Question 1

The presence of dorsiflexion of the great toe with fanning of the remaining toes during testing of the plantar reflex is known as the:

Accepted Answer

A) Babinski sign. 
B) "Jerk" reflex. 
C) Patellar reflex. 
D) Quadriceps reflex. 
A) Babinski sign. 
B) "Jerk" reflex. 
C) Patellar reflex. 
D) Quadriceps reflex. A

Question 2

Which of the following respiratory patterns consists of phases of hyperpnea that regularly alternate with episodes of apnea?

Accepted Answer

A) Biot breathing 
B) Ataxic breathing 
C) Apneustic breathing 
D) Cheyne-Stokes respiration 
A) Biot breathing 
B) Ataxic breathing 
C) Apneustic breathing 
D) Cheyne-Stokes respiration D

Question 3

Which of the following is the most common cause of a nerve root pathologic condition due to compression?

Accepted Answer

A) Herniated vertebral disc 
B) Spinal tumor 
C) Spinal cord injury 
D) Infection 
A) Herniated vertebral disc 
B) Spinal tumor 
C) Spinal cord injury 
D) Infection A

Question 4

Which of the following is the most important part of the neurologic examination?

Accepted Answer

A) Sensory examination 
B) Motor examination 
C) Level of consciousness 
D) Gait examination 
A) Sensory examination 
B) Motor examination 
C) Level of consciousness 
D) Gait examination

Question 5

Which of the following is the most critical parameter to keep in mind when managing a patient with intracranial hypertension?

Accepted Answer

A) Mean arterial pressure 
B) Cerebral perfusion pressure 
C) Intracranial pressure 
D) Pulse pressure 
A) Mean arterial pressure 
B) Cerebral perfusion pressure 
C) Intracranial pressure 
D) Pulse pressure

Question 6

A patient who is alert and oriented times three would know all of the following things correctly except?

Accepted Answer

A) First and last name 
B) Today's date 
C) City in which he or she lives 
D) President or head of state's name 
A) First and last name 
B) Today's date 
C) City in which he or she lives 
D) President or head of state's name

Question 7

Which of the following is not an important factor in determining the needed frequency of the neurologic assessment?

Accepted Answer

A) Patient's diagnosis 
B) Acuity of the condition 
C) How rapidly changes are occurring or are expected to occur 
D) Shift change 
A) Patient's diagnosis 
B) Acuity of the condition 
C) How rapidly changes are occurring or are expected to occur 
D) Shift change

Question 8

Which of the following anatomic areas is compromised when the patient has dysmetria?

Accepted Answer

A) Cerebrum 
B) Pons 
C) Cerebellum 
D) Brainstem 
A) Cerebrum 
B) Pons 
C) Cerebellum 
D) Brainstem

Question 9

Which of the following is not part of the brain?

Accepted Answer

A) Cerebrum 
B) Cranial nerves 
C) Brainstem 
D) Cerebellum 
A) Cerebrum 
B) Cranial nerves 
C) Brainstem 
D) Cerebellum

Question 10

What instrument is used most widely to quantify neurologic impairment?

Accepted Answer

A) Merck gait evaluation 
B) Glasgow coma scale 
C) APACHE 
D) Mini-Mental State Examination 
A) Merck gait evaluation 
B) Glasgow coma scale 
C) APACHE 
D) Mini-Mental State Examination

Question 11

Which Glasgow coma scale score is typically an indication for endotracheal intubation?

Accepted Answer

A) <9 
B) <10 
C) <12 
D) <14 
A) <9 
B) <10 
C) <12 
D) <14

Question 12

Where in the nervous system is breathing regulated?

Accepted Answer

A) Brain cortex 
B) Medulla 
C) Cerebellum 
D) Brainstem 
A) Brain cortex 
B) Medulla 
C) Cerebellum 
D) Brainstem

Question 13

The main goal of assessing mental status is to determine which of the following?

Accepted Answer

A) Consciousness 
B) Awareness 
C) Thinking 
D) CNS dysfunction 
A) Consciousness 
B) Awareness 
C) Thinking 
D) CNS dysfunction

Question 14

Hyperventilation would be observed in a patient who has damaged which portion of the brainstem?

