Question 1

When assessing superficial pain, touch, vibration, and position perceptions, you are testing

Accepted Answer

A) motor function. 
B) cerebellar function. 
C) sensory function. 
D) tendon reflexes. 
E) emotional status. 
A) motor function. 
B) cerebellar function. 
C) sensory function. 
D) tendon reflexes. 
E) emotional status.

Question 2

A clinical syndrome of intracranial hypertension that mimics brain tumors is

Accepted Answer

A) meningitis. 
B) myasthenia gravis. 
C) Guillain-Barré syndrome. 
D) pseudotumor cerebri. 
E) Bell palsy. 
A) meningitis. 
B) myasthenia gravis. 
C) Guillain-Barré syndrome. 
D) pseudotumor cerebri. 
E) Bell palsy.

Question 3

A neurologic past medical history should include data about

Accepted Answer

A) family patterns of dexterity and dominance. 
B) circulatory problems. 
C) educational level. 
D) immunizations. 
E) allergies. 
A) family patterns of dexterity and dominance. 
B) circulatory problems. 
C) educational level. 
D) immunizations. 
E) allergies.

Question 4

Persons with Parkinson disease have an altered gait that is characterized by

Accepted Answer

A) short shuffling steps. 
B) the trunk in a backward position. 
C) exaggerated swinging of the arms. 
D) lifting the legs in a high-step fashion. 
E) wide-based, staggering, and lurching steps. 
A) short shuffling steps. 
B) the trunk in a backward position. 
C) exaggerated swinging of the arms. 
D) lifting the legs in a high-step fashion. 
E) wide-based, staggering, and lurching steps.

Question 5

Motor maturation proceeds in an orderly progression from

Accepted Answer

A) peripheral to central. 
B) head to toe. 
C) lateral to medial. 
D) pedal to cephalic. 
E) toe to head. 
A) peripheral to central. 
B) head to toe. 
C) lateral to medial. 
D) pedal to cephalic. 
E) toe to head.

Question 6

Cranial nerve XII may be assessed in an infant by

Accepted Answer

A) watching the infant's facial expressions when crying. 
B) observing the infant suck and swallow. 
C) clapping hands and watching the infant blink. 
D) observing the infant's rooting reflex. 
E) checking the infant's gag reflex. 
A) watching the infant's facial expressions when crying. 
B) observing the infant suck and swallow. 
C) clapping hands and watching the infant blink. 
D) observing the infant's rooting reflex. 
E) checking the infant's gag reflex.

Question 7

You have asked a patient to close his eyes and identify an object placed in his hand. You are evaluating

Accepted Answer

A) stereognosis. 
B) graphesthesia. 
C) vibratory sense. 
D) two-point discrimination. 
E) extinction phenomenon. 
A) stereognosis. 
B) graphesthesia. 
C) vibratory sense. 
D) two-point discrimination. 
E) extinction phenomenon.

Question 8

Cerebrospinal fluid serves as a

Accepted Answer

A) motor nerve impulse transmitter. 
B) red blood cell conveyer. 
C) shock absorber. 
D) mediator of voluntary skeletal movement. 
E) sensory nerve impulse transmitter. 
A) motor nerve impulse transmitter. 
B) red blood cell conveyer. 
C) shock absorber. 
D) mediator of voluntary skeletal movement. 
E) sensory nerve impulse transmitter.

Question 9

An acute polyneuropathy that commonly follows a nonspecific infection occurring 10 to 14 days earlier and that primarily affects the motor and autonomic peripheral nerves in an ascending pattern is

Accepted Answer

A) cerebral palsy. 
B) HIV encephalopathy. 
C) Guillain-Barré syndrome. 
D) Rett syndrome. 
E) myasthenia gravis. 
A) cerebral palsy. 
B) HIV encephalopathy. 
C) Guillain-Barré syndrome. 
D) Rett syndrome. 
E) myasthenia gravis.

Question 10

The awareness of body position is known as

Accepted Answer

A) extrapyramidal. 
B) graphesthesia. 
C) stereognosis. 
D) two-point discrimination. 
E) proprioception. 
A) extrapyramidal. 
B) graphesthesia. 
C) stereognosis. 
D) two-point discrimination. 
E) proprioception.

Question 11

The ability to recognize a number traced on the skin is called

Accepted Answer

A) stereognosis. 
B) graphesthesia. 
C) extinction phenomenon. 
D) two-point discrimination. 
E) proprioception. 
A) stereognosis. 
B) graphesthesia. 
C) extinction phenomenon. 
D) two-point discrimination. 
E) proprioception.

Question 12

To assess a cremasteric reflex, the examiner strokes the

Accepted Answer

A) skin around the anus and observes for the anal wink. 
B) abdomen and observes whether the umbilicus moves away from the stimulus. 
C) inner thigh and observes whether the testicle and scrotum rise on the stroked side. 
D) palm and observes whether the fingers attempt to grasp. 
E) sole of the foot and observes whether the toes fan down and out. 
A) skin around the anus and observes for the anal wink. 
B) abdomen and observes whether the umbilicus moves away from the stimulus. 
C) inner thigh and observes whether the testicle and scrotum rise on the stroked side. 
D) palm and observes whether the fingers attempt to grasp. 
E) sole of the foot and observes whether the toes fan down and out.

Question 13

When using a monofilament to assess sensory function, the examiner

Accepted Answer

A) uses two simultaneous monofilaments on similar bilateral points and then compares results. 
B) applies both a monofilament and a pin on similar bilateral points and then compares results. 
C) applies pressure to the monofilament until the filament bends. 
D) strokes the monofilament along the skin from proximal to distal areas. 
E) assesses only the dorsal surface of the foot with the patient's eyes open. 
A) uses two simultaneous monofilaments on similar bilateral points and then compares results. 
B) applies both a monofilament and a pin on similar bilateral points and then compares results. 
C) applies pressure to the monofilament until the filament bends. 
D) strokes the monofilament along the skin from proximal to distal areas. 
E) assesses only the dorsal surface of the foot with the patient's eyes open.

Question 14

The immune system attacks the synaptic junction between the nerve and muscle fibers blocking acetylcholine receptor sites in

Accepted Answer

A) myasthenia gravis. 
B) encephalitis. 
C) multiple sclerosis. 
D) cerebral palsy. 
E) trigeminal neuralgia. 
A) myasthenia gravis. 
B) encephalitis. 
C) multiple sclerosis. 
D) cerebral palsy. 
E) trigeminal neuralgia.

Question 15

When assessing a 17-year-old patient for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test result, you would also perform a test for the _____ sign.

Accepted Answer

A) Kernig 
B) Babinski 
C) obturator 
D) Brudzinski 
E) Murphy 
A) Kernig 
B) Babinski 
C) obturator 
D) Brudzinski 
E) Murphy

Question 16

It is especially important to test for ankle clonus if

Accepted Answer

A) deep tendon reflexes are hyperactive. 
B) the patient has a positive Kernig sign. 
C) the Romberg sign is positive. 
D) the patient has peripheral neuropathy. 
E) deep tendon reflexes are hypoactive. 
A) deep tendon reflexes are hyperactive. 
B) the patient has a positive Kernig sign. 
C) the Romberg sign is positive. 
D) the patient has peripheral neuropathy. 
E) deep tendon reflexes are hypoactive.

Question 17

Normal changes of the aging brain include

Accepted Answer

A) increased velocity of nerve conduction. 
B) diminished perception of touch. 
C) increased total number of neurons. 
D) decreased dermatomes. 
E) diminished intelligence quotient. 
A) increased velocity of nerve conduction. 
B) diminished perception of touch. 
C) increased total number of neurons. 
D) decreased dermatomes. 
E) diminished intelligence quotient.

Question 18

The major portion of brain growth and myelinization occurs between ____ year(s) of age.

Accepted Answer

A) birth and 1 
B) 2 and 3 
C) 4 and 7 
D) 11 and 14 
E) 16 and 21 
A) birth and 1 
B) 2 and 3 
C) 4 and 7 
D) 11 and 14 
E) 16 and 21

Question 19

At what age should an infant begin to transfer objects from hand to hand?

Accepted Answer

A) 2 months 
B) 4 months 
C) 7 months 
D) 10 months 
E) 12 months 
A) 2 months 
B) 4 months 
C) 7 months 
D) 10 months 
E) 12 months

Question 20

Which one of the following conditions is consistent with Brown-Séquard syndrome?

Accepted Answer

A) Central sensory loss that is generalized 
B) Motor paralysis on lesion side of the body 
C) Multiple peripheral neuropathy of the joints 
D) Spinal root paralysis below the umbilicus 
E) Pain and temperature loss on lesion side of body 
A) Central sensory loss that is generalized 
B) Motor paralysis on lesion side of the body 
C) Multiple peripheral neuropathy of the joints 
D) Spinal root paralysis below the umbilicus 
E) Pain and temperature loss on lesion side of body

Exam 22: Neurologic System

When assessing superficial pain, touch, vibration, and position perceptions, you are testing

A clinical syndrome of intracranial hypertension that mimics brain tumors is

A neurologic past medical history should include data about

Persons with Parkinson disease have an altered gait that is characterized by

Motor maturation proceeds in an orderly progression from

Cranial nerve XII may be assessed in an infant by

You have asked a patient to close his eyes and identify an object placed in his hand. You are evaluating

Cerebrospinal fluid serves as a

An acute polyneuropathy that commonly follows a nonspecific infection occurring 10 to 14 days earlier and that primarily affects the motor and autonomic peripheral nerves in an ascending pattern is

The awareness of body position is known as

The ability to recognize a number traced on the skin is called

To assess a cremasteric reflex, the examiner strokes the

When using a monofilament to assess sensory function, the examiner

The immune system attacks the synaptic junction between the nerve and muscle fibers blocking acetylcholine receptor sites in

When assessing a 17-year-old patient for nuchal rigidity, you gently raise his head off the examination table. He involuntarily flexes his hips and knees. To confirm your suspicions associated with this positive test result, you would also perform a test for the _____ sign.

It is especially important to test for ankle clonus if

Normal changes of the aging brain include

The major portion of brain growth and myelinization occurs between ____ year(s) of age.

At what age should an infant begin to transfer objects from hand to hand?

Which one of the following conditions is consistent with Brown-Séquard syndrome?

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Vital Signs and Pain Assessment

Mental Status

Growth and Measurement

Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Sports Participation Evaluation

Putting It All Together

Taking the Next Steps: Critical Thinking

Recording Information

Emergency or Life-Threatening Situations

Filters