NUR631 Exam 3 -Neuro,
Musculoskeletal ,Mental Health Questions
With All Correct & Verified Answers
A 19-year-old college student, Todd, is brought to your clinic by his mother. She is concerned that
there is something seriously wrong with him. She states for the past 6 months his behavior has
become peculiar and he has flunked out of college. Todd denies any recent illness or injuries. His past
medical history is remarkable only for a broken foot. His parents are both healthy. He has a paternal
uncle who had similar symptoms in college. The patient admits to smoking cigarettes and drinking
alcohol. He also admits to marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While speaking with Todd and his
mother you do a complete physical examination, which is essentially normal. When you question him
on how he is feeling, he says that he is very worried that Microsoft has stolen his software for
creating a better browser. He tells you he has se Correct answer-D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe nightmares,
and irritability. She states it all began 6 months ago when she went to a fast food restaurant at
midnight. While she was waiting in her car a man entered through the passenger door and put a gun
to her head. He had her drive to a remote area, where he took her money and threatened to kill her.
When the gun jammed he panicked and ran off. Ever since this occurred the patient has been having
these symptoms. She states she jumps at every noise and refuses to drive at night. She states her
anxiety has had such a marked influence on her job performance she is afraid she will be fired. She
denies any recent illnesses or injuries. Her past medical history is unremarkable. On examination you
find a nervous woman appearing her stated age. Her physical examination is unremarkable. You
recommend medication and counseling.
What Correct answer-C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4 months
ago he had a stroke and ever since she has been frustrated with his problems with communication.
They were at a restaurant after church one Sunday when he suddenly became quiet. When she
realized something was wrong he was taken to the hospital by EMS. He spent 2 weeks in the hospital
with right-sided weakness and difficulty speaking. After hospitalization he was in a rehab center,
where he regained the ability to walk and most of the use of his right hand. He also began to speak
more, but she says that much of the time "he doesn't make any sense." She gives an example that
when she reminded him the car needed to be serviced he told her "I will change the Kool-Aid out of
the sink myself with the ludrip." She says that these sayings are becoming frustrating. She wants you
to tell her what is wrong and what you can do about Correct answer-A) Wernicke's aphasia
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness. She says for
the past 2 months she has had crying episodes, difficulty sleeping, and problems with overeating.
She says she used to go out with her friends from work but now she just wants to go home and be by
herself. She also thinks that her work productivity has been dropping because she just is too tired to
care or concentrate. She denies any feelings of guilt or any suicidal ideation. She states that she has
never felt this way in the past. She denies any recent illness or injuries. Her past medical history
consists of an appendectomy when she was a teenager; otherwise, she has been healthy. She is
single and works as a clerk in a medical office. She denies tobacco, alcohol, or illegal drug use. Her
mother has high blood pressure and her father has had a history of mental illness. On examination
you see a woman appearing her st Correct answer-C) Major depressive episode
, A 27-year-old woman is brought to your office by her mother. The mother tells you that her daughter
has been schizophrenic for the last 8 years and is starting to decompensate despite medication. The
patient states that she has been taking her antipsychotic and she is doing just fine. Her mother
retorts that her daughter has become quite paranoid. When asked why, the mother gives an example
about the mailman. She says that her daughter goes and gets the mail every day and then
microwaves the letters. The patient agrees that she does this but only because she sees the mailman
flipping through the envelopes and she knows he's putting anthrax on the letters. Her mother turns
to her and says, "He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state Correct answer-A) Illusion
A 22-year-old man is brought to your office by his father to discuss his son's mental health disorder.
The patient was diagnosed with schizophrenia 6 months ago and has been taking medication since.
The father states that his son's dose isn't high enough and you need to raise it. He states that his son
has been hearing things that don't exist. You ask the young man what is going on and he tells you
that his father is just jealous because his sister talks only to him. His father turns to him and says,
"Son, you know your sister died 2 years ago!" His son replies "Well, she still talks to me in my head all
the time!"
Which best describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state Correct answer-B) Hallucination
A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair violinist in the
local symphony orchestra and has started having symptoms during performances, such as sweating,
shaking, and hyperventilating. It has gotten so bad that he has thought about giving up his first chair
status so he does not have to play the solo during one of the movements. He says that he never has
these symptoms during rehearsals or when he is practicing. He denies having any of these symptoms
at any other time. His past medical history is unremarkable. He denies any tobacco use, drug use, or
alcohol abuse. His parents are both healthy. On examination you see a young man who appears
worried. His vital signs and physical examination are unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder Correct answer-C) Social phobia
A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent
behavior. He states that for the last 2 weeks she has been completely out of control. He says that she
hasn't showered in days, stays awake most of the night cleaning their apartment, and has run up
over $1,000 on their credit cards. While he is talking, the patient interrupts him frequently and
declares this is all untrue and she has never been so happy and fulfilled in her whole life. She speaks
very quickly, changing the subject often. After a longer than normal interview you find out she has
had no recent illnesses or injuries. Her past medical history is unremarkable. Both her parents are
healthy but the husband has heard rumors about an aunt with similar symptoms. She and her
husband have no children. She smokes one pack of cigarettes a day (although she has been chain-
smoking in the last 2 weeks), drinks four to si Correct answer-B) Manic episode
Musculoskeletal ,Mental Health Questions
With All Correct & Verified Answers
A 19-year-old college student, Todd, is brought to your clinic by his mother. She is concerned that
there is something seriously wrong with him. She states for the past 6 months his behavior has
become peculiar and he has flunked out of college. Todd denies any recent illness or injuries. His past
medical history is remarkable only for a broken foot. His parents are both healthy. He has a paternal
uncle who had similar symptoms in college. The patient admits to smoking cigarettes and drinking
alcohol. He also admits to marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While speaking with Todd and his
mother you do a complete physical examination, which is essentially normal. When you question him
on how he is feeling, he says that he is very worried that Microsoft has stolen his software for
creating a better browser. He tells you he has se Correct answer-D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe nightmares,
and irritability. She states it all began 6 months ago when she went to a fast food restaurant at
midnight. While she was waiting in her car a man entered through the passenger door and put a gun
to her head. He had her drive to a remote area, where he took her money and threatened to kill her.
