APEA Neuro Musculoskeletal APEA Psych QUESTIONS AND ANSWERS UPDATED 2023.pdf

g APEA 6440 Psych Neuro 6020APEA Neuro | MusculoSkel
g g g g gg gg gg




etal Latest Update 2022/2023 South University Savannah
ggg ggg g gg g g




Question:
Sudden, brief, rapid jerks, involving the trunk or limbs may be consistent with:
g g g g g g g g g g g g



a myoclonic seizure. C
g g g



orrect Explanation: g



A patient experiencing a myoclonic seizure manifests sudden, brief, rapid je
g g g g g g g g g g



rks, involving the trunk or limbs. A sudden brief lapse of consciousness with
g g g g g g g g g g g g g



momentary blinking, staring, or movements of the lips & hands but no falling
g g g g g g g g g g g g



g is consistent with an absent seizure. During a myoclonic atonic seizure, the
g g g g g g g g g g g g



patient experiences a sudden loss of consciousness with fallingbut no move
g g g g g g g g g g g



ments. Injury may occur. Focal seizures with impairment of consciousness th
g g g g g g g g g g



e person appears confused. Automatisms include automatic motor behavior
g g g g g g g g



s such as chewing, smacking the lips, walking about, & unbuttoning clothes.
g g g g g g g g g g g




Question:
During this type of seizure activity, the patient experiences partial seizures th
g g g g g g g g g g g



at resemble tonic-
g g



clonic seizures. The patient may recall the aura and a unilateral neurologic d
g g g g g g g g g g g g g



eficit is present during the postictal period. This type of seizure activity is ref
g g g g g g g g g g g g g



erred to as a: g g g




Jacksonian Seizure (tonic & clonic movements that start unilaterally & sprea
g g g g g g g g g g



d to other parts ofthe body).
g g g g g g




Question:
An infant presents with an inappropriately increasing head circumference hy
g g g g g g g g g



drocephalus confirmed by CT Scan. In addition to these findings, which one o
g g g g g g g g g g g g



f the following would also beconsistent with hydrocephalus?
g g g g g g g g




?Tense bulging fontanel? g g




Question:

,The classic signs of a basilar skull fracture include hemotympanum and:
g g g g g g g g g g



CSF leak from nose an
g g g g



d earsQuestion:
g g



The cranial sutures are closed on the head of a 9 month old infant. This indicate
g g g g g g g g g g g g g g g



s:
Craniosynost
osisQuestion g



:
A patient presents with history of temperature 102 F, HA, and pink papules o
g g g g g g g g g g g g g



n the upper chest,etc..
g g g g



Known about The clinical presentation of meningococcemia may include any
g g g g g g g g g g



of the following:
g g



• A nonspecific prodrome of cough, headache, and sore throat
g g g g g g g g



• The above followed by a few days of upper respiratory symptoms, increa
g g g g g g g g g g g



sing temperature,& chills
g g g



• Subsequent malaise, weakness, myalgias, headache, nausea, vomiting, &
g g g g g g g g



arthralgias
• The characteristic petechial skin rash is usually located on the trunk & l
g g g g g g g g g g g g



egs & may rapidlyevolve into purpura
g g g g g g




Question:
The part of the peripheral nervous system that controls involuntary actions is k
g g g g g g g g g g g g



nown as the: g g

,autonomic nervous system g g




Explanation:
The PNS can be broken down into two systems: the autonomic ner
g g g g g g g g g g g



vous system,which regulates involuntary actions such as breat
g g g g g g g g



hing and digestion, and the somatic nervous system, which gover
g g g g g g g g g



ns voluntary action and body reflexes.
g g g g g




Question:
A teenager is being assessed for possible acute marijuana usage and appears
g g g g g g g g g g g g



intoxicated.Findings consistent with marijuana intoxication could include:
g g g g g g g




Euphoria, talkativeness, and paranoi g g g



a.Explanation:
g



Marijuana intoxication would present with relaxation, euphoria, detachment, t
g g g g g g g g



alkativeness,
slowed perception of time, & possible anxiety or paranoia.
g g g g g g g g




Question:
Most peripheral nerves contain afferent and efferent fibers. The term afferent r
g g g g g g g g g g g



efers to: g



Sensory nerve fi g g



bers.Explanatio g



n:
Sensory neurons (afferent) – gg gg gg



gg connected to receptors; transmit information to the CNS
gg gg gg gg gg gg gg




Question:
Which of the following neurological assessment findings indicate the need for f
g g g g g g g g g g g



urther evaluation? g



Weak & ineffective sucking movemen
g g g g



ts CorrectExplanation:
g g



Weak & ineffective sucking movements would indicate the need for further e
g g g g g g g g g g g



valuation since any weak, absent, asymmetrical or fine jumping movements
g g g g g g g g g g

, would suggest neurological system disorders. The other choices represent co
g g g g g g g g g



mmon reflexes found in the normal newborn: Babinski,grasping, & stepping.
g g g g g g g g g g




Question:
An example of proximal weakness is:
g g g g g



the right shoulder. Co
g g g



rrect Explanation: g



There are 4 different patterns of weakness: Proximal, distal, symmetric, & as
g g g g g g g g g g g



ymmetric. An example of proximal weakness is weakness in the shoulder or h
g g g g g g g g g g g g



ip girdle. Distal weakness occurs in the hands or feet. Symmetric weakness oc
g g g g g g g g g g g g



curs in the same areas on both sides of the body. Anasymmetric weakness o
g g g g g g g g g g g g g g



ccurs in a portion of the face or extremity - a form of focal weakness.
g g g g g g g g g gg gg gg gg g




Question:
A female patient complains of weakness in her hand when opening a jar. This
g g g g g g g g g g g g g g



finding could besuggestive of which type of weakness pattern?
g g g g g g g g g




Distal Corr g



ectExplan g



ation:
To identify distal weakness, ask about hand movements when opening a jar, ca
g g g g g g g g g g g g



n or using scissors
g g g



or a screwdriver. Another example is a problems like tripping when walking.
g g g g g g g g g g g




Question: