NURS 6512 WEEK 10: ADVANCED
NEUROLOGICAL AND
MUSCULOSKELETAL ASSESSMENT
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. During a neurological examination, the practitioner asks the patient to identify a common
object, such as a key, placed in their hand while their eyes are closed. What is this specific
sensory function called?
A. Graphesthesia
B. Point localization
C. Two-point discrimination
D. Stereognosis
Answer: D
Conceptual Explanation: Stereognosis is the ability to recognize the form and nature of
objects by touch. Graphesthesia refers to the ability to ‘read’ a number or letter traced on
the skin.
2. When assessing for signs of meningeal irritation, the nurse practitioner flexes the patient’s
neck and observes for involuntary flexion of the hips and knees. This finding is known as:
A. Positive Kernig sign
,B. Positive Brudzinski sign
C. Positive Babinski reflex
D. Positive Romberg sign
Answer: B
Conceptual Explanation: A positive Brudzinski sign is present when neck flexion causes
involuntary flexion of the hips and knees, suggesting meningeal inflammation.
3. A 55-year-old patient presents with a resting tremor, bradykinesia, and ‘cogwheel’ rigidity.
Which area of the brain is most likely affected by a deficiency in dopamine?
A. Cerebellum
B. Parietal lobe
C. Basal ganglia
D. Medulla oblongata
Answer: C
Conceptual Explanation: These are classic signs of Parkinson’s disease, which results
from the degeneration of dopamine-producing neurons in the substantia nigra, part of the
basal ganglia.
4. During a musculoskeletal assessment, a patient exhibits Bouchard nodes. In which joints
are these nodes typically located?
A. Distal interphalangeal (DIP) joints
, B. Metacarpophalangeal (MCP) joints
C. Proximal interphalangeal (PIP) joints
D. Carpometacarpal (CMC) joints
Answer: C
Conceptual Explanation: Bouchard nodes are bony enlargements of the PIP joints, often
seen in osteoarthritis. Heberden nodes occur at the DIP joints.
5. The practitioner performs the McMurray test on a patient complaining of knee pain. A
‘click’ or ‘pop’ felt during the maneuver indicates a potential injury to the:
A. Anterior cruciate ligament (ACL)
B. Meniscus
C. Medial collateral ligament (MCL)
D. Patellar tendon
Answer: B
Conceptual Explanation: The McMurray test is used to evaluate the meniscus for tears. A
click, pop, or pain during the maneuver suggests a meniscal injury.
6. Which cranial nerve is responsible for the motor function of the muscles of mastication?
A. Cranial Nerve IV (Trochlear)
B. Cranial Nerve VII (Facial)
NEUROLOGICAL AND
MUSCULOSKELETAL ASSESSMENT
QUESTIONS AND VERIFIED ANSWERS |
100% CORRECT | GRADE A+
1. During a neurological examination, the practitioner asks the patient to identify a common
object, such as a key, placed in their hand while their eyes are closed. What is this specific
sensory function called?
A. Graphesthesia
B. Point localization
C. Two-point discrimination
D. Stereognosis
Answer: D
Conceptual Explanation: Stereognosis is the ability to recognize the form and nature of
objects by touch. Graphesthesia refers to the ability to ‘read’ a number or letter traced on
the skin.
2. When assessing for signs of meningeal irritation, the nurse practitioner flexes the patient’s
neck and observes for involuntary flexion of the hips and knees. This finding is known as:
A. Positive Kernig sign
,B. Positive Brudzinski sign
C. Positive Babinski reflex
D. Positive Romberg sign
Answer: B
Conceptual Explanation: A positive Brudzinski sign is present when neck flexion causes
involuntary flexion of the hips and knees, suggesting meningeal inflammation.
3. A 55-year-old patient presents with a resting tremor, bradykinesia, and ‘cogwheel’ rigidity.
Which area of the brain is most likely affected by a deficiency in dopamine?
A. Cerebellum
B. Parietal lobe
C. Basal ganglia
D. Medulla oblongata
Answer: C
Conceptual Explanation: These are classic signs of Parkinson’s disease, which results
from the degeneration of dopamine-producing neurons in the substantia nigra, part of the
basal ganglia.
4. During a musculoskeletal assessment, a patient exhibits Bouchard nodes. In which joints
are these nodes typically located?
A. Distal interphalangeal (DIP) joints
, B. Metacarpophalangeal (MCP) joints
C. Proximal interphalangeal (PIP) joints
D. Carpometacarpal (CMC) joints
Answer: C
Conceptual Explanation: Bouchard nodes are bony enlargements of the PIP joints, often
seen in osteoarthritis. Heberden nodes occur at the DIP joints.
5. The practitioner performs the McMurray test on a patient complaining of knee pain. A
‘click’ or ‘pop’ felt during the maneuver indicates a potential injury to the:
A. Anterior cruciate ligament (ACL)
B. Meniscus
C. Medial collateral ligament (MCL)
D. Patellar tendon
Answer: B
Conceptual Explanation: The McMurray test is used to evaluate the meniscus for tears. A
click, pop, or pain during the maneuver suggests a meniscal injury.
6. Which cranial nerve is responsible for the motor function of the muscles of mastication?
A. Cranial Nerve IV (Trochlear)
B. Cranial Nerve VII (Facial)
