FITZGERALD 4TH ED. QUESTIONS
AND ANSWERS RATED A+ SURE
PASS!!!
Youbperformbanbextraocularbmovementbtestbonbabmiddle-
bagedbpt.bHebisbunablebtobmovebhisbeyesbupwardbandbinward.bthisbindicatesbabpossibilitybofbparalysi
sbofbCN:
a.bII
b.bIII
c.bV
d.bVIb-bCORRECTbANSWERSbb.bIII
lossbofbcornealbreflexbisbinbpartbseenbinbdysfunctionbofbCN:
a.bIII
b.bIV
c.bV
d.bVIb-bCORRECTbANSWERSbc.bV
assessingbvisionbandbvisionbfieldsbinvolvesbtestingbCN:
a.bI
b.bII
c.bIII
d.bIVb-bCORRECTbANSWERSbb.bII
,youbexaminebab29by/obfemalebwhobhasbabsuddenbonsetbofbrt-
sidedbfacialbasymmetry.bShebisbunablebtobclosebherbrtbeyelidbtightly,bfrown,borbsmilebonbthebaffecte
dbside.bHerbexambisbotherwisebunremarkable.bThisbpresentationblikelybrepresentsbparalysisbofbCN:
a.bIII
b.bIV
c.VII
d.bVIIIb-bCORRECTbANSWERSbc.bVII
youbexaminebab29by/obfemalebwhobhasbabsuddenbonsetbofbrt-
sidedbfacialbasymmetry.bShebisbunablebtobclosebherbrtbeyelidbtightly,bfrown,borbsmilebonbthebaffecte
dbside.bHerbexambisbotherwisebunremarkable.bWhichbrepresentsbthebmostbappropriatebdiagnosticb
testbforbthisbpatient?
a.bcompletebbloodbcellbcountbwithbWBCbdifferential
b.bLymebdiseasebantibodybtiter
c.bcomputedbtomographyb(CT)bscanbofbthebheadbwithbcontrastbmedium
d.bbloodbureabnitrogenbandbcreatinineblevelsb-bCORRECTbANSWERSbb.bLymebdiseasebantibodybtiter
inbprescribingbPrednisonebforbabptbwithbBell'sbpalsy,bthebNPbconsidersbthatbitsbuse:
a.bhasbnotbbeenbshownbtobbebhelpfulbinbimprovingboutcomesbinbthisbcondition
b.bshouldbbebinitiatedbasbsoonbasbpossiblebafterbthebonsetbofbfacialbparalysis
c.bisblikelybtobhelpbminimizebocularbsxs
d.bmaybprolongbthebcoursebofbthebdiseaseb-
bCORRECTbANSWERSbb.bshouldbbebinitiatedbasbsoonbasbpossiblebafterbthebonsetbofbfacialbparalysis
ab40by/obmalebpresentsbwithbab5bwkbhxbofbrecurrentbheadachesbthatbawakenbhimbduringbthebnight.
bThebpainbisbsevere,blastsbaboutb1bhr,bandbisblocatedbbehindbhisbleftbeye.bAdditionalbsxsbincludeblacri
mationbandbnasalbdischarge.bHisbPEbisbWNL.bThisbclinicalbpresentationbisbmostbconsistentbwith:
a.bmigrainebwithoutbaura
, b.bmigrainebwithbaura
c.bclusterbheadache
d.bincreasedbintracranialbpressureb-bCORRECTbANSWERSbc.bclusterbheadache
ab22by/obfemalebpresentsbwithbab3byrbhxbofbrecurrent,bunilateral,bpulsatingbheadachesbwithbvomiti
ngbandbphotophobia.bThebheadaches,bwhichbgenerallyblastb3bhrs,bcanbbebabortedbbybrestingbinbabd
arkbroom.bShebcanbusuallybtellbthatbshebisbgoingbtobgetbabheadache.bShebexplains,b"Ibseeblittlebsquig
glesbbeforebmybeyesbforbaboutb15bmin".bThisbpresentationbisbmostbconsistentbwith:
a.btension-typebheadache
b.bmigrainebwithoutbaura
c.bmigrainebwithbaura
d.bclusterbheadacheb-bCORRECTbANSWERSbc.bmigrainebwithbaura
indicatorsbthatbabheadachebcanbbebthebpresentingbsxbofbabseriousbillnessbandbmaybrequirebneuroim
agingbincludeballbofbthebfollowingbEXCEPT:
a.bheadachesbthatboccurbperiodicallybinbclusters
b.bincreasingbfrequencybandbseveritybofbheadaches
c.bheadachebcausingbconfusion,bdizziness,band/orblackbofbcoordination
d.bheadachebcausingbawakeningbfrombsleepb-
bCORRECTbANSWERSba.bheadachesbthatboccurbperiodicallybinbclusters
prophylacticbtxbforbmigrainebheadachesbincludesbthebusebof:
a.bamitriptyline
b.bergotbderivative
c.bnaproxenbsodium
d.bclonidineb-bCORRECTbANSWERSba.bamitriptyline