Neuro System NP Certification,
Fitzgerald 4th ed. Midterm Test
Questions Fully Answered.
b. III - Answer 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
c. V - Answer loss of corneal reflex is in part seen in dysfunction of CN:
a. III
b. IV
c. V
d. VI
b. II - Answer assessing vision and vision fields involves testing CN:
a. I
b. II
c. III
d. IV
c. VII - Answer 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
b. Lyme disease antibody titer - Answer you examine a 29 y/o female who has a sudden onset
, b. Lyme disease antibody titer
c. computed tomography (CT) scan of the head with contrast medium
d. blood urea nitrogen and creatinine levels
b. should be initiated as soon as possible after the onset of facial paralysis - Answer 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
c. cluster headache - Answer 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
c. migraine with aura - Answer 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
a. headaches that occur periodically in clusters - Answer 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
Fitzgerald 4th ed. Midterm Test
Questions Fully Answered.
b. III - Answer 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
c. V - Answer loss of corneal reflex is in part seen in dysfunction of CN:
a. III
b. IV
c. V
d. VI
b. II - Answer assessing vision and vision fields involves testing CN:
a. I
b. II
c. III
d. IV
c. VII - Answer 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
b. Lyme disease antibody titer - Answer you examine a 29 y/o female who has a sudden onset
, b. Lyme disease antibody titer
c. computed tomography (CT) scan of the head with contrast medium
d. blood urea nitrogen and creatinine levels
b. should be initiated as soon as possible after the onset of facial paralysis - Answer 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
c. cluster headache - Answer 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
c. migraine with aura - Answer 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
a. headaches that occur periodically in clusters - Answer 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
