NR509 Physical Assessment Week 6: Neuro & Musculoskeletal
1. A 55-year-old woman with c. The patient also has developed fever and night sweats and thinks
a headache explains to she lost some weight.
the clinician that she has
had headaches before, but
this one is unusual be-
cause of some new symp-
toms. Which of the fol-
lowing symptoms would
prompt an immediate in-
vestigation?
a. The headache is similar
in nature to prior ones she
has had for decades but
more severe.
b. The patient had a car
accident and minor head
trauma about 3 months
ago.
c. The patient also has de-
veloped fever and night
sweats and thinks she lost
some weight.
d. The headache comes
and goes.
e. The patient lost her
glasses.
2. In the case of a mid- a. Does the patient have any aura prior to the headaches?
dle-aged female with a
pounding headache, what
is an effective question to
, NR509 Physical Assessment Week 6: Neuro & Musculoskeletal
ask the patient?
a. Does the patient have
any aura prior to the
headaches?
b. How old is the patient?
c. Is she feeling stressed?
d. Does she think she is los-
ing her memory?
e. Has she ever seen any-
one with a stroke?
3. A 35-year-old female pa- c. Take a further history and perform a very careful neurological
tient has had migraines examination.
for much of her adult life.
Ather regular checkup, she
is healthy, takes no med-
ications except oral con-
traceptive pills (OCPs), ex-
ercises, and has a steady
job. Her only complaint is
that her migraines seem to
have become worse, and,
for the past few weeks,
she has been waking up at
night with headache and
also nausea. Which of the
following is the best course
of action?
a. Reassure her that this is
a common pattern with mi-
, NR509 Physical Assessment Week 6: Neuro & Musculoskeletal
graines.
b. Order studies to evalu-
ate potential transient is-
chemic attacks (TIAs) be-
cause she is on OCPs.
c. Take a further history
and perform a very careful
neurological examination.
d. Treat her for sinusitis.
e. Prescribe a strong med-
ication for her migraines.
4. An 82-year-old grand- c. Wernicke aphasia
mother presents to the
Emergency Department in
the care of her extend-
ed family with new-on-
set speech impairment. Ac-
cording to family mem-
bers, the patient awoke
with this symptom as well
as difficulty in understand-
ing questions or follow-
ing commands. Her past
medical history is remark-
able for atrial fibrillation
but no other notable con-
ditions. On examination,
her speech is verbose
but poorly comprehensi-
ble and lacks meaning. She
is unable to follow simple
, NR509 Physical Assessment Week 6: Neuro & Musculoskeletal
commands.
Which of the following best
describes her speech dis-
order?
a. Dysphonia with expres-
sive deficit
b. Dysarthria
c. Wernicke aphasia
d. Global aphasia
e. Broca aphasia
5. A 74M bus driver is deliv- b. Hypertension is the leading risk factor for both ischemic and
ered to the hospital after hemorrhagic stroke.
an astute passenger not-
ed that the pt exhibited
drooping facial features +
slurred speech. The pt was
diagnosed rapidly with is-
chemic (nonhemorrhagic)
stroke, and urgent inter-
vention lead to a near com-
plete recovery from his
symptoms. The passenger
was congratulated for rec-
ognizing the signs of acute
stroke; they credited this
to a public safety aware-
ness campaign that out-
lined the need to recog-
nize strokes early. Which of
the following statements
1. A 55-year-old woman with c. The patient also has developed fever and night sweats and thinks
a headache explains to she lost some weight.
the clinician that she has
had headaches before, but
this one is unusual be-
cause of some new symp-
toms. Which of the fol-
lowing symptoms would
prompt an immediate in-
vestigation?
a. The headache is similar
in nature to prior ones she
has had for decades but
more severe.
b. The patient had a car
accident and minor head
trauma about 3 months
ago.
c. The patient also has de-
veloped fever and night
sweats and thinks she lost
some weight.
d. The headache comes
and goes.
e. The patient lost her
glasses.
2. In the case of a mid- a. Does the patient have any aura prior to the headaches?
dle-aged female with a
pounding headache, what
is an effective question to
, NR509 Physical Assessment Week 6: Neuro & Musculoskeletal
ask the patient?
a. Does the patient have
any aura prior to the
headaches?
b. How old is the patient?
c. Is she feeling stressed?
d. Does she think she is los-
ing her memory?
e. Has she ever seen any-
one with a stroke?
3. A 35-year-old female pa- c. Take a further history and perform a very careful neurological
tient has had migraines examination.
for much of her adult life.
Ather regular checkup, she
is healthy, takes no med-
ications except oral con-
traceptive pills (OCPs), ex-
ercises, and has a steady
job. Her only complaint is
that her migraines seem to
have become worse, and,
for the past few weeks,
she has been waking up at
night with headache and
also nausea. Which of the
following is the best course
of action?
a. Reassure her that this is
a common pattern with mi-
, NR509 Physical Assessment Week 6: Neuro & Musculoskeletal
graines.
b. Order studies to evalu-
ate potential transient is-
chemic attacks (TIAs) be-
cause she is on OCPs.
c. Take a further history
and perform a very careful
neurological examination.
d. Treat her for sinusitis.
e. Prescribe a strong med-
ication for her migraines.
4. An 82-year-old grand- c. Wernicke aphasia
mother presents to the
Emergency Department in
the care of her extend-
ed family with new-on-
set speech impairment. Ac-
cording to family mem-
bers, the patient awoke
with this symptom as well
as difficulty in understand-
ing questions or follow-
ing commands. Her past
medical history is remark-
able for atrial fibrillation
but no other notable con-
ditions. On examination,
her speech is verbose
but poorly comprehensi-
ble and lacks meaning. She
is unable to follow simple
, NR509 Physical Assessment Week 6: Neuro & Musculoskeletal
commands.
Which of the following best
describes her speech dis-
order?
a. Dysphonia with expres-
sive deficit
b. Dysarthria
c. Wernicke aphasia
d. Global aphasia
e. Broca aphasia
5. A 74M bus driver is deliv- b. Hypertension is the leading risk factor for both ischemic and
ered to the hospital after hemorrhagic stroke.
an astute passenger not-
ed that the pt exhibited
drooping facial features +
slurred speech. The pt was
diagnosed rapidly with is-
chemic (nonhemorrhagic)
stroke, and urgent inter-
vention lead to a near com-
plete recovery from his
symptoms. The passenger
was congratulated for rec-
ognizing the signs of acute
stroke; they credited this
to a public safety aware-
ness campaign that out-
lined the need to recog-
nize strokes early. Which of
the following statements
