NPTE Neurological Exam Questions And Answers
Obtunded The state of a patient whose level of consciousness is depressed. Can open
eyes and look around Slow to respond What is the meaning of stupor? - ANSWER Patient
can be aroused from sleep only with painful stimuli What is unresponsive vigilance? -
ANSWER A vegetative state A state characterized by the return of sleep/wake cycles,
normalization of vegetative function, and lack of cognitive responsiveness
What is a persistent vegetative state? - ANSWER A vegetative state lasting >1 yr post
TBI or >3 months anoxic brain injury
What is a minimally conscious state? - ANSWER Severely altered consciousness with
minimal but definite evidence of self or environmental awareness
What does the Glasgow Coma Scale look at? - ANSWER Eye opening
Motor response
Verbal response
What is a minor brain injury according to GCS? - ANSWER A GCS of 13-15
GCS defines a moderate brain injury as- ANSWER A GCS of 9-12
GCS defines a severe brain injury as- ANSWER A GCS of 8 or lower
Mini-mental state examination assesses- ANSWER Orientation
Registration
Attention
Calculation
, Recall
Language
Rancho Level 1- ANSWER Coma
Rancho level 2- ANSWER Generalized response to stimuli
Still unconscious
Rancho level 3 - ANSWER Localized response to stimuli
May be conscious
Rancho level 4 - ANSWER Confused and agitated
Rancho level 5 - ANSWER Confused and inappropriate
Rancho level 6 - ANSWER Confused and appropriate
Rancho level 7 - ANSWER Automatic and appropriate
Rancho level 8 - ANSWER Purposeful and appropriate
What is non-fluent/expressive aphasia? - ANSWER Unable to speak
What area is damaged when a person has expressive aphasia? - ANSWER Broca's area
L frontal lobe
What is dysarthria? - ANSWER Difficulty articulating speech
Obtunded The state of a patient whose level of consciousness is depressed. Can open
eyes and look around Slow to respond What is the meaning of stupor? - ANSWER Patient
can be aroused from sleep only with painful stimuli What is unresponsive vigilance? -
ANSWER A vegetative state A state characterized by the return of sleep/wake cycles,
normalization of vegetative function, and lack of cognitive responsiveness
What is a persistent vegetative state? - ANSWER A vegetative state lasting >1 yr post
TBI or >3 months anoxic brain injury
What is a minimally conscious state? - ANSWER Severely altered consciousness with
minimal but definite evidence of self or environmental awareness
What does the Glasgow Coma Scale look at? - ANSWER Eye opening
Motor response
Verbal response
What is a minor brain injury according to GCS? - ANSWER A GCS of 13-15
GCS defines a moderate brain injury as- ANSWER A GCS of 9-12
GCS defines a severe brain injury as- ANSWER A GCS of 8 or lower
Mini-mental state examination assesses- ANSWER Orientation
Registration
Attention
Calculation
, Recall
Language
Rancho Level 1- ANSWER Coma
Rancho level 2- ANSWER Generalized response to stimuli
Still unconscious
Rancho level 3 - ANSWER Localized response to stimuli
May be conscious
Rancho level 4 - ANSWER Confused and agitated
Rancho level 5 - ANSWER Confused and inappropriate
Rancho level 6 - ANSWER Confused and appropriate
Rancho level 7 - ANSWER Automatic and appropriate
Rancho level 8 - ANSWER Purposeful and appropriate
What is non-fluent/expressive aphasia? - ANSWER Unable to speak
What area is damaged when a person has expressive aphasia? - ANSWER Broca's area
L frontal lobe
What is dysarthria? - ANSWER Difficulty articulating speech
