NEURO SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM QUESTIONS &
ANSWERS LATEST UPDATE.
Neuro System NP Certification, Fitzgerald 4th
edition Exam Questions & Answers Latest Update.
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
®™ pg. 1
, NEURO SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM QUESTIONS &
ANSWERS LATEST UPDATE.
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
®™ pg. 2
, NEURO SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM QUESTIONS &
ANSWERS LATEST UPDATE.
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
®™ pg. 3
ANSWERS LATEST UPDATE.
Neuro System NP Certification, Fitzgerald 4th
edition Exam Questions & Answers Latest Update.
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
®™ pg. 1
, NEURO SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM QUESTIONS &
ANSWERS LATEST UPDATE.
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
®™ pg. 2
, NEURO SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM QUESTIONS &
ANSWERS LATEST UPDATE.
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
®™ pg. 3
