Chapter 13: Gastrointestinal Disorders
1. Neurological assessment of the older adult requires specific tools and considerations to assess
patient mental status. Which of the following should be used to assess patient cognition?
1. Administer SLUMS, a short dementia assessment.
2. Administer MoCA v 7.1, a 12-item assessment to detect mild neurocognitive disorders.
3. Administer testing of cranial nerve III.
4. Administer Mini-Cog, a three-word recall with clock drawing capability. - 1. Answer: 4
Page: 328
Feedback
1.
SLUMS is a 12-item assessment used to detect mild neurocognitive disorders.
2.
MoCA version 7.1 is a tool designed to measure the status of a patient's attention, concentration,
executive function, memory, and orientation.
3.
A complete neurological examination begins with the testing of cranial nerve function.
4.
Mini-Cog is a short dementia assessment that combines three-word recall with clock drawing
capability to assess patient cognition.
2. A clinician is performing sensory assessment on a patient presenting signs and symptoms of
neurological disease. During the assessment, the clinician notices that the patient has a decreased sense
of both pain and temperature. Which of the following may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn - 2. Answer: 1
Page: 330
Feedback
1.
, Abnormal pain and temperature sensory function may indicate a lesion on the spinothalamic tract.
2.
Cranial nerve VII controls facial motor functions.
3.
When position and vibration is involved, the posterior column is the affected area.
4.
The posterior horn controls the sensation of touch.
3. Gayle is a 55-year-old woman who is suspected of having a brain tumor. The clinician orders
diagnostic testing for thyroid-stimulating hormone (TSH) and magnetic resonance imaging (MRI) to
confirm this. Which of the following statements is true regarding a brain tumor?
1. The symptom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
4. Brain tumors occur more commonly in females than males. - 3. Answer: 2
Page: 331
Feedback
1.
Headaches occur more than half of the time with a brain tumor.
2.
A brain tumor can be malignant or benign.
3.
The etiology of brain tumors is largely unknown.
4.
Brain tumors occur more commonly in males than females.
4. Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder resulting in the loss of
dopamine-producing cells in the brain. Which part of the brain is affected with PD?
1. Substantia nigra
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus - 4. Answer: 1
Page: 333
Feedback
1.
PD is a chronic progressive neurodegenerative disorder resulting in the loss of dopamine-producing
cells in the substantia nigra.
1. Neurological assessment of the older adult requires specific tools and considerations to assess
patient mental status. Which of the following should be used to assess patient cognition?
1. Administer SLUMS, a short dementia assessment.
2. Administer MoCA v 7.1, a 12-item assessment to detect mild neurocognitive disorders.
3. Administer testing of cranial nerve III.
4. Administer Mini-Cog, a three-word recall with clock drawing capability. - 1. Answer: 4
Page: 328
Feedback
1.
SLUMS is a 12-item assessment used to detect mild neurocognitive disorders.
2.
MoCA version 7.1 is a tool designed to measure the status of a patient's attention, concentration,
executive function, memory, and orientation.
3.
A complete neurological examination begins with the testing of cranial nerve function.
4.
Mini-Cog is a short dementia assessment that combines three-word recall with clock drawing
capability to assess patient cognition.
2. A clinician is performing sensory assessment on a patient presenting signs and symptoms of
neurological disease. During the assessment, the clinician notices that the patient has a decreased sense
of both pain and temperature. Which of the following may be affected?
1. Spinothalamic tract
2. Cranial nerve VII
3. Posterior column
4. Posterior horn - 2. Answer: 1
Page: 330
Feedback
1.
, Abnormal pain and temperature sensory function may indicate a lesion on the spinothalamic tract.
2.
Cranial nerve VII controls facial motor functions.
3.
When position and vibration is involved, the posterior column is the affected area.
4.
The posterior horn controls the sensation of touch.
3. Gayle is a 55-year-old woman who is suspected of having a brain tumor. The clinician orders
diagnostic testing for thyroid-stimulating hormone (TSH) and magnetic resonance imaging (MRI) to
confirm this. Which of the following statements is true regarding a brain tumor?
1. The symptom of headache is rare.
2. A brain tumor can be a malignant or benign neoplasm.
3. The etiology of brain tumors is often known.
4. Brain tumors occur more commonly in females than males. - 3. Answer: 2
Page: 331
Feedback
1.
Headaches occur more than half of the time with a brain tumor.
2.
A brain tumor can be malignant or benign.
3.
The etiology of brain tumors is largely unknown.
4.
Brain tumors occur more commonly in males than females.
4. Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder resulting in the loss of
dopamine-producing cells in the brain. Which part of the brain is affected with PD?
1. Substantia nigra
2. Cingulate gyrus
3. Hippocampus
4. Hypothalamus - 4. Answer: 1
Page: 333
Feedback
1.
PD is a chronic progressive neurodegenerative disorder resulting in the loss of dopamine-producing
cells in the substantia nigra.
