MN 568 Unit 10 Final Exam NEUROLOGICAL PROBLEMS - Question and Answers

1. Which statement about confusion is true? 2. Sondra’s peripheral vestibular disease causes dizziness and vertigo. Which of the following medications will help to decrease edema in the labyrinth of the ear? 3. The hallmark of an absence seizure is: 4. How often should drug levels be monitored when a seizure medication has controlled the seizures, and the drug level is adequate? 5. Which of the following persons fits the classic description of a patient with multiple sclerosis (MS)? 6. Which of the following is a specific test to MS? 7. Which drug for Alzheimer’s disease should be administered beginning at the time of diagnosis? 8. Which hematoma occurs along the temporal cranial wall and results from tears in the middle meningeal artery? 9. Which cranial nerve is affected in a patient with a cerebrovascular accident who has difficulty chewing? 10. Which statement best describes a carotid bruit? 11. Which patient is more likely to have a cluster headache? 12. Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of? 13. Which type of meningitis is more benign, self-limiting, and caused primarily by a virus? 14. Which is the most sensitive neuroimaging test to evaluate patients with encephalitis? 15. What is usually the first sign or symptom that a patient would present with that would make you suspect herpes zoster? 16. Gabby, aged 22, has Bell’s palsy on the right side of her face. Her mouth is distorted, and she is concerned about permanent paralysis and pain. What do you tell her? 17. Sam, aged 65, is started on L-dopa for his Parkinson’s disease (PD). He asks why this is necessary. You tell him: 18. Which of the following signs is seen in a patient with more advanced PD? 19. Which of the following is the most commonly experienced symptom of migraine? 20. Which of the following characteristics differentiates peripheral vertigo from central vertigo? 21. Carotid endarterectomy should be considered only for symptomatic patients with greater than what percentage of stenosis? 22. What antiplatelet agent is most widely used for secondary prevention of stroke? 23. Which adjunctive diagnostic test should be used in the work-up of a patient with suspected Creutzfeldt-Jakob disease or transient epileptic amnesia? 24. Which herbal preparation may cause delirium and should be avoided in an elderly patient? 25. Which of the following activities is part of the functional activities questionnaire? 26. About 90% of all headaches are? 27. Which statement is true regarding driving and patients with a seizure disorder? 28. Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon. Which medication might help given intravenously once a month? 29. The ‘freezing phenomenon’ is a cardinal feature of? 30. A ratchet-like rhythmic contraction, especially in the hand, during passive stretching is known as? 31. Clinical features of insidious onset, slow progression, and a lack of other findings to explain the symptoms are fairly diagnostic of which condition? 32. Which condition is characterized by the impaired ability to learn new information along with either a cognitive disturbance in language, function, or perception? 33. A score of 20 to 25 on this test indicates early-stage Alzheimer’s disease: 34. Intravenous thrombolytic therapy following an ischemic CVA should be given within how many hours of symptom onset? 35. When administered at the beginning of an attack, oxygen therapy may help this kind of headache?