APEA Neurology MSN 572 Exam
questions with correct answers
Symptoms indicative of shaken baby syndrome are related to - ANSWER -
Uncontrollable cerebral edema and hypoxia
Brain damage resulting from shaking of the body and rapid flexing and extension of
the head results in hypoxia and cerebral edema leading to symptoms of blindness,
inability to perform previously learned milestones, and very flaccid muscle tone.
When assessing coordination of muscle movement, four areas of the nervous
system function in an integrated way. These areas include the motor, cerebellar,
the vestibular, and the sensory systems. Which system coordinates a steady
posture. - ANSWER -Cerebellar System
Coordination of muscle movement requires that four areas of the nervous system
function in an integrated way:
motor system for muscle strength
cerebellar system for rhythmic movements and steady posture
vestibular system for balance and coordinating eye, head, and body movements
sensory system for position sense
When assessing the cranial nerves, the nurse practitioner touches the cornea lightly
with a wisp of cotton. This maneuver assesses which cranial nerve - ANSWER -
Cranial nerve V
Touching the cornea and assessing for a reflex assesses cranial nerve V
,When eliciting deep tendon reflexes in the biceps, the nurse practitioner notes an
abnormal reflex in the right biceps. This abnormality is probable consistent with a
pathological lesion in which segmented level of the spine? - ANSWER -Cervical 5 and
6
The segmented levels of the deep tendon reflexes are
Ankle: sacral 1
Knee: lumbar 2,3 &4
Supinator and biceps: cervical 5&6
Triceps: cervical 6&7
Uncontrolled electrical activity in the brain, which may produce minor physical
signs, thought disturbances, or disturbed motor activity is: - ANSWER -Seizure
Dystonia is a neurological disorder that causes involuntary muscle spasms and
twisting of the limbs.
Bradykinesia is the term used to describe the impaired ability to adjust to one's
body position. This symptom is noted in patients who have parkinson's disease.
A rhythmic oscillatory movement of a body part resulting from the contraction of
opposing muscle groups is a tremor.
A band of skin innervated by the sensory root of a single spinal nerve is termed a -
ANSWER -Dermatome
A band of skin innervated by the sensory root of a single spinal or dorsal nerve root
is termed a dermatome.
A peripheral nerve field refers to an area of the skin innervated by a single nerve
and is described as a cutaneous nerve distribution. A synapse is a structure that
permits a neuron to pass an electrical or chemical signal to another cell.
, Asterixis refers to an abnormal tremor consisting of involuntary jerking movements,
especially in the hands, frequently occurring with impending hepatic coma and
other forms of metabolic encephalopathy. This is known as flapping tremor.
A patient is asked to visually follow a finger through the cardinal fields of gaze.
Which cranial nerves are being assessed? - ANSWER -3, 4, and 6
CN 1 is the olfactory nerve and assesses smell
CN 2 is the optic nerve and assesses visual acuity
CN 5 is the trigeminal nerve and assesses both sensory and motor functions.
A patient presents with history of temp of 102, headache, and pink papules on the
upper chest several hours ago. Petechiae and ecchymosis are noted on the trunk.
These skin lesions may be indicative of: - ANSWER -meningococcemia
Skin lesions associated with meningococcemia initally present as pink macules and
papules. Within minutes to a few hours, petechiae, hemorrhagic petechiae,
hemorrhagic bullae, and purpura fulminans become apparent. With
meningococcemia meningitis, the temperature may be 102 or greater and the
patient appears very ill.
Skin lesions associated with leukemia may include pallor, exfoliative erythroderma,
nodules, petechiae, ecchymoses, pruritus, vasculitis, pyoderma gangrenosum, and
bullous diseases. Skin lesions associated with neurofibromatosis may include, pallor,
exfoliative erythroderma, nodules, petechiae, ecchymoses, pruritus, vaculitis,
pyoderma gangrenosum, and bullous diseases.
Skin lesions associated with neurofibromatosis may include, neurofibromas Cafe au
lait spots, freckling in the axillary and inguinal areas, and plexiform neurofibroma.
