NR 572 COMPREHENSIVE RESEARCH TEST
2026 FULL QUESTIONS ACCURATE
RESPONSES EXPERT REVIEW
◉ Indications of lumbar puncture.
Answer: CSF sample for examination; pressure measurements
(NPH); reduction in CSF pressure:; -infections; -SAH; -Inflammatory
conditions; -MS; -carcinomatosis; Spinal anesthetics, antitumor
agents, antibiotics; radio-opaque substance radioactive agent:; -
cryptococcal meningitis; -hydrocephalus with communication
between all ventricles; -pseudotumor cerebri; -drug administration;
Imaging; -myelography; -radionuclide cisternography
◉ Contraindications of performing LP.
Answer: • Increased risk of fatal cerebellar or transtentorial
herniation; • Coagulopathy; • Infection over puncture site; • Spinal
block requiring sample above lesion
◉ Common complications of lumbar puncture.
Answer: -Sciatic pain during needle insertion; -Slowing of fluid
removal (elevate patient head)
◉ How is chronic meningitis diagnosed?.
,Answer: On LP/CSF analysis or contrast MRI/CT showing leakage
into meninges. Meningeal biopsy if CSF not diagnostic.
◉ Differentials for chronic meningitis.
Answer: -Partially treated suppurative meningitis; -Paranmeningeal
infection; -Mycobacterium TB; -Lyme; -Syphilis; -HIV; -HSV; -
Malignancy; -SLE; -Behcet's
◉ Indications for swallow evaluation.
Answer: -Hx of dysphasia; -Observed dysphasia; -Suspected
aspiration; -Decreased oral intake; -Parenteral/enteral feeding
◉ Medicare coverage of hospice.
Answer: • Prognosis of six months or less if illness runs normal
course; • Falls under Medicare Part A
◉ Three common causes of acute ischemic stroke.
Answer: 1- Anoxic injury; 2- Thrombosis in situ; 3- Thrombotic
embolism
◉ In ischemic stroke, what area of damage is irreversible?.
Answer: Tissue death at occluded artery (infarction core)
,◉ Penumbra.
Answer: Area around infarct, salvageable if blood flow restored
◉ Risk factors for ischemic stroke.
Answer: -Advanced age; -HTN
◉ More risk factors for ischemic stroke.
Answer: -HLD, DM, oral contraceptives, obesity, prior TIAs, tobacco,
MI, alcohol, sedentary lifestyle, sickle cell, stimulant drugs, family hx
CVA, cardiac abnormalities
◉ Subjective signs of ischemic stroke.
Answer: -Decreased LOC, dysarthria, facial droop, aphasia, diplopia,
visual deficits, sensory deficits, ataxia, hemiparesis, vertigo
◉ Critical timeline info for CVA.
Answer: "Last known well"
◉ BE FAST.
Answer: Balance, Eyes, Face, Arms, Speech, Time
◉ ACA.
, Answer: Anterior cerebral artery
◉ MCA.
Answer: Middle cerebral artery
◉ PCA.
Answer: Posterior cerebral artery
◉ Objective symptoms of ACA stroke.
Answer: -Urinary incontinence; -Speech perseveration; -
Disinhibition; -Gait apraxia; -Primitive reflexes; -Altered mental
status; -Impaired judgment; -Contralateral leg>arm weakness
◉ Objective symptoms of MCA stroke.
Answer: -Gaze preference; -Agnosia; -Ipsilateral hemianopsia; -
Contralateral hemiparesis/hypesthesia
◉ Objective symptoms of PCA stroke.
Answer: -Impaired memory; -Cortical blindness; -Altered mental
status; -Contralateral homonymous hemianopsia; -Visual agnosia
◉ Visual agnosia.
Answer: Inability to recognize objects
2026 FULL QUESTIONS ACCURATE
RESPONSES EXPERT REVIEW
◉ Indications of lumbar puncture.
Answer: CSF sample for examination; pressure measurements
(NPH); reduction in CSF pressure:; -infections; -SAH; -Inflammatory
conditions; -MS; -carcinomatosis; Spinal anesthetics, antitumor
agents, antibiotics; radio-opaque substance radioactive agent:; -
cryptococcal meningitis; -hydrocephalus with communication
between all ventricles; -pseudotumor cerebri; -drug administration;
Imaging; -myelography; -radionuclide cisternography
◉ Contraindications of performing LP.
Answer: • Increased risk of fatal cerebellar or transtentorial
herniation; • Coagulopathy; • Infection over puncture site; • Spinal
block requiring sample above lesion
◉ Common complications of lumbar puncture.
Answer: -Sciatic pain during needle insertion; -Slowing of fluid
removal (elevate patient head)
◉ How is chronic meningitis diagnosed?.
,Answer: On LP/CSF analysis or contrast MRI/CT showing leakage
into meninges. Meningeal biopsy if CSF not diagnostic.
◉ Differentials for chronic meningitis.
Answer: -Partially treated suppurative meningitis; -Paranmeningeal
infection; -Mycobacterium TB; -Lyme; -Syphilis; -HIV; -HSV; -
Malignancy; -SLE; -Behcet's
◉ Indications for swallow evaluation.
Answer: -Hx of dysphasia; -Observed dysphasia; -Suspected
aspiration; -Decreased oral intake; -Parenteral/enteral feeding
◉ Medicare coverage of hospice.
Answer: • Prognosis of six months or less if illness runs normal
course; • Falls under Medicare Part A
◉ Three common causes of acute ischemic stroke.
Answer: 1- Anoxic injury; 2- Thrombosis in situ; 3- Thrombotic
embolism
◉ In ischemic stroke, what area of damage is irreversible?.
Answer: Tissue death at occluded artery (infarction core)
,◉ Penumbra.
Answer: Area around infarct, salvageable if blood flow restored
◉ Risk factors for ischemic stroke.
Answer: -Advanced age; -HTN
◉ More risk factors for ischemic stroke.
Answer: -HLD, DM, oral contraceptives, obesity, prior TIAs, tobacco,
MI, alcohol, sedentary lifestyle, sickle cell, stimulant drugs, family hx
CVA, cardiac abnormalities
◉ Subjective signs of ischemic stroke.
Answer: -Decreased LOC, dysarthria, facial droop, aphasia, diplopia,
visual deficits, sensory deficits, ataxia, hemiparesis, vertigo
◉ Critical timeline info for CVA.
Answer: "Last known well"
◉ BE FAST.
Answer: Balance, Eyes, Face, Arms, Speech, Time
◉ ACA.
, Answer: Anterior cerebral artery
◉ MCA.
Answer: Middle cerebral artery
◉ PCA.
Answer: Posterior cerebral artery
◉ Objective symptoms of ACA stroke.
Answer: -Urinary incontinence; -Speech perseveration; -
Disinhibition; -Gait apraxia; -Primitive reflexes; -Altered mental
status; -Impaired judgment; -Contralateral leg>arm weakness
◉ Objective symptoms of MCA stroke.
Answer: -Gaze preference; -Agnosia; -Ipsilateral hemianopsia; -
Contralateral hemiparesis/hypesthesia
◉ Objective symptoms of PCA stroke.
Answer: -Impaired memory; -Cortical blindness; -Altered mental
status; -Contralateral homonymous hemianopsia; -Visual agnosia
◉ Visual agnosia.
Answer: Inability to recognize objects
