Advanced health assessment quiz neuro.docx

Advanced health assessment quiz Quiz Question 1 (1 point) An 18-year-old college freshman presents to the urgent care center for evaluation of fever headache and neck stiffness. On physical examination the patient is resting quietly and has a flushed face. His vital signs are as follows: temperature 104°F; pulse 110 bpm; and BP 105/70 mm Hg. He has no rashes. During the physical examination you flex the patient's neck and his hips and knees flex in response indicating meningeal irritation. The name of this positive sign is: Question 1 options: Kernig's sign Brudzinski's sign Babinski's sign Lachman's sign Question 2 (1 point) Which of the following reflexes is not a cutaneous stimulation reflex? Question 2 options: Abdominal reflexes Cremasteric reflex Supinator (brachoiradialis reflex) Plantar responses Anal reflex Question 3 (1 point) A 35-year-old reporter presents to your office for evaluation of back pain and weakness in his left leg. He was play-wrestling with his nephew and hurt his back 2 weeks ago. He states that he has noticed tingling in his left leg as well. He has not noticed incontinence of bowel or bladder function. You perform a physical examination and confirm that he is dragging his left foot when he walks and that his Achilles reflex is diminished. You diagnose him with a herniated disc. Which nerve root are you testing with the Achilles reflex? Question 3 options: C5 C6 Harryson L2 L3 L4 S1 L4 L5 Question 4 (1 point) How would an NP test a patient's superficial reflex? Question 4 options: Test the elevation of the ipsilateral testicle Test the reactions elicited by stroking the skin. Test the rhythmic contractions of the calf muscle Test the deep tendon reflexes of the lower extremities Question 5 (1 point) What is the maximum score given to a patient in the Mini-Mental State Examination (MMSE)? Question 5 options: 5 20 25 30 Question 6 (1 point) A 72-year-old bus driver is sent to the ER after a passenger noted that the bus driver exhibited drooping facial features and slurred speech. The patient was diagnosed with ischemic, nonhemorrhagic stroke and urgent intervention led to a near complete recovery of his symptoms. Which of the following statements is true for risks and rapid recognition of suspected strokes? Question 6 options: Due to increasing public awareness, the median timeframe for arrival to care for suspected stroke is less than three hours Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke