NU 664 FNP Midterm questions and answers
with solutions 2025
Cranial nerve i - ANSWER Olfactory (smell)
Cranial nerve II - ANSWER Optic (visual acuity, gross visual fields, fundoscopic exam)
Cranial nerve III - ANSWER Oculomotor (pupillary response, eye movement, upward and medial
gaze)
Cranial nerve IV - ANSWER Trochlear (eye movement downward and medial gaze)
Cranial nerve V - ANSWER Trigeminal (teeth clenching, corneal reflex, respnsible for trigeminal
neuralgia)
Cranial nerve VI - ANSWER Abducens (lateral eye movement)
Cranial nerve VII - ANSWER Facial (frown, smile, puff out cheeks, assess symmetry)
Cranial nerve VIII - ANSWER Acoustic (Hearing and balance) (vestibular)
Cranial nerve IX - ANSWER Glossopharyngeal (gag reflex)
Cranial nerve X - ANSWER Vagus - swallowing and speaking, gag reflex
Cranial nerve XI - ANSWER Spinal Accessory - controls trapezius & sternocleidomastoid &
controls swallowing movements, shrug shoulder and turn head
,Cranial nerve XII - ANSWER Hypoglossal Articulation. And tongue movement
Gross motor strength - ANSWER Upper and lower extremities, look for symmetry and strength
Cerebella Function - ANSWER Romberg test, coordination, reflexes
Subdural acute - ANSWER Less than 72 hours
Subdural subacute - ANSWER 3-20 days
Subdural chronic - ANSWER > 20 days
Epidural hematoma - ANSWER Bleeding from the middle meninges arteries
Basilar skull fracture - ANSWER Can cause leaking of CSF
Pneumocephalus - ANSWER Air entry into the CSF filled space
Battles sign - ANSWER Ecchymosis behind the ear/mastoid process (concern for basilar skull
fracture and CSF leak)
Raccoon eyes - ANSWER Periorbital ecchymosis associated with basilar skull fractures and
orbital fractures (concern for CSF leak)
Glasgow Coma Scale (GCS) - ANSWER Rapid Neuro Exam ~ measures Motor response 1-6, verbal
response 1-5 and eye opening 1-4
, What is a normal GCS - ANSWER 15
What does a GCS of 7 mean - ANSWER Coma
What does GCS of 3 mean - ANSWER Deep coma
FOGS Mental status - ANSWER family story, orientation, general information, spelling
Rapid neuro evaluation calculations - ANSWER Count backwards by 7 from 100, or repeat a 3
digit number
Rapid Neuro evaluation recall - ANSWER Recall 2 objects
Subarachnoid hemorrhage - ANSWER Extreme headaches and necks stiffness, comes from
ruptured intracranial saccular (berry) aneurysms 80% of time
Trigeminal neuralgia (tic douloureux) - ANSWER Excruciating facial pain for 3 secs, can be
disabling. More often in females and over 50. Caused by compression by a nearby artery and
secondary demyelination of axons in the 5th Cranial nerve. The Trigeminal nerve has 3
branches~ opthalamic, maxillary, and madibular branch. Treat with carbamazepine or
oxcarbazepine. Can also use baclofen, Gabapentin or lamotrigine. Can use surgery but it will
often return.
Bell's palsy - ANSWER Caused by HSV most often. Loss of motor function to face, loss of taste in
2/3 of tongue, and sensation to EAC. Will have a sense of forehead wrinkles, wider pal-Reagan
fissure, decrease corneal reflex, Bells phenomenon (eye turns upward when patient try's to
close the eyelid), flattening of the nasolabial fold, Lacrimation May or may not be affected.
Won't be able to close eye, whistle, or smile.
with solutions 2025
Cranial nerve i - ANSWER Olfactory (smell)
Cranial nerve II - ANSWER Optic (visual acuity, gross visual fields, fundoscopic exam)
Cranial nerve III - ANSWER Oculomotor (pupillary response, eye movement, upward and medial
gaze)
Cranial nerve IV - ANSWER Trochlear (eye movement downward and medial gaze)
Cranial nerve V - ANSWER Trigeminal (teeth clenching, corneal reflex, respnsible for trigeminal
neuralgia)
Cranial nerve VI - ANSWER Abducens (lateral eye movement)
Cranial nerve VII - ANSWER Facial (frown, smile, puff out cheeks, assess symmetry)
Cranial nerve VIII - ANSWER Acoustic (Hearing and balance) (vestibular)
Cranial nerve IX - ANSWER Glossopharyngeal (gag reflex)
Cranial nerve X - ANSWER Vagus - swallowing and speaking, gag reflex
Cranial nerve XI - ANSWER Spinal Accessory - controls trapezius & sternocleidomastoid &
controls swallowing movements, shrug shoulder and turn head
,Cranial nerve XII - ANSWER Hypoglossal Articulation. And tongue movement
Gross motor strength - ANSWER Upper and lower extremities, look for symmetry and strength
Cerebella Function - ANSWER Romberg test, coordination, reflexes
Subdural acute - ANSWER Less than 72 hours
Subdural subacute - ANSWER 3-20 days
Subdural chronic - ANSWER > 20 days
Epidural hematoma - ANSWER Bleeding from the middle meninges arteries
Basilar skull fracture - ANSWER Can cause leaking of CSF
Pneumocephalus - ANSWER Air entry into the CSF filled space
Battles sign - ANSWER Ecchymosis behind the ear/mastoid process (concern for basilar skull
fracture and CSF leak)
Raccoon eyes - ANSWER Periorbital ecchymosis associated with basilar skull fractures and
orbital fractures (concern for CSF leak)
Glasgow Coma Scale (GCS) - ANSWER Rapid Neuro Exam ~ measures Motor response 1-6, verbal
response 1-5 and eye opening 1-4
, What is a normal GCS - ANSWER 15
What does a GCS of 7 mean - ANSWER Coma
What does GCS of 3 mean - ANSWER Deep coma
FOGS Mental status - ANSWER family story, orientation, general information, spelling
Rapid neuro evaluation calculations - ANSWER Count backwards by 7 from 100, or repeat a 3
digit number
Rapid Neuro evaluation recall - ANSWER Recall 2 objects
Subarachnoid hemorrhage - ANSWER Extreme headaches and necks stiffness, comes from
ruptured intracranial saccular (berry) aneurysms 80% of time
Trigeminal neuralgia (tic douloureux) - ANSWER Excruciating facial pain for 3 secs, can be
disabling. More often in females and over 50. Caused by compression by a nearby artery and
secondary demyelination of axons in the 5th Cranial nerve. The Trigeminal nerve has 3
branches~ opthalamic, maxillary, and madibular branch. Treat with carbamazepine or
oxcarbazepine. Can also use baclofen, Gabapentin or lamotrigine. Can use surgery but it will
often return.
Bell's palsy - ANSWER Caused by HSV most often. Loss of motor function to face, loss of taste in
2/3 of tongue, and sensation to EAC. Will have a sense of forehead wrinkles, wider pal-Reagan
fissure, decrease corneal reflex, Bells phenomenon (eye turns upward when patient try's to
close the eyelid), flattening of the nasolabial fold, Lacrimation May or may not be affected.
Won't be able to close eye, whistle, or smile.
