Question 1

The major function of the sympathetic nervous system is to:

Accepted Answer

A)  orchestrate the stress response. 
B)  coordinate fine motor movement. 
C)  determine proprioception. 
D)  perceive stereognosis.

Question 2

Diabetic peripheral neuropathy will likely produce:

Accepted Answer

A)  hyperactive ankle reflexes. 
B)  diminished pain sensation. 
C)  exaggerated vibratory sense. 
D)  hypersensitive temperature perception.

Question 3

The finger to nose test allows assessment of:

Accepted Answer

A)  coordination and fine motor function. 
B)  point location. 
C)  sensory function. 
D)  stereognosis.

Question 4

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

Accepted Answer

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

Question 5

A neurologic past medical history should include data about:

Accepted Answer

A)  allergies. 
B)  circulatory problems. 
C)  educational level. 
D)  immunizations.

Question 6

You are performing a two-point discrimination test as part of a well physical examination. The area with the ability to discern two points in the shortest distance is the:

Accepted Answer

A)  back. 
B)  palms. 
C)  fingertips. 
D)  upper arms.

Question 7

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

Accepted Answer

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

Question 8

If a patient cannot shrug his or her shoulders against resistance, which cranial nerve (CN) requires further evaluation?

Accepted Answer

A)  CN I, olfactory 
B)  CN V, trigeminal 
C)  CN IX, glossopharyngeal 
D)  CN XI, spinal accessory

Question 9

Visible or palpable extension of the elbow is caused by reflex contraction of which muscle?

Accepted Answer

A)  Achilles 
B)  Biceps 
C)  Patellar 
D)  Triceps

Question 10

You are most concerned for the infant who has a:

Accepted Answer

A)  weak palmar grasp at 3 months. 
B)  strong stepping reflex at 2 months. 
C)  weak plantar reflex at 9 months. 
D)  strong tonic neck at 6 months.

Question 11

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.

Question 12

Persons with Parkinson disease have an altered gait 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-stepping fashion.

Question 13

The tests for cortical sensory function include which of the following? (Select all that apply.)

Accepted Answer

A)  Two-point discrimination 
B)  Extinction phenomenon 
C)  Superficial pain 
D)  Stereognosis 
E)  Touch

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.

Question 15

The area of body surface innervated by a particular spinal nerve is called a:

Accepted Answer

A)  dermatome. 
B)  nerve pathway. 
C)  spinal accessory area. 
D)  cutaneous zone.

Question 16

When you ask a patient to close his or her eyes and identify an object placed in the hand, you are evaluating:

Accepted Answer

A)  stereognosis. 
B)  graphesthesia. 
C)  vibratory sensation. 
D)  extinction phenomenon.

Question 17

The awareness of body position is known as:

Accepted Answer

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

Question 18

You are initially evaluating the equilibrium of Ms. Q. You ask her to stand, with her feet together and arms at her sides. She loses her balance. Ms. Q has a positive:

Accepted Answer

A)  Kernig sign. 
B)  Homan sign. 
C)  McMurray test. 
D)  Romberg sign.

Question 19

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.

Question 20

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)  diminished intelligence quotient.

Exam 23: Neurologic System