NR 509 - Final Exam Bate's Interactive TestBank EXAM
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In the case of a middle-aged female with a pounding headache, what is an effective question to ask the
patient?
a. Does the patient have any aura prior to the headaches?
b. How old is the patient?
c. Is she feeling stressed?
d. Does she think she is losing her memory?
e. Has she ever seen anyone with a stroke? - answer>>a. Does the patient have any aura prior to the
headaches?
A 35-year-old female patient has had migraines for much of her adult life. Ather regular checkup, she is
healthy, takes no medications except oral contraceptive pills (OCPs), exercises, and has a steady job.
Her only complaint is that her migraines seem to have become worse, and, for the past few weeks, she
has been waking up at night with headache and also nausea. Which of the following is the best course
of action?
a. Reassure her that this is a common pattern with migraines.
b. Order studies to evaluate potential transient ischemic attacks (TIAs) because she is on OCPs.
c. Take a further history and perform a very careful neurological examination.
d. Treat her for sinusitis. - answer>>c. Take a further history and perform a very careful neurological
examination.
An 82-year-old grandmother presents to the Emergency Department in the care of her extended family
with new-onset speech impairment. According to family members, the patient awoke with this
symptom as well as difficulty in understanding questions or following commands. Her past medical
,history is remarkable for atrial fibrillation but no other notable conditions. On examination, her speech
is verbose but poorly comprehensible and lacks meaning. She is unable to follow simple commands.
Which of the following best describes her speech disorder?
a. Dysphonia with expressive deficit
b. Dysarthria
c. Wernicke aphasia
d. Global aphasia
e. Broca aphasia - answer>>c. Wernicke aphasia
A 74-year-old bus driver is delivered to the hospital via emergency transport after an astute passenger
noted that the patient exhibited drooping facial features and slurred speech. The patient was
diagnosed rapidly with ischemic (nonhemorrhagic) stroke, and urgent intervention lead to a near
complete recovery from his symptoms. The astute passenger was thanked and congratulated for
recognizing the signs of acute stroke; this individual credited this recognition to a public safety
awareness campaign that outlined the critical public health need to recognize strokes early. Which of
the following statements is true for risks and rapid recognition of suspected strokes?
a. Atrial fibrillation is not a risk factor for ischemic stroke in individuals age ≥75 years.
b. Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke.
c. Obesity with normal glucose tolerance is not a risk factor for stroke.
d - answer>>b. Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke.
A 70-year-old male presents to the Emergency Department accompanied by his wife, who is concerned
that he has experienced a stroke. She states that he awoke with drooping of the right side of his
mouth. He has a history of hypertension and diet-controlled diabetes, but no history of prior transient
ischemic attacks (TIAs), strokes, or neurologic deficits. Physical examination reveals a well-nourished,
right-handed male, who has an obvious flattening of the right nasolabial fold at rest. He is unable to
close his right eye, wrinkle his forehead, or raise his eyebrows. The remainder of the neurologic
examination is symmetric with intact strength and normal deep tendon reflexes. Based on this history
and physical examination, which of the following statements is true?
,a. The patient most likely has a central upper motor neuron lesion involving cranial nerve (CN) VII (the
facial nerve).
b. The patient most likely has a - answer>>d. The patient most likely has an isolated peripheral lower
motor neuron (LMN) lesion involving cranial nerve (CN) VII, the facial nerve.
In longstanding and poorly controlled hypertension, white matter tracts in the brain are subjected to
ateriolosclerotic effects. Which one of the following is most vulnerable to this process?
a. Thalamus
b. Basal ganglia
c. Internal capsule
d. Diencephalon
e. Reticular activating system - answer>>c. Internal capsule
A 14-year-old student comes with her family to the urgent care center, having been hit in the right eye
with a plastic baseball during a family reunion. She complains of a painful, watery, red right eye and
sensitivity to light. She has normal visual acuity in both eyes, no diplopia, and can open and close her
eyes normally. The pupils are unequal in size, 3 mm in diameter on the left, 5 mm in diameter on the
right. Which cranial nerve (CN) would be implicated as the cause of the photosensitivity complaint and
the pupillary asymmetry?
a. CN II
b. CN III
c. CN IV
d. CN V
e. CN VI - answer>>b. CN III
Parents bring in their 3-year-old toddler, stating that he has been pulling at his right ear and fussing all
day. Examination of the auditory canal shows a small green plastic toy piece partially obstructing the
passage. Which cranial nerve (CN) supplies the sensory innervation to that area and is conducting the
boy's pain sensation?
