APEA Neurology MSN 572
1. 840-year-old male presents with complaints of headaches. History reveals headaches
that occurred daily for about 4 to 6 weeks. He had relief for six months, but now they are
recurring. These are most likely. - ANS-Cluster
2.
3. Headaches that are episodic with several each day for 4 to 6 weeks with an extended
period of relief for 6 to 12 months are most likely cluster headaches. Cluster headaches
are more common in men than women.
4. A band of skin innervated by the sensory root of a single spinal nerve is termed a -
ANS-Dermatome
5.
6. A band of skin innervated by the sensory root of a single spinal or dorsal nerve root is
termed a dermatome.
7.
8. A peripheral nerve field refers to an area of the skin innervated by a single nerve and is
described as a cutaneous nerve distribution. A synapse is a structure that permits a
neuron to pass an electrical or chemical signal to another cell.
9.
10. Asterixis refers to an abnormal tremor consisting of involuntary jerking movements,
especially in the hands, frequently occurring with impending hepatic coma and other
forms of metabolic encephalopathy. This is known as flapping tremor.
11. A discriminative sensation that describes the ability to identify a number drawn in the
hand when the patient's eyes are closed is - ANS-Graphesthesia
12.
13. A discriminative sensation, stereognosis, is the ability to identify an object by feeling it.
The ability to identify an object touching two areas simultaneously is termed two point
discrimination.
14.
15. Astereognosis is a term used to describe the inability to recognize objects placed in the
hand
16. A form of aphasia in which the person has difficulty speaking and understanding words
and is unable to read or write is termed - ANS-Global aphasia
17.
18. With global aphasia, the person has difficulty speaking and understanding words and is
unable to read or write.
19.
20. In Broca's aphasia, speech is confluent, slow, with few words and laborious effort.
Inflection and articulation are impaired but words are meaningful, with nouns, transitive
verbs, and important adjectives. Small grammatical words are often dropped.
21.
, 22. With anomic aphasia, the person has word-finding difficulties and because of the
difficulties, the person struggles to find the right words for speaking and writing.
23.
24. With wernicke's phasia, speech is fluent, often rapid, voluble, and effortless. Inflection
and articulation are good, but sentences lack meaning and words are malformed
(paraphasias) or invented (neologisms). Speech may be totally incomprehensible.
25. A form of aphasia, in which the speech is confluence, slow, with few words and laborers,
effort, and inflection and articulation are impaired but words are meaningful, is termed -
ANS-Brocas aphasia
26.
27. In brokers aphasia, speech is confluence, slow, with few words and laborious effort.
Inflection and articulation are impaired but words are meaningful, with nouns, transitive,
verbs, and important adjectives. Small grammatical words are often dropped.
28.
29. With a gnomic aphasia, the person has word finding difficulties, and because of the
difficulties, the person struggles to find the right words for speaking and writing.
30.
31. With Wernicke's aphasia, speech is fluent, often, voluble and effortless. Inflection and
articulation are good, but sentences, lack meaning and words are malformed or
invented. Speech, maybe totally incomprehensible.
32.
33. With global aphasia, the person has difficulty speaking and understanding words, and is
unable to read or write
34. A form of aphasia, where articulation is good but sentences lack meaning is referred to
as - ANS-Wernicke's aphasia
35. A patient complains of experiencing symptoms of nausea, diaphoresis, and pallor
triggered by a fearful or unpleasant event. The symptoms are most likely associated
with. - ANS-Vasovagal syncope
36. A patient has been evaluated for frequent headaches, mentions that the headache,
worsens, with coughing, sneezing, or when changing positions. Increasing pain with
these maneuvers may be suggestive of. - ANS-A brain tumor
37.
38. If, coughing, sneezing, or changing positions, increases the pain associated with the
headache, sinusitis, or a brain tumor may be considered. Migraines may present with
symptoms of nausea and vomiting. Brain, tumors and subarachnoid hemorrhages can
also present with nausea and vomiting.
39. A patient is asked to visually follow a finger through the cardinal fields of gaze. Which
cranial nerves are being assessed? - ANS-3, 4, and 6
40.
41. CN 1 is the olfactory nerve and assesses smell
42. CN 2 is the optic nerve and assesses visual acuity
43. CN 5 is the trigeminal nerve and assesses both sensory and motor functions.
44. A patient is unable to identify the smell of an orange. This inability could reflect an
abnormality in cranial nerve. - ANS-1