Neuro System NP Certification, Fitzgerald 4th ed. Test Bank
You perform an extraocular movement test on a middle- aged pt. He is unable to move
his eyes upward and inward. this indicates a possibility of paralysis of CN:
a. II
b. III
c. V
d. VI
loss of corneal reflex is in part seen in dysfunction of CN:
a. III
b. IV
c. V
d. VI
assessing vision and vision fields involves testing CN:
a. I
b. II
c. III
d. IV
you examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry. She
is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her exam is
otherwise unremarkable. This presentation likely represents paralysis of CN:
a. III
b. IV
c.VII
d. VIII
you examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry. She
is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her exam is
otherwise unremarkable. Which represents the most appropriate diagnostic test for this
patient?
a. complete blood cell count with WBC differential
b. Lyme disease antibody titer
c. computed tomography (CT) scan of the head with contrast medium
d. blood urea nitrogen and creatinine levels
in prescribing Prednisone for a pt with Bell's palsy, the NP considers that its use:
a. has not been shown to be helpful in improving outcomes in this condition
b. should be initiated as soon as possible after the onset of facial paralysis
c. is likely to help minimize ocular sxs
d. may prolong the course of the disease
cluster headache - a 40 y/o male presents with a 5 wk hx of recurrent headaches that
awaken him during the night. The pain is severe, lasts about 1 hr, and is located behind
,his left eye. Additional sxs include lacrimation and nasal discharge. His PE is WNL. This
clinical presentation is most consistent with:
a. migraine without aura
b. migraine with aura
c. cluster headache
d. increased intracranial pressure
a 22 y/o female presents with a 3 yr hx of recurrent, unilateral, pulsating headaches with
vomiting and photophobia. The headaches, which generally last 3 hrs, can be aborted
by resting in a dark room. She can usually tell that she is going to get a headache. She
explains, "I see little squiggles before my eyes for about 15 min". This presentation is
most consistent with:
a. tension-type headache
b. migraine without aura
c. migraine with aura
d. cluster headache
headaches that occur periodically in clusters - indicators that a headache can be the
presenting sx of a serious illness and may require neuroimaging include all of the
following EXCEPT:
a. headaches that occur periodically in clusters
b. increasing frequency and severity of headaches
c. headache causing confusion, dizziness, and/or lack of coordination
d. headache causing awakening from sleep
prophylactic tx for migraine headaches includes the use of:
a. amitriptyline
b. ergot derivative
c. naproxen sodium
d. clonidine
among the following beta blockers, which is the least effective in preventing migraine
headache?
a. acebutolol
b. metoprolol
c. atenolol
d. propranolol
antiepileptic drugs useful for preventing migraine headaches include all of the following
EXCEPT:
a. divalproex
b. valproate
c. lamotrigine
d. topiramate
, evidence supports the use of all of the following vitamins and supplements for migraine
prevention EXCEPT:
a. butterbur
b. riboflavin
c. feverfew
d. ginkgo biloba
you are examining a 65 y/o male who has a hx of acute coronary syndrome and
migraine. Which of the following agents represents the best choice of acute headache
(abortive) therapy for this pt?
a. verapamil
b. ergotamine
c. timolol
d. sumatriptan
a 45 y/o male experiences rapidly progressing migraine headaches that are
accompanied by significant GI upset. Appropriate acute headache (abortive) tx includes
all of the following EXCEPT:
a. injectable sumatriptan
b. dihydroergotamine nasal spray
c. oral naproxen sodium
d. zolmitriptan nasal spray
with migraine, which of the following statements is true?
a. migraine with aura is the most common form
b. most migraineurs are in ongoing healthcare for the condition
c. the condition is equally common in men and women
d. the pain is typically described as pulsating
risk factors for cluster headaches include all of the following EXCEPT:
a. over 65 years of age
b. heavy alcohol use
c. heavy tobacco use
d. male gender
in tension-type headache, which of the following is true?
