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Neurology - FNP Board Review Questions and Answers
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Neurology - FNP Board Review Questions and Answers
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Neurology - FNP Board Review Questions and AnswersWithout moving your head follow my finger with your eyes tests which CN? CORRECT ANS-
3
Shrug your shoulders tests which CN? CORRECT ANS-11
Stick out your tongue tests which CN? CORRECT ANS-12
Sudden onset of inability to raise eyebrows, smile of one side of face, decreased lacrimation
and difficulty closing eyelid on affected side otherwise normal history and physical. what is
diagnosis and what is CN affected? CORRECT ANS-Bells Palsy. CN 7
Which patient is most likely to have a secondary headache?
1. 16 year old diabetic
2. 24 year old female
3. 35 year old hypertensive male
4. 48 year old female CORRECT ANS-4.
The patient > age 40. ("Neurology considers age > 40 elderly" -Amelie)
What are the two most common presenting symptoms of brain tumor in adults?
, Neurology - FNP Board Review Questions and Answers
1. Nausea, vomiting
2. Headache, nausea
3. Headache, seizure
4. Tremors, weakness CORRECT ANS-3
•Headache Red flags in History: CORRECT ANS-o Sudden onset in seconds or mins: SAH
o "First or worst" HA: Hemorrhage, infection
o Focal neuro symptoms: Mass, AVM
o Fever: Infection
o Change in personality, mental status, LOC
Headache Exam CORRECT ANS-Majority have normal physical and neuro exam (includes
funduscopic exam)
• Don't Forget to Check:
o BP, pulse
o Palpate head, neck, shoulders, spine
o Bruits (AVM)
• Red Flags on Exam CORRECT ANS-o Age (> 40 or 50 years old)
o Neck stiffness
o Neuro deficits
o Papilledema
, Neurology - FNP Board Review Questions and Answers
Papilledema CORRECT ANS-• Swelling of the optic disc due to increased ICP
• Almost always bilateralv
When to Image a Patient with Headache: CORRECT ANS-• "Red Flag" headache
• Change in pattern, frequency or severity of HA
• Worsening of HA despite therapy
• Neuro symptoms (abnormal exam)
• Onset of HA with exertion, cough, intercourse
• New onset > 40 years
CT vs MRI Contrast? CORRECT ANS-Contrast?
CT: Radiation, Looks at cavities, Looks at "hard" things (bone), Limited to 2/year, quick
MRI: No Radiation, Looks at "soft" tissue, Excellent discrimination of soft tissue
Etiology of Headaches - 90% of headaches that come to your office: CORRECT ANS-•
Migraines (up to 45%)
• Tension (most prevalent, but doesn't come to your office frequently)
• Cluster Headache (<1% but disabling)
Specific Headache Clues CORRECT ANS-
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