Shadow Health Digital Clinical Experience: Practice Test 2
(Units 8-13) - Questions with Correct Answers
50 questions
1. Vibration sense is tested with a:
A. 512-Hz tuning fork on the ear
B. Reflex hammer
C. Cotton ball
D. 128-Hz tuning fork on bony prominences
Correct Answer: D. 128-Hz tuning fork on bony prominences
Rationale: Loss occurs early in neuropathy.
2. A positive Romberg test means the patient:
A. Keeps perfect balance
B. Loses balance when standing with eyes closed
C. Has strong reflexes
D. Can smell normally
Correct Answer: B. Loses balance when standing with eyes closed
Rationale: It indicates impaired proprioception or vestibular function.
3. Rapid alternating movements that are slow and clumsy (dysdiadochokinesia) suggest:
A. Normal function
B. Peripheral neuropathy
C. Cerebellar dysfunction
D. Hearing loss
Correct Answer: C. Cerebellar dysfunction
Rationale: The cerebellum coordinates movement.
4. Finger-to-nose and heel-to-shin tests assess:
A. Cerebellar function and coordination
B. Cranial nerves
C. Sensation
D. Reflexes
Correct Answer: A. Cerebellar function and coordination
Rationale: Smooth movement indicates normal cerebellar function.
5. The patellar reflex tests spinal levels:
A. C5-C6
B. L2-L4
C. S1
D. T10-T12
Correct Answer: B. L2-L4
Rationale: Knee jerk.
6. Stereognosis is tested by asking the patient to:
A. Read a number written on the palm
B. Identify a familiar object placed in the hand with eyes closed
C. Walk heel to toe
D. Smell coffee
Correct Answer: B. Identify a familiar object placed in the hand with eyes closed
Rationale: It tests cortical sensory function.
, 7. Pronator drift is a sign of:
A. Normal strength
B. Mild upper extremity weakness from an upper motor neuron lesion
C. Cerebellar disease only
D. Hearing loss
Correct Answer: B. Mild upper extremity weakness from an upper motor neuron lesion
Rationale: The arm drifts down and pronates.
8. A positive Babinski sign in an adult indicates:
A. Normal finding
B. Upper motor neuron lesion
C. Peripheral neuropathy
D. Muscle weakness only
Correct Answer: B. Upper motor neuron lesion
Rationale: Toes fan upward.
9. Cranial nerve V is assessed by:
A. Smiling
B. Shoulder shrug
C. Testing facial sensation and jaw clench
D. Tongue movement
Correct Answer: C. Testing facial sensation and jaw clench
Rationale: Trigeminal has sensory and motor parts.
10. Clubbing of the nails is identified when the nail base angle is:
A. 160 degrees
B. 90 degrees
C. 45 degrees
D. 180 degrees or more
Correct Answer: D. 180 degrees or more
Rationale: Normal angle is about 160 degrees.
11. Why is daily foot inspection important for Tina Jones?
A. It improves vision
B. Neuropathy may prevent her from feeling injuries
C. It treats asthma
D. It lowers blood pressure
Correct Answer: B. Neuropathy may prevent her from feeling injuries
Rationale: Early detection prevents ulcers and amputation.
12. When assessing Tina Jones's right foot wound, the clinician should document:
A. Size, depth, drainage, odor, wound bed and surrounding skin
B. Only the color
C. Only whether it hurts
D. Only the date
Correct Answer: A. Size, depth, drainage, odor, wound bed and surrounding skin
Rationale: Complete wound description guides care.
(Units 8-13) - Questions with Correct Answers
50 questions
1. Vibration sense is tested with a:
A. 512-Hz tuning fork on the ear
B. Reflex hammer
C. Cotton ball
D. 128-Hz tuning fork on bony prominences
Correct Answer: D. 128-Hz tuning fork on bony prominences
Rationale: Loss occurs early in neuropathy.
2. A positive Romberg test means the patient:
A. Keeps perfect balance
B. Loses balance when standing with eyes closed
C. Has strong reflexes
D. Can smell normally
Correct Answer: B. Loses balance when standing with eyes closed
Rationale: It indicates impaired proprioception or vestibular function.
3. Rapid alternating movements that are slow and clumsy (dysdiadochokinesia) suggest:
A. Normal function
B. Peripheral neuropathy
C. Cerebellar dysfunction
D. Hearing loss
Correct Answer: C. Cerebellar dysfunction
Rationale: The cerebellum coordinates movement.
4. Finger-to-nose and heel-to-shin tests assess:
A. Cerebellar function and coordination
B. Cranial nerves
C. Sensation
D. Reflexes
Correct Answer: A. Cerebellar function and coordination
Rationale: Smooth movement indicates normal cerebellar function.
5. The patellar reflex tests spinal levels:
A. C5-C6
B. L2-L4
C. S1
D. T10-T12
Correct Answer: B. L2-L4
Rationale: Knee jerk.
6. Stereognosis is tested by asking the patient to:
A. Read a number written on the palm
B. Identify a familiar object placed in the hand with eyes closed
C. Walk heel to toe
D. Smell coffee
Correct Answer: B. Identify a familiar object placed in the hand with eyes closed
Rationale: It tests cortical sensory function.
, 7. Pronator drift is a sign of:
A. Normal strength
B. Mild upper extremity weakness from an upper motor neuron lesion
C. Cerebellar disease only
D. Hearing loss
Correct Answer: B. Mild upper extremity weakness from an upper motor neuron lesion
Rationale: The arm drifts down and pronates.
8. A positive Babinski sign in an adult indicates:
A. Normal finding
B. Upper motor neuron lesion
C. Peripheral neuropathy
D. Muscle weakness only
Correct Answer: B. Upper motor neuron lesion
Rationale: Toes fan upward.
9. Cranial nerve V is assessed by:
A. Smiling
B. Shoulder shrug
C. Testing facial sensation and jaw clench
D. Tongue movement
Correct Answer: C. Testing facial sensation and jaw clench
Rationale: Trigeminal has sensory and motor parts.
10. Clubbing of the nails is identified when the nail base angle is:
A. 160 degrees
B. 90 degrees
C. 45 degrees
D. 180 degrees or more
Correct Answer: D. 180 degrees or more
Rationale: Normal angle is about 160 degrees.
11. Why is daily foot inspection important for Tina Jones?
A. It improves vision
B. Neuropathy may prevent her from feeling injuries
C. It treats asthma
D. It lowers blood pressure
Correct Answer: B. Neuropathy may prevent her from feeling injuries
Rationale: Early detection prevents ulcers and amputation.
12. When assessing Tina Jones's right foot wound, the clinician should document:
A. Size, depth, drainage, odor, wound bed and surrounding skin
B. Only the color
C. Only whether it hurts
D. Only the date
Correct Answer: A. Size, depth, drainage, odor, wound bed and surrounding skin
Rationale: Complete wound description guides care.
