2
Neuro System - Adult-Gerontology and FNP Certification Exam 4th
ed. Winland-Brown and Dunphy 100% Solved.
which of the following drugs used for parkinsonism mimics dopamine?
a. anticholinergics
b. levodopa
c. bromocriptine
d. tolcapone - ✔✔✔c. bromocriptine
how often does the agency for Healthcare Research and quality recommend
that providers ask clts about their tobacco-use status?
a. at every visit
b. at least every 6 months
c. once a year
d. at the initial h/p examination - ✔✔✔a. at every visit
what is the most common cause of cerebellar disease?
a. hypothyroidism
b. use of drugs such as 5-fluorouracil or phenytoin
c. cerebellar neoplasm
d. alcoholism - ✔✔✔d. alcoholism
current pharmacological therapy for relapsing-remitting multiple sclerosis
involves:
a. high dose steroids
b. baclofen or diazepam
c. interferon B (betaseron)
d. benzodiazepines - ✔✔✔c. interferon B (betaseron)
®™
®™ 1
, 2
Julie, age 58, has had several TIAs. After a diagnostic evaluation, what
medication would you start her on?
a. ticlopidine (ticlid)
b. clopidogrel (plavax)
c. warfarin (coumadin)
d. nitroglycerin (nitro-dur) - ✔✔✔b. clopidogrel (plavax)
Bob, age 49, is complaining of recurrent, intrusive dreams since returning
from his Marine combat training. You suspect:
a. depersonalization
b. schizophrenia
c. PTSD
d. anxiety - ✔✔✔c. PTSD
Jessie, age 29, sees flashing lights 20 minutes before experiencing severe
headaches. How would you describe her headache?
a. migraine without aura
b. classic migraine
c. tension headache
d. cluster headache - ✔✔✔b. classic migraine
Marian, age 39, has MS. She tells you that she heard that the majority of
people with MS have the chronic-relapsing type of disease and that she has
nothing to live for. How do you respond?
a. the majority of people have this response to MS
b. there are many different clinical courses of MS, and the chronic-relapsing
type is only one of them
®™
c. the chronic-relapsing type of MS is in the minority
®™ 2
, 2
d. there is an even chance that you have this type - ✔✔✔b. there are many
different clinical courses of MS, and the chronic-relapsing type is only one of
them
deficiency of which nutritional source usually presents with an insidious
onset of paresthesias of the hands and feet that are usually painful?
a. thiamine
b. vitamin B12
c. folic acid
d. vitamin K - ✔✔✔b. vitamin B12
Dan, age 82, recently lost his wife to breast cancer. He presents with weight
loss, fatigue, and difficulty sleeping. What should your first response be?
a. do you have a hx of thyroid problems in your family
b. do you think a sleeping pill might help you sleep at night
c. things might look up if you added nutritional supplements to your diet
d. have you thought of suicide? - ✔✔✔d. have you thought of suicide?
decreased facial strength indicates a lesion of which CN?
a. CNIII
b. CN V
c. CN VII
d. CN VIII - ✔✔✔c. CN VII
the use of tricyclic antidepressants in the elderly increases the risk of:
a. suicide
b. cardiac arrhythmias
c. reactive depression
®™
®™ 3
, 2
d. shortness of breath - ✔✔✔b. cardiac arrhythmias
some providers have successfully induced remission in clts with MS by using
adrenocorticotropic hormone therapy or other pharmcological therapy along
with:
a. chelation therapy
b. plasmapheresis
c. bone marrow transplantation
d. intravenous lipids - ✔✔✔b. plasmapheresis
Sam, age 29, has lost his sense of smell. You would document this as:
a. hyposmia
b. anosmia
c. ageusia
d. agnosia - ✔✔✔b. anosmia
in the depressed clt, antidepressants are most effective in alleviating:
a. suicidal feelings
b. interpersonal problems
c. sleep disturbances
d. anxiety disorders - ✔✔✔c. sleep disturbances
in the stages of Elisabeth Kubler-Ross's anticipatory grieving, which stage
follows that of anger?
