Neuro System NP Certification, Fitzgerald 4th ed. Questions with Detailed Verified Answers

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Neuro System NP Certification,
Fitzgerald 4th ed. Questions with
Detailed Verified Answers


Question: You perform an extraocular movement test on a middle- aged pt.
He is unable to move his eyes upward and inward. this indicates a possibility of
paralysis of CN:
a. II
b. III
c. V
d. VI


Ans: b. III


Question: loss of corneal reflex is in part seen in dysfunction of CN:
a. III
b. IV
c. V
d. VI


Ans: c. V


Question: assessing vision and vision fields involves testing CN:
a. I
b. II

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c. III
d. IV


Ans: b. II


Question: you examine a 29 y/o female who has a sudden onset of rt-sided
facial asymmetry. She is unable to close her rt eyelid tightly, frown, or smile
on the affected side. Her exam is otherwise unremarkable. This presentation
likely represents paralysis of CN:
a. III
b. IV
c.VII
d. VIII


Ans: c. VII


Question: you examine a 29 y/o female who has a sudden onset of rt-sided
facial asymmetry. She is unable to close her rt eyelid tightly, frown, or smile
on the affected side. Her exam is otherwise unremarkable. Which represents
the most appropriate diagnostic test for this patient?
a. complete blood cell count with WBC differential
b. Lyme disease antibody titer
c. computed tomography (CT) scan of the head with contrast medium
d. blood urea nitrogen and creatinine levels


Ans: b. Lyme disease antibody titer




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Question: in prescribing Prednisone for a pt with Bell's palsy, the NP
considers that its use:
a. has not been shown to be helpful in improving outcomes in this condition
b. should be initiated as soon as possible after the onset of facial paralysis
c. is likely to help minimize ocular sxs
d. may prolong the course of the disease


Ans: b. should be initiated as soon as possible after the onset of facial
paralysis


Question: a 40 y/o male presents with a 5 wk hx of recurrent headaches that
awaken him during the night. The pain is severe, lasts about 1 hr, and is
located behind his left eye. Additional sxs include lacrimation and nasal
discharge. His PE is WNL. This clinical presentation is most consistent with:
a. migraine without aura
b. migraine with aura
c. cluster headache
d. increased intracranial pressure


Ans: c. cluster headache


Question: a 22 y/o female presents with a 3 yr hx of recurrent, unilateral,
pulsating headaches with vomiting and photophobia. The headaches, which
generally last 3 hrs, can be aborted by resting in a dark room. She can usually
tell that she is going to get a headache. She explains, "I see little squiggles
before my eyes for about 15 min". This presentation is most consistent with:
a. tension-type headache
b. migraine without aura
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c. migraine with aura
d. cluster headache


Ans: c. migraine with aura


Question: indicators that a headache can be the presenting sx of a serious
illness and may require neuroimaging include all of the following EXCEPT:
a. headaches that occur periodically in clusters
b. increasing frequency and severity of headaches
c. headache causing confusion, dizziness, and/or lack of coordination
d. headache causing awakening from sleep


Ans: a. headaches that occur periodically in clusters


Question: prophylactic tx for migraine headaches includes the use of:
a. amitriptyline
b. ergot derivative
c. naproxen sodium
d. clonidine


Ans: a. amitriptyline


Question: among the following beta blockers, which is the least effective in
preventing migraine headache?
a. acebutolol
b. metoprolol
c. atenolol
d. propranolol
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