APEA Exam Question and Answers - Neurology

• The level of consciousness that refers to the ability of the patient to respond fully and appropriately to stimuli is known as: alertness • When assessing the patient’s sense of position, instruct the patient to first stand with his feet together and eyes open, then instruct him to close both eye for 30-60 seconds. If he loses his balance with his eyes closed, this is: suggestive of ataxia related to dorsal column disease • When comparing two sides of the body for symmetric sensation a symmetrical distal sensory loss would be suggestive of: polyneuropathy • A female patient complains of weakness in her arm when combing her hair. This finding could be suggestive of which type of weakness pattern? Proximal • Having the patient shrug his shoulders and elicit neck movements would be testing cranial nerve: XI • It is imperative to assess for suicidality and bipolar disorder in patients suspected of experiencing: depression • Which one of the following procedures should NOT be performed in a comatose patient? Dilate the pupils • With the adult patient laying supine, the nurse practitioner flexes that patient’s leg at both the hip and the knee and the straightens the knee. Pain and increased resistance to extending the knee is noted. This is a positive: Kernig’s sign • The part of the brain that controls most functions in the body and is responsible for breathing, heart rate, and articulate speech is the: brainstem • The patient has his eyes closed and an area on his right leg is briefly touched by the nurse practitioner. The patient is instructed to open his eyes and point to the area that was touched. This is an example of the discriminative sensation known as: point localization • What geriatric condition is characterized by normal alertness but progressive global deterioration of cognition in multiple domains? Alzheimer’s disease • Which one of the following assesses pain, temperature, and sensation using the distal and proximal areas testing pattern? Test the sensation in the thumbs and little fingers • An 8-month-old with a significant head lag would suggest the need for: a neurological evaluation • A form of aphasia in which the speech is confluent, slow, with few words and laborious effort and inflection and articulation are impaired but words are meaningful, is termed: Broca’s aphasia • With the patient lying supine, the nurse practitioner places her hands behind the patient’s head while flexing the neck forward until his chin touches his chest. Neck stiffness with resistance to flexion is noted. This is a positive: nuchal rigidity sign • When assessing coordination of muscles movement, four areas of the nervous system function in a integrate way. These areas include the motor, cerebellar