NEURO SYSTEM NP CERTIFICATION, FITZGERALD 4TH ED QUESTIONS WITH CORRECT ANSWERS

B. Iii - you perform an extraocular movement test on a middle- aged pt. He is unable to move his eyes upward and inward. This indicates a possibility of paralysis of cn: A. Ii B. Iii C. V D. Vi C. V - loss of corneal reflex is in part seen in dysfunction of cn: A. Iii B. Iv C. V D. Vi B. Ii - assessing vision and vision fields involves testing cn: A. I B. Ii C. Iii D. Iv C. Vii - you examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry. She is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her exam is otherwise unremarkable. This presentation likely represents paralysis of cn: A. Iii B. Iv C.vii D. Viii B. Lyme disease antibody titer - you examine a 29 y/o female who has a sudden onset of rt-sided facial asymmetry. She is unable to close her rt eyelid tightly, frown, or smile on the affected side. Her exam is otherwise unremarkable. Which represents the most appropriate diagnostic test for this patient? A. Complete blood cell count with wbc differential B. Lyme disease antibody titer C. Computed tomography (ct) scan of the head with contrast medium D. Blood urea nitrogen and creatinine levels B. Should be initiated as soon as possible after the onset of facial paralysis - in prescribing prednisone for a pt with bell's palsy, the np considers that its use: A. Has not been shown to be helpful in improving outcomes in this condition B. Should be initiated as soon as possible after the onset of facial paralysis C. Is likely to help minimize ocular sxs D. May prolong the course of the disease C. Cluster headache - a 40 y/o male presents with a 5 wk hx of recurrent headaches that awaken him during the night. The pain is severe, lasts about 1 hr, and is located behind his left eye. Additional sxs include lacrimation and nasal discharge. His pe is wnl. This clinical presentation is most consistent with: A. Migraine without aura B. Migraine with aura C. Cluster headache D. Increased intracranial pressure C. Migraine with aura - a 22 y/o female presents with a 3 yr hx of recurrent, unilateral, pulsating headaches with vomiting and photophobia. The headaches, which generally last 3 hrs, can be aborted by resting in a dark room. She can usually tell that she is going to get a headache. She explains, "i see little squiggles before my eyes for about 15 min". This presentation is most consistent with: A. Tension-type headache B. Migraine without aura C. Migraine with aura D. Cluster headache A. Headaches that occur periodically in clusters - indicators that a headache can be the presenting sx of a serious illness and may require neuroimaging include all of the following except: A. Headaches that occur periodically in clusters B. Increasing frequency and severity of headaches C. Headache causing confusion, dizziness, and/or lack of coordination D. Headache causing awakening from sleep A. Amitriptyline - prophylactic tx for migraine headaches includes the use of: A. Amitriptyline B. Ergot derivative C. Naproxen sodium D. Clonidine A. Acebutolol - among the following beta blockers, which is the least effective in preventing migraine headache? A. Acebutolol B. Metoprolol C. Atenolol D. Propranolol C. Lamotrigine - antiepileptic drugs useful for preventing migraine headaches include all of the following except: A. Divalproex B. Valproate C. Lamotrigine D. Topiramate D. Ginkgo biloba - evidence supports the use of all of the following vitamins and supplements for migraine prevention except: A. Butterbur B. Riboflavin C. Feverfew D. Ginkgo biloba C. Timolol - you are examining a 65 y/o male who has a hx of acute coronary syndrome and migraine. Which of the following agents represents the best choice of acute headache (abortive) therapy for this pt? A. Verapamil B. Ergotamine C. Timolol D. Sumatriptan C. Oral naproxen sodium - a 45 y/o male experiences rapidly progressing migraine headaches that are accompanied by significant gi upset. Appropriate acute headache (abortive) tx includes all of the following except: A. Injectable sumatriptan B. Dihydroergotamine nasal spray C. Oral naproxen sodium D. Zolmitriptan nasal spray