Neuro & Organ Transplant Test Bank
questions with answers.
7 ANS -A GCS of _____ or less indicates *coma*
D ANS -The GCS is an invalid measure for the patient with
a.
hemiplegia.
b.
Parkinson's disease.
c.
mental retardation.
d.
intoxication.
B ANS -Which of the following choices is an acceptable and recommended method of noxious
stimulation?
a.
Nipple pinch
b.
Nailbed pressure
c.
Supraorbital pressure
d.
Sternal rub
B, *Decerebrate* ANS -Which of the following denotes a more serious prognosis?
a.
Decorticate posturing
,b.
Decerebrate posturing
c.
Absence of Babinski reflex
d.
GCS score of 14
Decerebrate, or extension ANS -Which is worse: decorticate or decerebrate?
1 mm ANS -A *discrepancy* up to _____ mm between *2 pupils is NORMAL*
Intracranial hypertension (initial stages of CNIII compression d/t elevate ICP) ANS -What may cause the
pupil to take an *oval shape*?
Brainstem
WHEREASSS
Abnormal *flexion* occurs w/ lesions *above the midbrain* (near thalamus) ANS -. Abnormal extension
occurs with lesions in the area of the ___________
D, abnormal *extension d/t BRAINSTEM* ANS -Decerebrate posturing (abnormal extension) indicates
dysfunction in which area of the central nervous system?
a.
Cerebral cortex
b.
Thalamus
c.
Cerebellum
d.
Brainstem
,B ANS -The initial history for the neurologically impaired patient needs to be
a.
limited to the chief complaint.
b.
comprehensive, including events preceding hospitalization.
c.
directed to level of consciousness and pupillary reaction.
d.
information that only the patient can provide.
Comprehensive set of events *PRIOR to hospitalization* ANS -The *one factor* common to *ALL
neurological* assessment is the need to obtain a ______________
C ANS -*The most important aspect of the neurologic examination is*
a.
medical history.
b.
physical examination.s
c.
level of consciousness.
d.
pupillary responses.
Assessing *LEVEL OF CONSCIOUSNESS* ANS -What is the most important aspect of the *neurological
examination*?
C, *Stuporous* ANS -A critically injured patient can be aroused only by vigorous and continuous
external stimuli. The patient's level of consciousness is considered
a.
, lethargic.
b.
obtunded.
c.
stuporous.
d.
comatose.
*LOCALIZATION* ANS -_____________ occurs when the extremity *opposite* to the extremity
receiving pain crosses the midline of the body in an attempt to remove the noxious stimulus from the
affected limb
D, Localization ANS -While starting an intravenous line on the right hand of an unconscious patient, the
patient reaches over with his left hand and tries to remove the noxious stimuli. This response is called
a.
decorticate posturing.
b.
decerebrate posturing.
c.
withdrawal.
d.
localization.
B ANS -Testing of extraocular eye movements assesses
a.
pupillary response to light.
b.
function of the three cranial nerves of the eye.
c.
the ability of the eyes to accommodate to a closer moving object.
questions with answers.
7 ANS -A GCS of _____ or less indicates *coma*
D ANS -The GCS is an invalid measure for the patient with
a.
hemiplegia.
b.
Parkinson's disease.
c.
mental retardation.
d.
intoxication.
B ANS -Which of the following choices is an acceptable and recommended method of noxious
stimulation?
a.
Nipple pinch
b.
Nailbed pressure
c.
Supraorbital pressure
d.
Sternal rub
B, *Decerebrate* ANS -Which of the following denotes a more serious prognosis?
a.
Decorticate posturing
,b.
Decerebrate posturing
c.
Absence of Babinski reflex
d.
GCS score of 14
Decerebrate, or extension ANS -Which is worse: decorticate or decerebrate?
1 mm ANS -A *discrepancy* up to _____ mm between *2 pupils is NORMAL*
Intracranial hypertension (initial stages of CNIII compression d/t elevate ICP) ANS -What may cause the
pupil to take an *oval shape*?
Brainstem
WHEREASSS
Abnormal *flexion* occurs w/ lesions *above the midbrain* (near thalamus) ANS -. Abnormal extension
occurs with lesions in the area of the ___________
D, abnormal *extension d/t BRAINSTEM* ANS -Decerebrate posturing (abnormal extension) indicates
dysfunction in which area of the central nervous system?
a.
Cerebral cortex
b.
Thalamus
c.
Cerebellum
d.
Brainstem
,B ANS -The initial history for the neurologically impaired patient needs to be
a.
limited to the chief complaint.
b.
comprehensive, including events preceding hospitalization.
c.
directed to level of consciousness and pupillary reaction.
d.
information that only the patient can provide.
Comprehensive set of events *PRIOR to hospitalization* ANS -The *one factor* common to *ALL
neurological* assessment is the need to obtain a ______________
C ANS -*The most important aspect of the neurologic examination is*
a.
medical history.
b.
physical examination.s
c.
level of consciousness.
d.
pupillary responses.
Assessing *LEVEL OF CONSCIOUSNESS* ANS -What is the most important aspect of the *neurological
examination*?
C, *Stuporous* ANS -A critically injured patient can be aroused only by vigorous and continuous
external stimuli. The patient's level of consciousness is considered
a.
, lethargic.
b.
obtunded.
c.
stuporous.
d.
comatose.
*LOCALIZATION* ANS -_____________ occurs when the extremity *opposite* to the extremity
receiving pain crosses the midline of the body in an attempt to remove the noxious stimulus from the
affected limb
D, Localization ANS -While starting an intravenous line on the right hand of an unconscious patient, the
patient reaches over with his left hand and tries to remove the noxious stimuli. This response is called
a.
decorticate posturing.
b.
decerebrate posturing.
c.
withdrawal.
d.
localization.
B ANS -Testing of extraocular eye movements assesses
a.
pupillary response to light.
b.
function of the three cranial nerves of the eye.
c.
the ability of the eyes to accommodate to a closer moving object.