, a. CN VII
b. CN IX
c. CN X
d. CN XI
e. CN XII - answer>>b. CN IX
A new mother brings in her 6-month-old baby for not being able to keep his eyes together when
looking to the left. On examination, both of his eyes appear in alignment (conjugate) when looking to
the right. However, when looking to the left, the baby's left eye stays in the forward gaze position,
while the right continues on with full adduction to the left. The eyes appear to be out of alignment
(dysconjugate). Which cranial nerve (CN) is responsible for the dysfunction in looking left?
a. Right oculomotor nerve (CN III)
b. Right trochlear nerve (CN IV)
c. Right abducens nerve (CN VI)
d. Left oculomotor nerve (CN III)
e. Left trochlear nerve (CN IV)
f. Left abducens nerve (CN VI) - answer>>f. Left abducens nerve (CN VI)
A 45-year-old physician is having increasing difficulty with speech for the past 6 months. She is less
precise in pronunciation of words (dysarthria), has found it more effortful to speak, and finds that her
voice sounds more nasal than usual. On examination, her articulation is less than precise, especially
with rapid repetition of single syllables, such as "ta-ta-ta-ta," "go-go-go-go," "la-la-la-la," and "ba-ba-
ba." Her neurological examination is otherwise normal. Which nervous system pathway is responsible
for control of the muscles producing this symptom?
a. Corticospinal tract
b. Corticobulbar tract
c. Spinothalamic tract
d. Cerebellar system
LATEST 100 QUESTIONS AND 100% Verified ANSWERS
JUST RELEASED
In the case of a middle-aged female with a pounding headache, what is an effective question to ask the
patient?
a. Does the patient have any aura prior to the headaches?
b. How old is the patient?
c. Is she feeling stressed?
d. Does she think she is losing her memory?
e. Has she ever seen anyone with a stroke? - answer>>a. Does the patient have any aura prior to the
headaches?
A 35-year-old female patient has had migraines for much of her adult life. Ather regular checkup, she is
healthy, takes no medications except oral contraceptive pills (OCPs), exercises, and has a steady job.
Her only complaint is that her migraines seem to have become worse, and, for the past few weeks, she
has been waking up at night with headache and also nausea. Which of the following is the best course
of action?
a. Reassure her that this is a common pattern with migraines.
b. Order studies to evaluate potential transient ischemic attacks (TIAs) because she is on OCPs.
c. Take a further history and perform a very careful neurological examination.
d. Treat her for sinusitis. - answer>>c. Take a further history and perform a very careful neurological
examination.
An 82-year-old grandmother presents to the Emergency Department in the care of her extended family
with new-onset speech impairment. According to family members, the patient awoke with this
symptom as well as difficulty in understanding questions or following commands. Her past medical
,history is remarkable for atrial fibrillation but no other notable conditions. On examination, her speech
is verbose but poorly comprehensible and lacks meaning. She is unable to follow simple commands.
Which of the following best describes her speech disorder?
a. Dysphonia with expressive deficit
b. Dysarthria
c. Wernicke aphasia
d. Global aphasia
e. Broca aphasia - answer>>c. Wernicke aphasia
A 74-year-old bus driver is delivered to the hospital via emergency transport after an astute passenger
noted that the patient exhibited drooping facial features and slurred speech. The patient was
diagnosed rapidly with ischemic (nonhemorrhagic) stroke, and urgent intervention lead to a near
complete recovery from his symptoms. The astute passenger was thanked and congratulated for
recognizing the signs of acute stroke; this individual credited this recognition to a public safety
awareness campaign that outlined the critical public health need to recognize strokes early. Which of
the following statements is true for risks and rapid recognition of suspected strokes?
a. Atrial fibrillation is not a risk factor for ischemic stroke in individuals age ≥75 years.
b. Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke.
c. Obesity with normal glucose tolerance is not a risk factor for stroke.
d - answer>>b. Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke.
