexes
Subdural acute correct answers Less than 72 hours
Subdural subacute correct answers 3-20 days
Subdural chronic correct answers > 20 days
Epidural hematoma correct answers Bleeding from the middle meninges arteries
Basilar skull fracture correct answers Can cause leaking of CSF
Pneumocephalus correct answers Air entry into the CSF filled space
Battles sign correct answers Ecchymosis behind the ear/mastoid process (concern for basilar
skull fracture and CSF leak)
Raccoon eyes correct answers Periorbital ecchymosis associated with basilar skull fractures and
orbital fractures (concern for CSF leak)
Glasgow Coma Scale (GCS) correct answers Rapid Neuro Exam ~ measures Motor response 1-
6, verbal response 1-5 and eye opening 1-4
What is a normal GCS correct answers 15
, What does a GCS of 7 mean correct answers Coma
What does GCS of 3 mean correct answers Deep coma
FOGS Mental status correct answers family story, orientation, general information, spelling
Rapid neuro evaluation calculations correct answers Count backwards by 7 from 100, or repeat a
3 digit number
Rapid Neuro evaluation recall correct answers Recall 2 objects
Subarachnoid hemorrhage correct answers Extreme headaches and necks stiffness, comes from
ruptured intracranial saccular (berry) aneurysms 80% of time
Trigeminal neuralgia (tic douloureux) correct answers Excruciating facial pain for 3 secs, can be
disabling. More often in females and over 50. Caused by compression by a nearby artery and
secondary demyelination of axons in the 5th Cranial nerve. The Trigeminal nerve has 3
branches~ opthalamic, maxillary, and madibular branch. Treat with carbamazepine or
oxcarbazepine. Can also use baclofen, Gabapentin or lamotrigine. Can use surgery but it will
often return.
Bell's palsy correct answers Caused by HSV most often. Loss of motor function to face, loss of
taste in 2/3 of tongue, and sensation to EAC. Will have a sense of forehead wrinkles, wider pal-
Reagan fissure, decrease corneal reflex, Bells phenomenon (eye turns upward when patient try's
to close the eyelid), flattening of the nasolabial fold, Lacrimation May or may not be affected.
Won't be able to close eye, whistle, or smile.
Guillaine Barre Syndrome correct answers Monophysite immune mediated polyradiculopathy
that causes ascending paralysis. It is often post-infectious and associated with Campylobacter
infection. Spinal fluid will reveal elevated protein without pleocytosis (presence of cells). Rx
with IV gamma globulin
Cranial nerve i correct answers Olfactory (smell)
Cranial nerve II correct answers Optic (visual acuity, gross visual fields, fundoscopic exam)
Cranial nerve III correct answers Oculomotor (pupillary response, eye movement, upward and
medial gaze)
Cranial nerve IV correct answers Trochlear (eye movement downward and medial gaze)
Cranial nerve V correct answers Trigeminal (teeth clenching, corneal reflex, respnsible for
trigeminal neuralgia)
Cranial nerve VI correct answers Abducens (lateral eye movement)
Cranial nerve VII correct answers Facial (frown, smile, puff out cheeks, assess symmetry)
Cranial nerve VIII correct answers Acoustic (Hearing and balance) (vestibular)
Cranial nerve IX correct answers Glossopharyngeal (gag reflex)
Cranial nerve X correct answers Vagus - swallowing and speaking, gag reflex
Cranial nerve XI correct answers Spinal Accessory - controls trapezius & sternocleidomastoid &
controls swallowing movements, shrug shoulder and turn head
Cranial nerve XII correct answers Hypoglossal Articulation. And tongue movement
,Gross motor strength correct answers Upper and lower extremities, look for symmetry and
strength
Cerebella Function correct answers Romberg test, coordination, reflexes
Subdural acute correct answers Less than 72 hours
Subdural subacute correct answers 3-20 days
Subdural chronic correct answers > 20 days
Epidural hematoma correct answers Bleeding from the middle meninges arteries
Basilar skull fracture correct answers Can cause leaking of CSF
Pneumocephalus correct answers Air entry into the CSF filled space
Battles sign correct answers Ecchymosis behind the ear/mastoid process (concern for basilar
skull fracture and CSF leak)
Raccoon eyes correct answers Periorbital ecchymosis associated with basilar skull fractures and
orbital fractures (concern for CSF leak)
Glasgow Coma Scale (GCS) correct answers Rapid Neuro Exam ~ measures Motor response 1-
6, verbal response 1-5 and eye opening 1-4
What is a normal GCS correct answers 15
, What does a GCS of 7 mean correct answers Coma
What does GCS of 3 mean correct answers Deep coma
FOGS Mental status correct answers family story, orientation, general information, spelling
Rapid neuro evaluation calculations correct answers Count backwards by 7 from 100, or repeat a
3 digit number
Rapid Neuro evaluation recall correct answers Recall 2 objects
Subarachnoid hemorrhage correct answers Extreme headaches and necks stiffness, comes from
ruptured intracranial saccular (berry) aneurysms 80% of time
Trigeminal neuralgia (tic douloureux) correct answers Excruciating facial pain for 3 secs, can be
disabling. More often in females and over 50. Caused by compression by a nearby artery and
secondary demyelination of axons in the 5th Cranial nerve. The Trigeminal nerve has 3
branches~ opthalamic, maxillary, and madibular branch. Treat with carbamazepine or
oxcarbazepine. Can also use baclofen, Gabapentin or lamotrigine. Can use surgery but it will
often return.
Bell's palsy correct answers Caused by HSV most often. Loss of motor function to face, loss of
taste in 2/3 of tongue, and sensation to EAC. Will have a sense of forehead wrinkles, wider pal-
Reagan fissure, decrease corneal reflex, Bells phenomenon (eye turns upward when patient try's
to close the eyelid), flattening of the nasolabial fold, Lacrimation May or may not be affected.
Won't be able to close eye, whistle, or smile.
Guillaine Barre Syndrome correct answers Monophysite immune mediated polyradiculopathy
that causes ascending paralysis. It is often post-infectious and associated with Campylobacter
infection. Spinal fluid will reveal elevated protein without pleocytosis (presence of cells). Rx
with IV gamma globulin
