exam nervous system Latest Update 2025-2026
Questions and 100% Verified Correct Answers
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_______ is sleep disordered breathing caused by airway obstruction. - CORRECT
ANSWER: obstructive sleep apnea
_______ work by blocking membrane receptors and the subsequent reuptake of
serotonin and norepinephrine. - CORRECT ANSWER: tri-cyclic anti-depressants
________ utilizes electric impulses to inhibit or stop the abnormal nerve activity that
causes tremor and other unwanted movement patterns associated with Parkinson's
disease. - CORRECT ANSWER: deep brain stimulation
A 75-year-old male is brought to the emergency department by their spouse at 8 pm.
The spouse reports that they were cleaning up after dinner at approximately 6:30 pm,
and she noticed that her husband's speech was very unclear. When she asked him
what was going on, he said that he didn't know and that the entire right side of his face
felt numb. She reports that he is very active, but he has a past medical history of atrial
fibrillation. Based upon these symptoms and past medical history, what do you suspect
this patient is experiencing? How would you confirm this diagnosis? What treatment
should be administered? Explain why you chose that treatment. - CORRECT ANSWER:
This patient is more than likely experiencing an ischemic stroke. A CT scan and MRI
would be needed to determine if a clot was blocking blood flow to the brain tissue and to
rule out a hemorrhagic stroke. If a clot is found, this patient should receive tPA drugs as
they are within the 3-4.5 hour treatment window.
A patient experiences a seizure that manifests with repetitive hand rubbing and reports
of hallucinations right before the seizure occurred. They have experienced which type of
seizure? - CORRECT ANSWER: focal seizure with impairment of consciousness or
awareness
, A patient is being seen in your office with a primary complaint of daytime fatigue that
has lasted for the past 2 months. They go on to tell you that they are having difficulty
with work performance and are constantly on edge. You suspect they have chronic
insomnia. What are the 4 primary symptoms of insomnia? Describe a
nonpharmacologic treatment plan that you can prescribe for this patient. - CORRECT
ANSWER: The 4 primary symptoms of insomnia are:
Difficulty initiating sleep
Difficulty maintaining sleep
Waking up too early
Chronic nonrestorative or poor sleep
You would educate the patient on proper sleep hygiene and encourage them to evaluate
possible stressors that may need to be removed from their daily routine. Sleep hygiene
involves the establishment of consistent sleep patterns (going to bed at the same time
each night and only sleeping as long as one needs to feel refreshed during the day),
creating a comfortable sleeping environment (optimal room temperature), avoidance of
screens and excessive light right before bed, and finally, avoidance of stimulants
(caffeine) several hours prior to normal bedtime.
A patient is having difficulty tracking their eye laterally. Which cranial nerve is affected? -
CORRECT ANSWER: CN VI
A patient reports to the emergency department where you are working at 7 pm. They
report that earlier that morning they began to experience numbness in their right leg.
They had walked more than usual the day before, so they ignored their symptoms. As
the day went on, they noticed that the numbness got worse, and they began to slur their
words. By the time they are evaluated, their symptoms begin to subside. The numbness
disappears, and their speech returns to normal. What do you suspect this patient has
experienced? What is the clinical significance? - CORRECT ANSWER: This patient has
experienced a TIA as their symptoms subsided in less than 24 hours without
intervention. However, this should not be ignored as TIAs serve as a warning sign that a
stroke can occur in the future. Underlying pathology such as atherosclerosis, etc. must
be addressed for prevention.