A 70-year-old male presents to the Emergency Department accompanied by his wife, who is concerned
that he has experienced a stroke. She states that he awoke with drooping of the right side of his
mouth. He has a history of hypertension and diet-controlled diabetes, but no history of prior transient
ischemic attacks (TIAs), strokes, or neurologic deficits. Physical examination reveals a well-nourished,
right-handed male, who has an obvious flattening of the right nasolabial fold at rest. He is unable to
close his right eye, wrinkle his forehead, or raise his eyebrows. The remainder of the neurologic
examination is symmetric with intact strength and normal deep tendon reflexes. Based on this history
and physical examination, which of the following statements is true?
,a. The patient most likely has a central upper motor neuron lesion involving cranial nerve (CN) VII (the
facial nerve).
b. The patient most likely has a - answer>>d. The patient most likely has an isolated peripheral lower
motor neuron (LMN) lesion involving cranial nerve (CN) VII, the facial nerve.
In longstanding and poorly controlled hypertension, white matter tracts in the brain are subjected to
ateriolosclerotic effects. Which one of the following is most vulnerable to this process?
a. Thalamus
b. Basal ganglia
c. Internal capsule
d. Diencephalon
e. Reticular activating system - answer>>c. Internal capsule
A 14-year-old student comes with her family to the urgent care center, having been hit in the right eye
with a plastic baseball during a family reunion. She complains of a painful, watery, red right eye and
sensitivity to light. She has normal visual acuity in both eyes, no diplopia, and can open and close her
eyes normally. The pupils are unequal in size, 3 mm in diameter on the left, 5 mm in diameter on the
right. Which cranial nerve (CN) would be implicated as the cause of the photosensitivity complaint and
the pupillary asymmetry?
a. CN II
b. CN III
c. CN IV
d. CN V
e. CN VI - answer>>b. CN III
Parents bring in their 3-year-old toddler, stating that he has been pulling at his right ear and fussing all
day. Examination of the auditory canal shows a small green plastic toy piece partially obstructing the
passage. Which cranial nerve (CN) supplies the sensory innervation to that area and is conducting the
boy's pain sensation?
, a. CN VII
b. CN IX
c. CN X
d. CN XI
e. CN XII - answer>>b. CN IX
A new mother brings in her 6-month-old baby for not being able to keep his eyes together when
looking to the left. On examination, both of his eyes appear in alignment (conjugate) when looking to
the right. However, when looking to the left, the baby's left eye stays in the forward gaze position,
while the right continues on with full adduction to the left. The eyes appear to be out of alignment
(dysconjugate). Which cranial nerve (CN) is responsible for the dysfunction in looking left?
a. Right oculomotor nerve (CN III)
b. Right trochlear nerve (CN IV)
c. Right abducens nerve (CN VI)
d. Left oculomotor nerve (CN III)
e. Left trochlear nerve (CN IV)
f. Left abducens nerve (CN VI) - answer>>f. Left abducens nerve (CN VI)
A 45-year-old physician is having increasing difficulty with speech for the past 6 months. She is less
precise in pronunciation of words (dysarthria), has found it more effortful to speak, and finds that her
voice sounds more nasal than usual. On examination, her articulation is less than precise, especially
with rapid repetition of single syllables, such as "ta-ta-ta-ta," "go-go-go-go," "la-la-la-la," and "ba-ba-
ba." Her neurological examination is otherwise normal. Which nervous system pathway is responsible
for control of the muscles producing this symptom?
a. Corticospinal tract
b. Corticobulbar tract
c. Spinothalamic tract
d. Cerebellar system