Hemorrhagic pancreatitis skin lesions include Grey Turner's sign (bruising of the
flanks, appearing as a blue discoloration), Cullen's sign (superficial edema and
bruising in the subcutaneous fatty tissue around the umbilicus), and panniculitis (a
group of diseases whose hallmark is inflammation of subcutaneous adipose tissue)
questions with correct answers
Symptoms indicative of shaken baby syndrome are related to - ANSWER -
Uncontrollable cerebral edema and hypoxia
Brain damage resulting from shaking of the body and rapid flexing and extension of
the head results in hypoxia and cerebral edema leading to symptoms of blindness,
inability to perform previously learned milestones, and very flaccid muscle tone.
When assessing coordination of muscle movement, four areas of the nervous
system function in an integrated way. These areas include the motor, cerebellar,
the vestibular, and the sensory systems. Which system coordinates a steady
posture. - ANSWER -Cerebellar System
Coordination of muscle movement requires that four areas of the nervous system
function in an integrated way:
motor system for muscle strength
cerebellar system for rhythmic movements and steady posture
vestibular system for balance and coordinating eye, head, and body movements
sensory system for position sense
When assessing the cranial nerves, the nurse practitioner touches the cornea lightly
with a wisp of cotton. This maneuver assesses which cranial nerve - ANSWER -
Cranial nerve V
Touching the cornea and assessing for a reflex assesses cranial nerve V
,When eliciting deep tendon reflexes in the biceps, the nurse practitioner notes an
abnormal reflex in the right biceps. This abnormality is probable consistent with a
pathological lesion in which segmented level of the spine? - ANSWER -Cervical 5 and
6
The segmented levels of the deep tendon reflexes are
Ankle: sacral 1
Knee: lumbar 2,3 &4
Supinator and biceps: cervical 5&6
Triceps: cervical 6&7
Uncontrolled electrical activity in the brain, which may produce minor physical
signs, thought disturbances, or disturbed motor activity is: - ANSWER -Seizure
Dystonia is a neurological disorder that causes involuntary muscle spasms and
twisting of the limbs.
Bradykinesia is the term used to describe the impaired ability to adjust to one's
body position. This symptom is noted in patients who have parkinson's disease.
A rhythmic oscillatory movement of a body part resulting from the contraction of
opposing muscle groups is a tremor.
A band of skin innervated by the sensory root of a single spinal nerve is termed a -
ANSWER -Dermatome
A band of skin innervated by the sensory root of a single spinal or dorsal nerve root
is termed a dermatome.
A peripheral nerve field refers to an area of the skin innervated by a single nerve
and is described as a cutaneous nerve distribution. A synapse is a structure that
permits a neuron to pass an electrical or chemical signal to another cell.
, Asterixis refers to an abnormal tremor consisting of involuntary jerking movements,
especially in the hands, frequently occurring with impending hepatic coma and
other forms of metabolic encephalopathy. This is known as flapping tremor.
A patient is asked to visually follow a finger through the cardinal fields of gaze.
Which cranial nerves are being assessed? - ANSWER -3, 4, and 6
CN 1 is the olfactory nerve and assesses smell
CN 2 is the optic nerve and assesses visual acuity
CN 5 is the trigeminal nerve and assesses both sensory and motor functions.
A patient presents with history of temp of 102, headache, and pink papules on the
upper chest several hours ago. Petechiae and ecchymosis are noted on the trunk.
These skin lesions may be indicative of: - ANSWER -meningococcemia
Skin lesions associated with meningococcemia initally present as pink macules and
papules. Within minutes to a few hours, petechiae, hemorrhagic petechiae,
hemorrhagic bullae, and purpura fulminans become apparent. With
meningococcemia meningitis, the temperature may be 102 or greater and the
patient appears very ill.
Skin lesions associated with leukemia may include pallor, exfoliative erythroderma,
nodules, petechiae, ecchymoses, pruritus, vasculitis, pyoderma gangrenosum, and
bullous diseases. Skin lesions associated with neurofibromatosis may include, pallor,
exfoliative erythroderma, nodules, petechiae, ecchymoses, pruritus, vaculitis,
pyoderma gangrenosum, and bullous diseases.
Skin lesions associated with neurofibromatosis may include, neurofibromas Cafe au
lait spots, freckling in the axillary and inguinal areas, and plexiform neurofibroma.
Hemorrhagic pancreatitis skin lesions include Grey Turner's sign (bruising of the
flanks, appearing as a blue discoloration), Cullen's sign (superficial edema and
bruising in the subcutaneous fatty tissue around the umbilicus), and panniculitis (a
group of diseases whose hallmark is inflammation of subcutaneous adipose tissue)