a. denial
b. bargaining
c. depression
®™
d. acceptance - ✔✔✔b. bargaining
®™ 4
Neuro System - Adult-Gerontology and FNP Certification Exam 4th
ed. Winland-Brown and Dunphy 100% Solved.
which of the following drugs used for parkinsonism mimics dopamine?
a. anticholinergics
b. levodopa
c. bromocriptine
d. tolcapone - ✔✔✔c. bromocriptine
how often does the agency for Healthcare Research and quality recommend
that providers ask clts about their tobacco-use status?
a. at every visit
b. at least every 6 months
c. once a year
d. at the initial h/p examination - ✔✔✔a. at every visit
what is the most common cause of cerebellar disease?
a. hypothyroidism
b. use of drugs such as 5-fluorouracil or phenytoin
c. cerebellar neoplasm
d. alcoholism - ✔✔✔d. alcoholism
current pharmacological therapy for relapsing-remitting multiple sclerosis
involves:
a. high dose steroids
b. baclofen or diazepam
c. interferon B (betaseron)
d. benzodiazepines - ✔✔✔c. interferon B (betaseron)
®™
®™ 1
, 2
Julie, age 58, has had several TIAs. After a diagnostic evaluation, what
medication would you start her on?
a. ticlopidine (ticlid)
b. clopidogrel (plavax)
c. warfarin (coumadin)
d. nitroglycerin (nitro-dur) - ✔✔✔b. clopidogrel (plavax)
Bob, age 49, is complaining of recurrent, intrusive dreams since returning
from his Marine combat training. You suspect:
a. depersonalization
b. schizophrenia
c. PTSD
d. anxiety - ✔✔✔c. PTSD
Jessie, age 29, sees flashing lights 20 minutes before experiencing severe
headaches. How would you describe her headache?
a. migraine without aura
b. classic migraine
c. tension headache
d. cluster headache - ✔✔✔b. classic migraine
Marian, age 39, has MS. She tells you that she heard that the majority of
people with MS have the chronic-relapsing type of disease and that she has
nothing to live for. How do you respond?
a. the majority of people have this response to MS
b. there are many different clinical courses of MS, and the chronic-relapsing
type is only one of them
®™
c. the chronic-relapsing type of MS is in the minority
®™ 2
, 2
d. there is an even chance that you have this type - ✔✔✔b. there are many
different clinical courses of MS, and the chronic-relapsing type is only one of
them
deficiency of which nutritional source usually presents with an insidious
onset of paresthesias of the hands and feet that are usually painful?
a. thiamine
b. vitamin B12
c. folic acid
d. vitamin K - ✔✔✔b. vitamin B12
Dan, age 82, recently lost his wife to breast cancer. He presents with weight
loss, fatigue, and difficulty sleeping. What should your first response be?
a. do you have a hx of thyroid problems in your family
b. do you think a sleeping pill might help you sleep at night
c. things might look up if you added nutritional supplements to your diet
d. have you thought of suicide? - ✔✔✔d. have you thought of suicide?
decreased facial strength indicates a lesion of which CN?
a. CNIII
b. CN V
c. CN VII
d. CN VIII - ✔✔✔c. CN VII
the use of tricyclic antidepressants in the elderly increases the risk of:
a. suicide
b. cardiac arrhythmias
c. reactive depression
®™
®™ 3
, 2
d. shortness of breath - ✔✔✔b. cardiac arrhythmias
some providers have successfully induced remission in clts with MS by using
adrenocorticotropic hormone therapy or other pharmcological therapy along
with:
a. chelation therapy
b. plasmapheresis
c. bone marrow transplantation
d. intravenous lipids - ✔✔✔b. plasmapheresis
Sam, age 29, has lost his sense of smell. You would document this as:
a. hyposmia
b. anosmia
c. ageusia
d. agnosia - ✔✔✔b. anosmia
in the depressed clt, antidepressants are most effective in alleviating:
a. suicidal feelings
b. interpersonal problems
c. sleep disturbances
d. anxiety disorders - ✔✔✔c. sleep disturbances
in the stages of Elisabeth Kubler-Ross's anticipatory grieving, which stage
follows that of anger?
a. denial
b. bargaining
c. depression
®™
d. acceptance - ✔✔✔b. bargaining
®™ 4
