AGNP Final Exam Questions With
Complete Solutions
Assessing vision and the visual field involves testing cranial nerve
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2
You perform extraocular movement testing on a middle-age patient. He
| | | | | | | | | |
is unable to move his eyes upward and inward. This indicates a
| | | | | | | | | | | |
possibility of paralysis of cranial nerve
| | | | |
3
Loss of corneal reflex is in part seen in dysfunction of cranial nerve
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5
Cranial nerve one | |
sense of smell (olfactory)
| | |
,cranial nerve seven | |
(facial nerve) Facial symmetry, drooping mouth
| | | | |
cranial nerve nine | |
tongue and throat, swallowing (glossopharyngeal.
| | | |
You examine a 29 year old woman, who reports a sudden onset of right
| | | | | | | | | | | | | |
sided facial asymmetry. She is unable to close her right eyelid tightly,
| | | | | | | | | | | |
frown or smile on the affected side. She states I was fine last night when
| | | | | | | | | | | | | |
I went to bed and I woke up like this. Her health history and physical
| | | | | | | | | | | | | | | |
examination or otherwise unremarkable. Her medication include a
| | | | | | | |
multivitamin daily and a progesterone implant for contraception. He is
| | | | | | | | | |
not a smoker this presentation likely represents paralysis of cranial
| | | | | | | | | |
Nerve
seven
Which represents the most appropriate diagnostic test for a patient
| | | | | | | | | |
with paralysis of cranial nerve seven
| | | | |
lyme disease testing
| |
,In prescribing a systemic corticosteroids for a patient with Bell's palsy,
| | | | | | | | | | |
the nurse practitioner considers that it's use
| | | | | |
Should be initiated as soon as possible after the onset of facial paralysis
| | | | | | | | | | | |
Bell's palsy is also known as
| | | | |
idiopathic facial paralysis | |
A 46 year old man diagnosed with Bell's palsy and being treated with a
| | | | | | | | | | | | | |
systemic corticosteroid ask the NP about the use of an antiviral
| | | | | | | | | | |
medication as he read online that an antiviral can help to cure the
| | | | | | | | | | | | |
disease. The NP correctly responds | | | |
an antiviral can be considered through the benefit has not been
| | | | | | | | | | |
established in clinical studies | | |
A 35 year old normotensive woman with a history of bilateral tubal
| | | | | | | | | | | |
ligation presents with a six month history of gradual bilateral facial
| | | | | | | | | | |
nerve paralysis, difficulty swallowing, altered extraocular eye
| | | | | | |
movements and diminish deep tendon reflexes in all four extremities.
| | | | | | | | | |
The NP considers | |
, making a prompt referral to neurology
| | | | |
A 27 year old man presents with a five week history of recurrent
| | | | | | | | | | | | |
headaches that awaken him during the night. The pain is severe, lasts
| | | | | | | | | | | |
about one hour and is located behind his left eye. Additional symptoms
| | | | | | | | | | | |
include lacrimation and nasal discharge. His physical examination is
| | | | | | | | |
within normal limits and he is currently headache free. This clinical
| | | | | | | | | | |
presentation is most consistent with | | | |
cluster headache |
A 22 year old woman presents with a three year history of recurrent
| | | | | | | | | | | | |
unilateral pulsating headaches with vomiting and photophobia she can
| | | | | | | | |
usually tell that she's going to get a headache. She explains I see a little
| | | | | | | | | | | | | | |
squiggly before my eyes for about 15 minutes before the headache
| | | | | | | | | | |
starts. Her physical examination is unremarkable. This presentation is
| | | | | | | | |
most consistent with
| |
migraine with aura | |
Indicators that a headache can be presenting symptoms of a serious
| | | | | | | | | | |
underlying illness and condition for Neuro imaging include all the
| | | | | | | | | |
following except |
Complete Solutions
Assessing vision and the visual field involves testing cranial nerve
| | | | | | | | |
2
You perform extraocular movement testing on a middle-age patient. He
| | | | | | | | | |
is unable to move his eyes upward and inward. This indicates a
| | | | | | | | | | | |
possibility of paralysis of cranial nerve
| | | | |
3
Loss of corneal reflex is in part seen in dysfunction of cranial nerve
| | | | | | | | | | | |
5
Cranial nerve one | |
sense of smell (olfactory)
| | |
,cranial nerve seven | |
(facial nerve) Facial symmetry, drooping mouth
| | | | |
cranial nerve nine | |
tongue and throat, swallowing (glossopharyngeal.
| | | |
You examine a 29 year old woman, who reports a sudden onset of right
| | | | | | | | | | | | | |
sided facial asymmetry. She is unable to close her right eyelid tightly,
| | | | | | | | | | | |
frown or smile on the affected side. She states I was fine last night when
| | | | | | | | | | | | | |
I went to bed and I woke up like this. Her health history and physical
| | | | | | | | | | | | | | | |
examination or otherwise unremarkable. Her medication include a
| | | | | | | |
multivitamin daily and a progesterone implant for contraception. He is
| | | | | | | | | |
not a smoker this presentation likely represents paralysis of cranial
| | | | | | | | | |
Nerve
seven
Which represents the most appropriate diagnostic test for a patient
| | | | | | | | | |
with paralysis of cranial nerve seven
| | | | |
lyme disease testing
| |
,In prescribing a systemic corticosteroids for a patient with Bell's palsy,
| | | | | | | | | | |
the nurse practitioner considers that it's use
| | | | | |
Should be initiated as soon as possible after the onset of facial paralysis
| | | | | | | | | | | |
Bell's palsy is also known as
| | | | |
idiopathic facial paralysis | |
A 46 year old man diagnosed with Bell's palsy and being treated with a
| | | | | | | | | | | | | |
systemic corticosteroid ask the NP about the use of an antiviral
| | | | | | | | | | |
medication as he read online that an antiviral can help to cure the
| | | | | | | | | | | | |
disease. The NP correctly responds | | | |
an antiviral can be considered through the benefit has not been
| | | | | | | | | | |
established in clinical studies | | |
A 35 year old normotensive woman with a history of bilateral tubal
| | | | | | | | | | | |
ligation presents with a six month history of gradual bilateral facial
| | | | | | | | | | |
nerve paralysis, difficulty swallowing, altered extraocular eye
| | | | | | |
movements and diminish deep tendon reflexes in all four extremities.
| | | | | | | | | |
The NP considers | |
, making a prompt referral to neurology
| | | | |
A 27 year old man presents with a five week history of recurrent
| | | | | | | | | | | | |
headaches that awaken him during the night. The pain is severe, lasts
| | | | | | | | | | | |
about one hour and is located behind his left eye. Additional symptoms
| | | | | | | | | | | |
include lacrimation and nasal discharge. His physical examination is
| | | | | | | | |
within normal limits and he is currently headache free. This clinical
| | | | | | | | | | |
presentation is most consistent with | | | |
cluster headache |
A 22 year old woman presents with a three year history of recurrent
| | | | | | | | | | | | |
unilateral pulsating headaches with vomiting and photophobia she can
| | | | | | | | |
usually tell that she's going to get a headache. She explains I see a little
| | | | | | | | | | | | | | |
squiggly before my eyes for about 15 minutes before the headache
| | | | | | | | | | |
starts. Her physical examination is unremarkable. This presentation is
| | | | | | | | |
most consistent with
| |
migraine with aura | |
Indicators that a headache can be presenting symptoms of a serious
| | | | | | | | | | |
underlying illness and condition for Neuro imaging include all the
| | | | | | | | | |
following except |
