DUNPHY NEURO TEST 3 QUESTIONS AND ANSWERS
Which statement about confusion is true?
a. Confusion is a disease process.
b. Confusion is always temporary.
c. Age is a reliable predictor of confusion.
d. Polypharmacy is a major contributor to confusion in older adults. - Answers- d
Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the
following medications will help to decrease edema in the labyrinth of the ear?
a. Meclizine
b. Diphenhydramine
c. Diamox
d. Promethazine - Answers- c
The hallmark of an absence seizure is:
a. No activity at all
b. A blank stare
c. Urine is usually voided involuntarily
d. The attack usually lasts several minutes - Answers- b
How often should drug levels be monitored when a seizure medication has controlled
the seizures, and the drug level is adequate?
a. Every 3 months
b. Every 6 months
c. Annually
d. Whenever there is a problem - Answers- b
Which of the following persons fits the classic description of a patient with multiple
sclerosis (MS)?
a. A teenage male
b. A 65-year-old male
c. A 25-year-old female
d. A 60-year-old female - Answers- c
What is usually the first sign or symptom that a patient would present with that would
make you suspect herpes zoster?
a. A stabbing pain on one small area of the body
b. A vesicular skin lesion on one side of the body
c. A pain that is worse upon awakening
d. A lesion on the exterior ear canal - Answers- b
Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is distorted,
and she is concerned about permanent paralysis and pain. What do you tell her?
a. "Most patients have complete recovery in 3 to 6 months."
b. "Unfortunately, you'll probably have a small amount of residual damage."
, c. "Don't worry, I'll take care of everything."
d. "You may have a few more episodes over the course of your lifetime but no
permanent damage." - Answers- a
Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He asks why this
is necessary. You tell him:
a. "L-dopa is neuroprotective."
b. "The primary goal of therapy is to replace depleted stores of dopamine."
c. "This is the only drug that can provide symptomatic benefit."
d. "This is the initial monotherapy drug." - Answers- b
. Which of the following signs is seen in a patient with more advanced PD?
a. Resting tremor
b. Bradykinesia
c. Rigidity
d. Postural instability - Answers- d
Which of the following is the most commonly experienced symptom of migraine?
a. Light sensitivity
b. Pulsatile pain
c. Sound sensitivity
d. Experiencing an aura - Answers- b
Which of the following characteristics differentiates peripheral vertigo from central
vertigo?
a. The duration of central vertigo is shorter than that of peripheral vertigo.
b. There is an auditory-associated symptom with peripheral vertigo and a visual-
associated symptom with central vertigo.
c. Central vertigo is positional, and peripheral vertigo is not.
d. The onset of central vertigo is more sudden than that of peripheral vertigo. -
Answers- b
Carotid endarterectomy should be considered only for symptomatic patients with greater
than what percentage of stenosis?
a. Greater than 25%
b. Greater than 50%
c. Greater than 75%
d. Only for 100% occlusion - Answers- b
What antiplatelet agent is most widely used for secondary prevention of stroke?
a. Aspirin
b. Ticlopidine
c. Clopidogrel
d. Aspirin and clopidogrel - Answers- a
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