APEA Neurology MSN 572 Questions and
Answers
Symptoms indicative of shaken baby syndrome are related to
Ans: Uncontrollable cerebral edema and hypoxia
Brain damage resulting from shaking of the body and rapid flexing and
extension of the head results in hypoxia and cerebral edema leading to
symptoms of blindness, inability to perform previously learned
milestones, and very flaccid muscle tone.
When assessing coordination of muscle movement, four areas of
the nervous system function in an integrated way. These areas
include the motor, cerebellar, the vestibular, and the sensory
systems. Which system coordinates a steady posture.
Ans: Cerebellar System
Coordination of muscle movement requires that four areas of the
nervous system function in an integrated way:
motor system for muscle strength
cerebellar system for rhythmic movements and steady posture
vestibular system for balance and coordinating eye, head, and body
movements
sensory system for position sense
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When assessing the cranial nerves, the nurse practitioner touches
the cornea lightly with a wisp of cotton. This maneuver assesses
which cranial nerve
Ans: Cranial nerve V
Touching the cornea and assessing for a reflex assesses cranial nerve V
When eliciting deep tendon reflexes in the biceps, the nurse
practitioner notes an abnormal reflex in the right biceps. This
abnormality is probable consistent with a pathological lesion in
which segmented level of the spine?
Ans: Cervical 5 and 6
The segmented levels of the deep tendon reflexes are
Ankle: sacral 1
Knee: lumbar 2,3 &4
Supinator and biceps: cervical 5&6
Triceps: cervical 6&7
Uncontrolled electrical activity in the brain, which may produce
minor physical signs, thought disturbances, or disturbed motor
activity is:
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Ans: Seizure
Dystonia is a neurological disorder that causes involuntary muscle
spasms and twisting of the limbs.
Bradykinesia is the term used to describe the impaired ability to adjust
to one's body position. This symptom is noted in patients who have
parkinson's disease.
A rhythmic oscillatory movement of a body part resulting from the
contraction of opposing muscle groups is a tremor.
A band of skin innervated by the sensory root of a single spinal
nerve is termed a
Ans: Dermatome
A band of skin innervated by the sensory root of a single spinal or dorsal
nerve root is termed a dermatome.
A peripheral nerve field refers to an area of the skin innervated by a
single nerve and is described as a cutaneous nerve distribution. A
synapse is a structure that permits a neuron to pass an electrical or
chemical signal to another cell.
Asterixis refers to an abnormal tremor consisting of involuntary jerking
movements, especially in the hands, frequently occurring with
impending hepatic coma and other forms of metabolic encephalopathy.
This is known as flapping tremor.
A patient is asked to visually follow a finger through the cardinal
fields of gaze. Which cranial nerves are being assessed?
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