a. photophobia is seldom reported
b. the pain is typically described as "pressing" in quality
c. the headache is usually unilateral
d. physical activity usually makes the discomfort worse
tx options in cluster headache include the use of:
a. nonsteroidal anti-inflammatory drugs (NSAIDs)
b. O2
c. the triptans
d. all of the above therapies
You perform an extraocular movement test on a middle- aged pt. He is unable to move
his eyes upward and inward. this indicates a possibility of paralysis of CN:
a. II
b. III
c. V
d. VI
loss of corneal reflex is in part seen in dysfunction of CN:
a. III
b. IV
c. V
d. VI
assessing vision and vision fields involves testing CN:
a. I
b. II
c. III
d. IV
you examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry. She
is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her exam is
otherwise unremarkable. This presentation likely represents paralysis of CN:
a. III
b. IV
c.VII
d. VIII
you examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry. She
is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her exam is
otherwise unremarkable. Which represents the most appropriate diagnostic test for this
patient?
a. complete blood cell count with WBC differential
b. Lyme disease antibody titer
c. computed tomography (CT) scan of the head with contrast medium
d. blood urea nitrogen and creatinine levels
in prescribing Prednisone for a pt with Bell's palsy, the NP considers that its use:
a. has not been shown to be helpful in improving outcomes in this condition
b. should be initiated as soon as possible after the onset of facial paralysis
c. is likely to help minimize ocular sxs
d. may prolong the course of the disease
cluster headache - a 40 y/o male presents with a 5 wk hx of recurrent headaches that
awaken him during the night. The pain is severe, lasts about 1 hr, and is located behind
,his left eye. Additional sxs include lacrimation and nasal discharge. His PE is WNL. This
clinical presentation is most consistent with:
a. migraine without aura
b. migraine with aura
c. cluster headache
d. increased intracranial pressure
a 22 y/o female presents with a 3 yr hx of recurrent, unilateral, pulsating headaches with
vomiting and photophobia. The headaches, which generally last 3 hrs, can be aborted
by resting in a dark room. She can usually tell that she is going to get a headache. She
explains, "I see little squiggles before my eyes for about 15 min". This presentation is
most consistent with:
a. tension-type headache
b. migraine without aura
c. migraine with aura
d. cluster headache
headaches that occur periodically in clusters - indicators that a headache can be the
presenting sx of a serious illness and may require neuroimaging include all of the
following EXCEPT:
a. headaches that occur periodically in clusters
b. increasing frequency and severity of headaches
c. headache causing confusion, dizziness, and/or lack of coordination
d. headache causing awakening from sleep
prophylactic tx for migraine headaches includes the use of:
a. amitriptyline
b. ergot derivative
c. naproxen sodium
d. clonidine
among the following beta blockers, which is the least effective in preventing migraine
headache?
a. acebutolol
b. metoprolol
c. atenolol
d. propranolol
antiepileptic drugs useful for preventing migraine headaches include all of the following
EXCEPT:
a. divalproex
b. valproate
c. lamotrigine
d. topiramate
, evidence supports the use of all of the following vitamins and supplements for migraine
prevention EXCEPT:
a. butterbur
b. riboflavin
c. feverfew
d. ginkgo biloba
you are examining a 65 y/o male who has a hx of acute coronary syndrome and
migraine. Which of the following agents represents the best choice of acute headache
(abortive) therapy for this pt?
a. verapamil
b. ergotamine
c. timolol
d. sumatriptan
a 45 y/o male experiences rapidly progressing migraine headaches that are
accompanied by significant GI upset. Appropriate acute headache (abortive) tx includes
all of the following EXCEPT:
a. injectable sumatriptan
b. dihydroergotamine nasal spray
c. oral naproxen sodium
d. zolmitriptan nasal spray
with migraine, which of the following statements is true?
a. migraine with aura is the most common form
b. most migraineurs are in ongoing healthcare for the condition
c. the condition is equally common in men and women
d. the pain is typically described as pulsating
risk factors for cluster headaches include all of the following EXCEPT:
a. over 65 years of age
b. heavy alcohol use
c. heavy tobacco use
d. male gender
in tension-type headache, which of the following is true?
a. photophobia is seldom reported
b. the pain is typically described as "pressing" in quality
c. the headache is usually unilateral
d. physical activity usually makes the discomfort worse
tx options in cluster headache include the use of:
a. nonsteroidal anti-inflammatory drugs (NSAIDs)
b. O2
c. the triptans
d. all of the above therapies
