SBOM II Final Exam (Neuro/Endo) Questions and Answers
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Course
SBOM II
Institution
SBOM II
A 67-year-old woman who has been in very good health is brought to her physician's
office by her husband. He states that over the course of the last 5 years, she has
difficulty recognizing her grandchildren, he must do all the planning for their daily
activities, she forgets that she has things ...
SBOM II Final Exam (Neuro/Endo)
A 67-year-old woman who has been in very good health is brought to her physician's
office by her husband. He states that over the course of the last 5 years, she has
difficulty recognizing her grandchildren, he must do all the planning for their daily
activities, she forgets that she has things cooking on the stove, and he sometimes finds
her wandering through the house at night with an "absent" look on her face. She is
beginning to demonstrate difficulty in recalling the names of common objects, and her
speech is limited to simple 2- or 3-word sentences. What is the most likely diagnosis? -
✔️✔️Alzheimer's disease
An 82-year-old woman is admitted to the hospital for a urinary tract infection (UTI). On
the second hospital day, her family says that she has been confused and falling asleep
frequently while in the hospital. She has been hallucinating, talking to people who are
not in the room. They report that prior to this illness, she was independent and "sharp as
a tack." What is the diagnosis? - ✔️✔️Delirium secondary to infection
Debbie suffers from Parkinson's disease. This is a degenerative disorder that involves -
✔️✔️Dopamine in the basal ganglia
A primary function of the basal ganglia is to - ✔️✔️Inhibit unwanted muscular activity
Amy has an extrapyramidal disorder, called Huntington's disease, which is associated
with degeneration of the ______ area of the basal ganglia. One of her symptoms is
involuntary, flicking movements called ______ - ✔️✔️Striatum; chorea
Parkinson's disease is associated with - ✔️✔️Dopamine
Anxiety produces a variety of symptoms in the body including tachycardia, increased
blood pressure and sweating. Many of these symptoms are mediated by the -
✔️✔️Sympathetic nervous system
A 46 year old man is hospitalized due to pneumonia. Over the course of 24 hours, he
develops a bad headache and stiff neck followed by a seizure. On physical examination,
he is febrile with signs of meningeal irritation.
What organism is the most likely cause of his meningitis? - ✔️✔️Streptococcus
pneumoniae
A 68-year-old man was diagnosed with Alzheimer's disease 2 years ago. Since the
diagnosis, his condition has been steadily deteriorating. He now requires frequent
assistance with daily activities, and he occasionally has an acute episode of extreme
disorientation. His family is concerned and brings him in for an evaluation of his
condition. What pathology is associated with this patient's condition? -
✔️✔️Neurofibrillary tangles
, A 63-year-old patient is sent to the neurologist with a clinical picture of resting tremor
that began 2 years ago. At first it was only on the left hand, but now it compromises the
whole arm. At physical exam, the patient has an inexpressive face and difficulty in
walking; a continuous movement of the tip of the first digit over the tip of the second
digit of the left hand is also seen at rest. What part of his nervous system is most likely
affected? - ✔️✔️Substantia nigra
A 40-year-old man presents to the psychiatrist due to forgetting things more and more
frequently, a lack of energy, and the feeling that someone trying to kill him. He says that
his father has a neurological disease, but he cannot remember the name. At the
physical exam he had some difficulty in articulating words and some involuntary
movements of his hands. A genetic study shows numerous repetitions of the nucleotide
CAG in the chromosome 4. What part of his nervous system is most likely affected? -
✔️✔️Caudate nucleus
Cindy has lost the vision in the temporal half of the visual fields of each of her eyes.
This symptom is most apt to be caused by a lesion in which of the following areas? -
✔️✔️Optic chiasm
A patient has lost all vision in his left eye and only in his left eye. A lesion is most apt to
be found in the - ✔️✔️Left optic nerve
The fibers of the optic nerves that originate in the nasal halves of each retina, cross at
the optic chiasma and terminate in the lateral geniculate bodies. The parts of the visual
fields that are mediated by this part of the pathway are the - ✔️✔️Temporal halves of
the visual fields of both eyes
Spasticity and hyperactive reflexes can result from - ✔️✔️Disruption of central
descending pathways
While assessing a patient you elicit a positive Babinski sign. This is most indicative of a
malfunctioning in - ✔️✔️Upper neurons of the pyramidal tract
In certain pathological conditions, a stretch of a skeletal muscle will result in sustained
rhythmic contractions. This phenomenon is referred to as - ✔️✔️Clonus
What is the area of the brain through which the limbic system regulates many behaviors
and functions such as feeding, sex, sympathetic, and endocrine activities? -
✔️✔️Hypothalamus
Schizophrenia is associated with - ✔️✔️Dopamine
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