Complete Real Exam Questions And Correct Answers
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A 49-year-old administrative assistant comes to your office for
eval of dizziness. You elicit the information that the dizziness is
a spinning sensation of sudden onset, worse with head
position changes. The episodes last a few seconds and then go
away, and they are accompanied by intense nausea. Vomiting
x1. She denies tinnitus. You perform a physical exam of the
head and neck and note that the patient's hearing is intact to
Weber and Rinne and that there is nystagmus. Her gait is
normal. Based on this description, what is the most likely
diagnosis?A) Benign positional vertigoB) Vestibular
neuronitisC) Ménière's diseaseD) Acoustic neuroma - ANSWER-
A
A 55-year-old bank teller comes to your office for persistent
episodes of dizziness. The first episode started suddenly and
lasted 3 to 4 hours. He experienced a lot of nausea with
vomiting; the episode resolved spontaneously. He has had five
episodes in the past 1½ weeks. He does note some tinnitus that
comes and goes. Upon physical examination, you note that he
has a normal gait. The Weber localizes to the right side and the
air conduction is equal to the bone conduction in the right ear.
Nystagmus is present. Based on this description, what is the
,most likely diagnosis?A) Benign positional vertigoB) Vestibular
neuronitisC) Ménière's diseaseD) Acoustic neuroma - ANSWER-
C
Which of the following is a "red flag" regarding patients
presenting with headache?A) Unilateral headacheB) Pain over
the sinusesC) Age over 50D)
Phonophobia and photophobia - ANSWER-C
Diplopia, which is present with one eye covered, can be caused
by which of the following problems?A) Weakness of CN IIIB)
Weakness of CN IVC) A lesion of the brainstemD) An
irregularity in the cornea or lens - ANSWER-D
On visual confrontation testing, a stroke patient is unable to see
your fingers on
his entire right side with either eye covered. Which of the
following terms would
describe this finding?A) Bitemporal hemianopsiaB)
Right temporal
hemianopsiaC) Right homonymous hemianopsiaD) Binasal
hemianopsia -
ANSWER-
C
A young woman undergoes cranial nerve testing. On touching
the soft palate, her uvula deviates to the left. Which of the
following is likely?A) CN IX lesion on the leftB) CN IX lesion on
, the rightC) CN X lesion on the leftD) CN X lesion on the right -
ANSWER-D
Restrictions of internal and external hip rotation are
sensitive indicators of a
disease such as - ANSWER-
Arthritis
The purpose in asking a patient who complains of neck or
lower back pain
about bowel or bladder dysfunction is to assess for -
ANSWER-Associated
deficit indicating neurological
involvement
When testing for carpal tunnel syndrome, numbness or tingling
in the distribution of the median nerve (palmar surface of
thumb, index, middle and medial 4th finger) when hands are
pressed together in acute flexion for 60 seconds is a positive -
ANSWER-Phalen's sign
Which of the following areas of musculoskeletal examination
tests joint function
and stability - ANSWER-Range of
motion
Which test is used to detect an injury or tear or the medial or
lateral collateral