Neuro Exam 4, Practice Test 2 Questions With Correct Answers

Which is NOT a cause of an abscess in the brain or spinal cord? a. Surgery b. contiguous focus of infection c. hematogenous spread d. antibiotics and steroids e. cryptogenically - Answers d. antibiotics and steroids _________ aneurysms are a weakening in the arterial wall caused by a fracture line, penetrating missile, after neurosurgical procedures, or after an angiogram. a. Traumatic b. Mycotic c. Fusiform d. Saccular - Answers a. Traumatic In the autonomic dysreflexia pathway, reflex stimulus to the major sympathetic outflow results in all of the following EXCEPT: a. vasospasm. b. pallor of skin. c. hypotension. d. pilomotor spasm - Answers c. hypotension. All of the following statements about brain metastases are true EXCEPT: a. brain metastases are approximately 10 times more common than primary brain tumors in adults. b. lung and breast are the most common tumors to have brain metastases within 1-3 years of diagnoses. c. brain metastases are least likely to be found in the frontal lobe with adults. d. the brain metastatic process requires a series of sequential events, called the "metastatic cascade - Answers c. brain metastases are least likely to be found in the frontal lobe with adults. Which of the following is NOT a cardinal sign of CNS infection? a. Fever b. Head, or spine pain c. Generalized or focal neurologic dysfunction d. Oliguria - Answers d. Oliguria Which of the following is associated with category 2 HIV associated dementia (HAD)? a. Clouding of consciousness b. Decline in work or other activities of daily living c. Behavior indicative of denial d. Significant impairment in work and other ADLs - Answers d. Significant impairment in work and other ADLs What is the primary cause of cerebral hemorrhage? a. Contusion b. Atherosclerosis c. Trauma d. Hypertension - Answers d. Hypertension In classic cerebral concussion, loss of consciousness lasts as long as 6 hrs and reflexes are lost causing falls. Which of the following is NOT usually seen? a. Transient cessation of respirations Incorrect incorrect. Transient cessation of respirations is seen with classic cerebral concussion b. Brief periods of bradycardia c. Decreases in BP lasting 30 seconds or less d. Tachycardia with heart rate up to 140 - Answers d. Tachycardia with heart rate up to 140 The irritation and damage to CN VIII can cause the following: a. deafness, tinnitus, & vertigo. b. difficulty swallowing. c. visual field deficit and ocular pressure. d. death. - Answers a. deafness, tinnitus, & vertigo. Which of the following is defined as an infection of the CNS that is an acute febrile illness of viral origin with nervous system involvement? a. Viral Meningitis b. TB Meningitis c. Encephalitis d. Echovirus Menigitis - Answers c. Encephalitis Where are 50% of metastatic spinal cord tumors located? a. Extradural b. Intramedullary c. Intradural d. Extramedullary - Answers a. Extradural The signs and symptoms of a herniated intervertebral disk are determined by the location and size of the herniation into the spinal canal. Therefore, all of the following symptoms are present with a herniated disk in the lumbosacral area EXCEPT? a. Paresthesia and pain in the upper extremities b. Limited range of motion in the lumbar spine c. Pain that radiates along the sciatic nerve d. Tenderness with palpation along the sciatic nerve - Answers a. Paresthesia and pain in the upper extremities Aseptic viral meningitis can include involvement of cranial nerves _____? a. V b. III c. V & VII d. X - Answers c. V & VII Clinical manifestations of meningiomas of the olfactory groove include all of the following EXCEPT: a. visual failure. b. personality change. c. anosomia. d. urinary Incontinence. - Answers d. urinary Incontinence. During the "headache phase" of a patient with a migraine, how long do symptoms typically last? a. 5-6 minutes b. 20-25 minutes c. 1 week d. 4-72 hours (about one day) - Answers d. 4-72 hours (about one day) Ninety-percent of patients present with what type of Multiple Sclerosis? a. Relapsing-Remitting b. Primary Progressive c. Secondary Progressive d. Progressive-Relapsing - Answers a. Relapsing-Remitting Cerebral type syndrome of Multiple Sclerosis can have short-lived attacks or temporary worsening of symptoms. All of the following are causes of these short-lived attacks EXCEPT. a. Minor increased body temperature b. Increases in serum Ca++ levels c. Physical or Emotional Stress d. Sleep - Answers d. Sleep Which of the following is NOT a manifestation of myasthenia gravis? a. Foremost complaint of muscular fatigue and progressive weakness. b. Recent history of recurring URI's c. Respiratory muscles of the diaphragm and chest wall become stronger and ventilation is improved d. Muscles of the eyes, face, mouth, throat, and neck are usually affected first - Answers c. Respiratory muscles of the diaphragm and chest wall become stronger and ventilation is improved