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Chapter 14 Neurological Disorders - Goulds Test Bank

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November 13, 2025
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Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 111



Chapter 14: Neurological Disorders
VanMeter and Hubert: Gould’s Pathophysiology for the Health Professions, 7th
Edition


MULTIPLE CHOICE

1. Through what area does the cerebrospinal fluid circulate around the brain and spinal cord?
a. Between the double layers of the dura mater
b. In the subdural space
c. In the subarachnoid space
d. Through the arachnoid villi
ANS> C

2. Which of the following is the usual location of language centers?
a. Left hemisphere
b. Right hemisphere
c. Brainstem
d. Hypothalamus
ANS> A

3. What would be the effect of damage to the auditory association area in the left hemisphere?
a. Loss of hearing in both ears
b. Inability to understand what is heard
c. Loss of hearing in the left ear
d. Inability to determine the source of the sound

ANS> B

4. Which of the following applies to the corticospinal tract?
a. It is an ascending tract.
b. The nerve fibers conduct sensory impulses.
c. It is an extrapyramidal tract.
d. It is a pyramidal tract for efferent impulses.
ANS> D

5. What is a major function of the limbic system?
a. Overall control of fluid balance
b. Required for logical thinking, reason, and decision making
c. Determines emotional responses
d. Responsible for artistic and musical talents
ANS> C

6. Where are b1-adrenergic receptors located?
a. Bronchiolar walls
b. Arteriolar walls
c. Cardiac muscle
d. Glands of the intestinal tract

,Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 112



ANS> C

7. What does a vegetative state refer to?
a. Depression of the reticular activating system (RAS) and inability to initiate action
b. Loss of awareness and intellectual function but continued brainstem function
c. Continuing intellectual function but inability to communicate or move
d. Disorientation and confusion with decreased responsiveness
ANS> B

8. Which of the following conditions is NOT part of the criteria for a declaration of “brain
death”?
a. No activity on EEG
b. Absence of all reflexes
c. No spontaneous respirations
d. Presence of any head injury
ANS> D

9. What is the best definition of aphasia?
a. The inability to comprehend or express language appropriately
b. Difficulty swallowing
c. Loss of the visual field contralateral to the area of damage
d. The inability to articulate words clearly
ANS> A

10. What is an early indicator of increased intracranial pressure?
a. Papilledema
b. Bilateral fixed dilated pupils
c. Decreasing responsiveness
d. Rapid heart rate
ANS> C

11. What is the rationale for vomiting in a patient who has increased intracranial pressure?
a. Chemoreceptors responding to changes in the blood
b. Pressure extending to spinal nerves
c. Pressure on the emetic center in the medulla
d. Stimuli to the hypothalamic center for hunger and thirst
ANS> C

12. What is the typical change in blood pressure in a patient who has increased intracranial
pressure?
a. Erratic diastolic pressure
b. Decreasing systolic pressure
c. Systolic and diastolic pressures decreasing proportionately
d. Increasing pulse pressure
ANS> D

, Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 113


13. The largest category of primary malignant brain tumors that arise from cells in the central
nervous system (CNS) are called
a. gliomas.
b. sarcomas.
c. lymphomas.
d. myelomas.
ANS> A

14. Which of the following causes papilledema?
a. Increased pressure of cerebrospinal fluid (CSF) at the optic disc
b. Increased intraocular pressure
c. Pressure on the oculomotor nerve
d. Pressure on the optic chiasm
ANS> A

15. What is the effect of an enlarging brain abscess on cardiovascular activity?
a. Increased heart rate and systemic vasodilation
b. Low blood pressure and irregular heart and respiratory rates
c. Systemic vasoconstriction and slower heart rate
d. Immediate depression of the cardiac control centers
ANS> C

16. As intracranial pressure rises, the pupil of the eye, ipsilateral to the lesion, becomes dilated
and unresponsive to light because of pressure on the
a. optic nerve.
b. peripheral nervous system (PNS) fibers in cranial nerve III.
c. sympathetic nervous system (SNS) nerve to the eye.
d. occipital lobe.
ANS> B

17. Which of the following characteristics indicates that the CSF is normal?
a. Cloudy and pale yellow color
b. Presence of erythrocytes
c. Presence of numerous leukocytes
d. Clear and colorless fluid
ANS> D

18. Which of the following statements is TRUE about malignant brain tumors?
a. Most brain tumors arise from malignant neurons.
b. Primary brain tumors rarely metastasize outside the CNS.
c. The blood-brain barrier prevents secondary brain tumors.
d. Brainstem tumors do not manifest signs until they are quite large.
ANS> B

19. Secondary brain tumors usually arise from
a. severe head trauma.
b. metastasized breast or lung tumors.

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