ACNP Neurological- Questions and
Answers
S/S Head Trauma Correct Ans-Assess: time and place of injury, how the event ocurred, onset
of symptoms, LOC< occurrence of a lucid interval (suggests expanding hematoma), seizure
activity associated with event, whether amnesia occurred afterward (indicative of severity of the
blow)
Cushing's Triad
Battle's sign
raccoon eyes--basilar skull fracture
otorrhea or rhinorrhea
S/S Meningitis Correct Ans-Fever (101-103 F)
Severe HA
N/V
Nuchal rigidity
Positive Kernig sign
Positive Brudzinski sign
Photophobia
Seizures
S/S Multiple Sclerosis Correct Ans-Weakness, numbness, tingling or unsteadiness in a limb,
may progress to all limbs
,Spastic paraparesis
Diplopia
Disequilibrium
Urinary urgency or hesitancy
Optic atrophy
Nystagmus
S/S Myasthenia Gravis Correct Ans-{Visual changes + extremity weakness}
**Ptosis--droopy eye
Diplopia
Dysarthria
Dysphagia
Extremity weakness
Fatigue
Respiratory difficulty
Sensory modalities and DTRs are NORMAL
S/S of Hemorrhagic CVA Correct Ans-Usually presents with acute onset of focal neurologic
deficits
1. Signs of sudden increased ICP including altered mentation, HA, and vomiting are present
when the hemorrhage is extensive
2. With LEFT (dominant) hemisphere involvement, see R hemiparesis, aphasia, dysarthria,
difficulty reading/writing
, 3. With RIGHT (nondominant) hemisphere involvement, see L hemiparesis, R visiual field
changes, spatial disorientation
S/S of Infarct CVA Correct Ans-CVA infarct can produce subtle, progressive, or sudden
neurologic deficits
1. Changes in LOC
2. Motor weakness or paralysis
3. Visual alterations
4. Changes in vital signs
S/S of TIA Correct Ans-1. Altered vision (ipsilateral monocular blindness aka amaurosis
fugax)
2. Altered speech: transient aphasia
3. Motor impairment (paresthesias os contralateral arm, leg or face
4. Sensory deficits
5. Cognitive and behavioral abnormalitis
6. Dysphagia
7. Vertigo
8. Nystagmus
9. Other
S/S Parkinson's Disease Correct Ans-1) Tremor: slow most conspicuous at rest, may be
enhanced by stress
Answers
S/S Head Trauma Correct Ans-Assess: time and place of injury, how the event ocurred, onset
of symptoms, LOC< occurrence of a lucid interval (suggests expanding hematoma), seizure
activity associated with event, whether amnesia occurred afterward (indicative of severity of the
blow)
Cushing's Triad
Battle's sign
raccoon eyes--basilar skull fracture
otorrhea or rhinorrhea
S/S Meningitis Correct Ans-Fever (101-103 F)
Severe HA
N/V
Nuchal rigidity
Positive Kernig sign
Positive Brudzinski sign
Photophobia
Seizures
S/S Multiple Sclerosis Correct Ans-Weakness, numbness, tingling or unsteadiness in a limb,
may progress to all limbs
,Spastic paraparesis
Diplopia
Disequilibrium
Urinary urgency or hesitancy
Optic atrophy
Nystagmus
S/S Myasthenia Gravis Correct Ans-{Visual changes + extremity weakness}
**Ptosis--droopy eye
Diplopia
Dysarthria
Dysphagia
Extremity weakness
Fatigue
Respiratory difficulty
Sensory modalities and DTRs are NORMAL
S/S of Hemorrhagic CVA Correct Ans-Usually presents with acute onset of focal neurologic
deficits
1. Signs of sudden increased ICP including altered mentation, HA, and vomiting are present
when the hemorrhage is extensive
2. With LEFT (dominant) hemisphere involvement, see R hemiparesis, aphasia, dysarthria,
difficulty reading/writing
, 3. With RIGHT (nondominant) hemisphere involvement, see L hemiparesis, R visiual field
changes, spatial disorientation
S/S of Infarct CVA Correct Ans-CVA infarct can produce subtle, progressive, or sudden
neurologic deficits
1. Changes in LOC
2. Motor weakness or paralysis
3. Visual alterations
4. Changes in vital signs
S/S of TIA Correct Ans-1. Altered vision (ipsilateral monocular blindness aka amaurosis
fugax)
2. Altered speech: transient aphasia
3. Motor impairment (paresthesias os contralateral arm, leg or face
4. Sensory deficits
5. Cognitive and behavioral abnormalitis
6. Dysphagia
7. Vertigo
8. Nystagmus
9. Other
S/S Parkinson's Disease Correct Ans-1) Tremor: slow most conspicuous at rest, may be
enhanced by stress