When the gun jammed he panicked and ran off. Ever since this occurred the patient has been having
these symptoms. She states she jumps at every noise and refuses to drive at night. She states her
anxiety has had such a marked influence on her job performance she is afraid she will be fired. She
denies any recent illnesses or injuries. Her past medical history is unremarkable. On examination you
find a nervous woman appearing her stated age. Her physical examination is unremarkable. You
recommend medication and counseling.
What Correct answer-C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4 months
ago he had a stroke and ever since she has been frustrated with his problems with communication.
They were at a restaurant after church one Sunday when he suddenly became quiet. When she
realized something was wrong he was taken to the hospital by EMS. He spent 2 weeks in the hospital
with right-sided weakness and difficulty speaking. After hospitalization he was in a rehab center,
where he regained the ability to walk and most of the use of his right hand. He also began to speak
more, but she says that much of the time "he doesn't make any sense." She gives an example that
when she reminded him the car needed to be serviced he told her "I will change the Kool-Aid out of
the sink myself with the ludrip." She says that these sayings are becoming frustrating. She wants you
to tell her what is wrong and what you can do about Correct answer-A) Wernicke's aphasia
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness. She says for
the past 2 months she has had crying episodes, difficulty sleeping, and problems with overeating.
She says she used to go out with her friends from work but now she just wants to go home and be by
herself. She also thinks that her work productivity has been dropping because she just is too tired to
care or concentrate. She denies any feelings of guilt or any suicidal ideation. She states that she has
never felt this way in the past. She denies any recent illness or injuries. Her past medical history
consists of an appendectomy when she was a teenager; otherwise, she has been healthy. She is
single and works as a clerk in a medical office. She denies tobacco, alcohol, or illegal drug use. Her
mother has high blood pressure and her father has had a history of mental illness. On examination
you see a woman appearing her st Correct answer-C) Major depressive episode
, A 27-year-old woman is brought to your office by her mother. The mother tells you that her daughter
has been schizophrenic for the last 8 years and is starting to decompensate despite medication. The
patient states that she has been taking her antipsychotic and she is doing just fine. Her mother
retorts that her daughter has become quite paranoid. When asked why, the mother gives an example
about the mailman. She says that her daughter goes and gets the mail every day and then
microwaves the letters. The patient agrees that she does this but only because she sees the mailman
flipping through the envelopes and she knows he's putting anthrax on the letters. Her mother turns
to her and says, "He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state Correct answer-A) Illusion
A 22-year-old man is brought to your office by his father to discuss his son's mental health disorder.
The patient was diagnosed with schizophrenia 6 months ago and has been taking medication since.
The father states that his son's dose isn't high enough and you need to raise it. He states that his son
has been hearing things that don't exist. You ask the young man what is going on and he tells you
that his father is just jealous because his sister talks only to him. His father turns to him and says,
"Son, you know your sister died 2 years ago!" His son replies "Well, she still talks to me in my head all
the time!"
Which best describes this patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state Correct answer-B) Hallucination
A 26-year-old violinist comes to your clinic, complaining of anxiety. He is a first chair violinist in the
local symphony orchestra and has started having symptoms during performances, such as sweating,
shaking, and hyperventilating. It has gotten so bad that he has thought about giving up his first chair
status so he does not have to play the solo during one of the movements. He says that he never has
these symptoms during rehearsals or when he is practicing. He denies having any of these symptoms
at any other time. His past medical history is unremarkable. He denies any tobacco use, drug use, or
alcohol abuse. His parents are both healthy. On examination you see a young man who appears
worried. His vital signs and physical examination are unremarkable.
What type of anxiety disorder best describes his situation?
A) Panic disorder
B) Specific phobia
C) Social phobia
D) Generalized anxiety disorder Correct answer-C) Social phobia
A 23-year-old ticket agent is brought in by her husband because he is concerned about her recent
behavior. He states that for the last 2 weeks she has been completely out of control. He says that she
hasn't showered in days, stays awake most of the night cleaning their apartment, and has run up
over $1,000 on their credit cards. While he is talking, the patient interrupts him frequently and
declares this is all untrue and she has never been so happy and fulfilled in her whole life. She speaks
very quickly, changing the subject often. After a longer than normal interview you find out she has
had no recent illnesses or injuries. Her past medical history is unremarkable. Both her parents are
healthy but the husband has heard rumors about an aunt with similar symptoms. She and her
husband have no children. She smokes one pack of cigarettes a day (although she has been chain-
smoking in the last 2 weeks), drinks four to si Correct answer-B) Manic episode
