MSN 620 Module 2 Neuro Questions And Answers
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A 56-year-old woman presents with intermittent, severe, brief episodes of lancinating pain in the right cheek and lips
for the past 4 months. She has no relief from over-the-counter pain medications. The pain usually occurs when
brushing the teeth or when touching some specific points in the lower side of the right cheek. The pain sometimes
increases with chewing. On physical examination, she does not have any neurological deficits. What is the most
likely cause of the pain? ANS Trigeminal nerve compression
A 65-year-old man presents with severe right-sided facial pain lasting several seconds to a few minutes and then
resolving spontaneously. A history of present illness reveals that this is happening twice a day, often without
warning. Sometimes it is provoked by brushing his teeth. His past medical history is significant for mild chronic
obstructive pulmonary disease and benign prostatic hyperplasia that was surgically treated 5 years ago. A physical
examination reveals decreased breath sounds bi ANS Carbamazepine therapy
An 88-year-old man presents with progressive dementia and increasing difficulty in remembering things. He can
ambulate with a walker and can swallow without any difficulty. He is unable to express his needs from time to time
resulting in decreased oral intake which is associated with progressive weakness. He currently lives by himself.
Which of the following is the best option? ANS Assisted living facility with meal and medication administration
services.
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A daughter brings her 72-year-old mother to the provider because of a constellation of symptoms that appear to be
getting slowly worse over the past year. She tells the clinician that her mother is forgetting any new information she
is given, is frequently disoriented, and demonstrates faulty judgment. Her house is no longer kept as clean as it used
to be and she is having trouble staying on top of organizing her bills and finances. What is the most likely cause of
the patient's condition? ANS Major neurocognitive disorder
A 78-year-old white man was seen in the primary care provider's office for evaluation of decreased cognitive
function. He has a history of hypertension as well as dyslipidemia. A recent lab workup revealed a normal CBC
except for slight anemia. Electrolytes were within normal limits. Physical exam was unremarkable except for slight
unsteadiness in his gait. Mini-Mental Status Exam (MMSE) was 20. It was also noted that he kept talking about the
health of his deceased wife, who passed away 3 years ANS Check TSH, B12, and folate levels
A 62-year-old woman presents with worsening agitation as well as frequent mood swings. A history of present
illness obtained from her daughter reveals that she has been developing progressive forgetfulness and has frequently
been getting lost on her way back home while driving on familiar routes. She also has had brief but frequent periods
of confusion characterized by nonsensical speech. Other reported symptoms include excessive daytime sleepiness as
well as difficulty sleeping during the night ANS Dementia with Lewy bodies
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A 56-year-old woman presents with intermittent, severe, brief episodes of lancinating pain in the right cheek and lips
for the past 4 months. She has no relief from over-the-counter pain medications. The pain usually occurs when
brushing the teeth or when touching some specific points in the lower side of the right cheek. The pain sometimes
increases with chewing. On physical examination, she does not have any neurological deficits. What is the most
likely cause of the pain? ANS Trigeminal nerve compression
A 65-year-old man presents with severe right-sided facial pain lasting several seconds to a few minutes and then
resolving spontaneously. A history of present illness reveals that this is happening twice a day, often without
warning. Sometimes it is provoked by brushing his teeth. His past medical history is significant for mild chronic
obstructive pulmonary disease and benign prostatic hyperplasia that was surgically treated 5 years ago. A physical
examination reveals decreased breath sounds bi ANS Carbamazepine therapy
An 88-year-old man presents with progressive dementia and increasing difficulty in remembering things. He can
ambulate with a walker and can swallow without any difficulty. He is unable to express his needs from time to time
resulting in decreased oral intake which is associated with progressive weakness. He currently lives by himself.
Which of the following is the best option? ANS Assisted living facility with meal and medication administration
services.
Submit
A daughter brings her 72-year-old mother to the provider because of a constellation of symptoms that appear to be
getting slowly worse over the past year. She tells the clinician that her mother is forgetting any new information she
is given, is frequently disoriented, and demonstrates faulty judgment. Her house is no longer kept as clean as it used
to be and she is having trouble staying on top of organizing her bills and finances. What is the most likely cause of
the patient's condition? ANS Major neurocognitive disorder
A 78-year-old white man was seen in the primary care provider's office for evaluation of decreased cognitive
function. He has a history of hypertension as well as dyslipidemia. A recent lab workup revealed a normal CBC
except for slight anemia. Electrolytes were within normal limits. Physical exam was unremarkable except for slight
unsteadiness in his gait. Mini-Mental Status Exam (MMSE) was 20. It was also noted that he kept talking about the
health of his deceased wife, who passed away 3 years ANS Check TSH, B12, and folate levels
A 62-year-old woman presents with worsening agitation as well as frequent mood swings. A history of present
illness obtained from her daughter reveals that she has been developing progressive forgetfulness and has frequently
been getting lost on her way back home while driving on familiar routes. She also has had brief but frequent periods
of confusion characterized by nonsensical speech. Other reported symptoms include excessive daytime sleepiness as
well as difficulty sleeping during the night ANS Dementia with Lewy bodies
