Page |1
NEURO SYSTEM NP CERTIFICATION, FITZGERALD
4TH ED 2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
b. III - ANSWERS_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 - ANSWERS_loss of corneal reflex is in part seen in dysfunction of
CN:
a. III
b. IV
c. V
d. VI
b. II - ANSWERS_assessing vision and vision fields involves testing CN:
a. I
b. II
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c. III
d. IV
c. VII - ANSWERS_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 - ANSWERS_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 - ANSWERS_in prescribing Prednisone for a pt with Bell's
palsy, the NP considers that its use:
, Page |3
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 - ANSWERS_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 - ANSWERS_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
, Page |4
a. headaches that occur periodically in clusters -
ANSWERS_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 - ANSWERS_prophylactic tx for migraine headaches
includes the use of:
a. amitriptyline
b. ergot derivative
c. naproxen sodium
d. clonidine
a. acebutolol - ANSWERS_among the following beta blockers, which
is the least effective in preventing migraine headache?
a. acebutolol
b. metoprolol
c. atenolol
d. propranolol
NEURO SYSTEM NP CERTIFICATION, FITZGERALD
4TH ED 2025| BRAND NEW ACTUAL EXAM WITH
100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
b. III - ANSWERS_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 - ANSWERS_loss of corneal reflex is in part seen in dysfunction of
CN:
a. III
b. IV
c. V
d. VI
b. II - ANSWERS_assessing vision and vision fields involves testing CN:
a. I
b. II
, Page |2
c. III
d. IV
c. VII - ANSWERS_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 - ANSWERS_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 - ANSWERS_in prescribing Prednisone for a pt with Bell's
palsy, the NP considers that its use:
, Page |3
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 - ANSWERS_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 - ANSWERS_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
, Page |4
a. headaches that occur periodically in clusters -
ANSWERS_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 - ANSWERS_prophylactic tx for migraine headaches
includes the use of:
a. amitriptyline
b. ergot derivative
c. naproxen sodium
d. clonidine
a. acebutolol - ANSWERS_among the following beta blockers, which
is the least effective in preventing migraine headache?
a. acebutolol
b. metoprolol
c. atenolol
d. propranolol
