Question 1

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.

Question 2

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.

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.

Question 4

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.

Question 5

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.

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.

Question 7

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.

Question 8

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.

Question 9

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

Question 10

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

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.

Question 12

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.

Question 13

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.

Question 14

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.

Question 15

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.

Question 16

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.

Question 17

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

Question 18

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

Question 19

The awareness of body position is known as

Accepted Answer

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

Question 20

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.

Exam 22: Neurologic System

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Cerebrospinal fluid serves as a

Correct AnswerverifiedShow Answer

Normal changes of the aging brain include

Correct AnswerverifiedShow Answer

A clinical syndrome of intracranial hypertension that mimics brain tumors is

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

To assess a cremasteric reflex, the examiner strokes the

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Cranial nerve XII may be assessed in an infant by

Correct AnswerverifiedShow Answer

It is especially important to test for ankle clonus if

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Motor maturation proceeds in an orderly progression from

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

A neurologic past medical history should include data about

Correct AnswerverifiedShow Answer

The awareness of body position is known as

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

When using a monofilament to assess sensory function, the examiner

Correct AnswerverifiedShow Answer

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