Accepted Answer

A) High-midbrain 
B) Medulla 
C) Mid-midbrain 
D) Pons 
A) High-midbrain 
B) Medulla 
C) Mid-midbrain 
D) Pons

Question 15

Which of the following does not describe the acronym PERRLA?

Accepted Answer

A) Positioned 
B) Accommodation 
C) Round 
D) Reactive 
A) Positioned 
B) Accommodation 
C) Round 
D) Reactive

Question 16

The brain death determination test involving disconnecting a patient from the ventilator, providing 100% oxygen, and monitoring closely for spontaneous breathing is the __________________.

Accepted Answer

A) apnea test. 
B) metabolic test. 
C) tendon reflex test. 
D) deep pain test. 
A) apnea test. 
B) metabolic test. 
C) tendon reflex test. 
D) deep pain test.

Question 17

Which of the following cranial nerves is intact if cough is present while the airway is suctioned?

Accepted Answer

A) I 
B) IX 
C) X 
D) XII 
A) I 
B) IX 
C) X 
D) XII

Question 18

Which of the following diseases may be suggested by the involvement of multiple nerve roots?

Accepted Answer

A) Myasthenia gravis 
B) Guillain-Barré syndrome 
C) Brain tumor 
D) Intracranial hypertension 
A) Myasthenia gravis 
B) Guillain-Barré syndrome 
C) Brain tumor 
D) Intracranial hypertension

Question 19

Which of the following diseases is characterized by abnormal deep tendon reflexes due to abnormalities of the neuromuscular junction?

Accepted Answer

A) Syphilis 
B) Myasthenia gravis 
C) Cerebritis 
D) Multiple sclerosis 
A) Syphilis 
B) Myasthenia gravis 
C) Cerebritis 
D) Multiple sclerosis

Question 20

Which of the following cranial nerves are evaluated with the gag reflex?

Accepted Answer

A) II and III 
B) V and VII 
C) I and II 
D) IX and X 
A) II and III 
B) V and VII 
C) I and II 
D) IX and X

Exam 6: Neurologic Assessment

The presence of dorsiflexion of the great toe with fanning of the remaining toes during testing of the plantar reflex is known as the:

Which of the following respiratory patterns consists of phases of hyperpnea that regularly alternate with episodes of apnea?

Which of the following is the most common cause of a nerve root pathologic condition due to compression?

Which of the following is the most important part of the neurologic examination?

Which of the following is the most critical parameter to keep in mind when managing a patient with intracranial hypertension?

A patient who is alert and oriented times three would know all of the following things correctly except?

Which of the following is not an important factor in determining the needed frequency of the neurologic assessment?

Which of the following anatomic areas is compromised when the patient has dysmetria?

Which of the following is not part of the brain?

What instrument is used most widely to quantify neurologic impairment?

Which Glasgow coma scale score is typically an indication for endotracheal intubation?

Where in the nervous system is breathing regulated?

The main goal of assessing mental status is to determine which of the following?

Hyperventilation would be observed in a patient who has damaged which portion of the brainstem?

Which of the following does not describe the acronym PERRLA?

The brain death determination test involving disconnecting a patient from the ventilator, providing 100% oxygen, and monitoring closely for spontaneous breathing is the __________________.

Which of the following cranial nerves is intact if cough is present while the airway is suctioned?

Which of the following diseases may be suggested by the involvement of multiple nerve roots?

Which of the following diseases is characterized by abnormal deep tendon reflexes due to abnormalities of the neuromuscular junction?

Which of the following cranial nerves are evaluated with the gag reflex?

Preparing for the Patient Encounter

The Medical History and the Interview

Cardiopulmonary Symptoms

Vital Signs

Fundamentals of Physical Examination

Clinical Laboratory Studies

Interpretation of Blood Gases

Pulmonary Function Testing

Chest Imaging

Interpretation of Electrocardiogram Tracings

Neonatal and Pediatric Assessment

Older Patient Assessment

Respiratory Monitoring in Critical Care

Vascular Pressure Monitoring

Cardiac Output Measurement

Bronchoscopy

Nutrition Assessment

Sleep and Breathing Assessment

Home Care Patient Assessment

Documentation

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