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Neuro Test Quesons
Question Answer
Mrs. Bower is a 57-year-old patient who
comes in for an office visit. Which of the
following disorders is known to be
hereditary?
Huntington chorea
Testing of cranial nerve ____ is not
routinely performed unless a problem is
suspected.
I
The patient is able to rapidly touch each
finger to his thumb in rapid sequence. What
does this finding mean?
The patient has appropriate
cerebellar function.
Which question asked by the examiner
may help to determine prevention
strategies for seizures that a patient is
experiencing?
“Are there any factors or
activities that seem to start the
seizures?”
pt has a complaint of dizziness. The patient
makes the following statement: “I
sometimes feel as if the whole room is
spinning.” What type of neurologic
dysfunction should the examiner suspect?
Inner ear dysfunction affecting
the acoustic nerve
The examiner asks the patient to close her
eyes, then places a vibrating tuning fork on
the patient’s ankle and asks her to indicate
what is felt. What is being assessed?
Peripheral nerve sensory
function
Which of the following findings should an
examiner consider a normal finding if
associated with pregnancy?
Acroparesthesia
Situation: Jack is a 52-year-old obese man
with a history of poorly controlled diabetes.
He also smokes. Based on the above data,
the examiner should recognize that Jack
has several risk factors for:
cerebrovascular accident.
Situation: Jack is a 52-year-old obese man
with a history of poorly controlled diabetes.
He also smokes. Which of the following
assessment findings should not be
surprising to an examiner given Jack s
An inability to discern superficial
touch or two-point discrimination
on the legs
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history?
Mrs. Jones is a 24 year-old patient who
presents to your office 2 days postpartum.
She complains that she is experiencing foot
drop. Which of the following problems
should the examiner consider?
Lumbosarcal plexopathy
The examiner is assessing deep tendon
reflex response in a 12-year-old boy. The
response is an expected reflex response.
Which of the following scores should be
documented?
2+
a 68-year-old patient presents to your office
for follow-up. He tells you, “I have a hard
time finding the right words when I am
talking;” he also is experiencing numbness.
On examination you note postural
instability. This symptom may be:
a late symptom of Parkinson’s
disease.
Mr. Smith, a 75-year-old, tells you during
his physical that he is experiencing tremors
in his right hand that occur at rest. Which of
the following would you suspect is
occurring?
Parkinson s disease
Mrs. Morrison brings in her 5-year-old son
in for an examination. How can an
examiner best gain the cooperation of a
child to perform a neurologic examination?
Make various aspects of the
neurologic examination a game.
Which of the following infant reflex
responses is considered normal?
A 2-month-old infant’s legs flex
up against the body when the
infant is held in an upright
position, and the dorsal side of
the foot touches the table.
The examiner is conducting an interview
with the mother of a 3-month-old infant as
part of the neurologic system examination.
Which of the following responses made by
the mother may indicate a need for further
evaluation?
“I had problems with
hypertension the entire time I
was pregnant.”
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Mr. Harrien is a 56-year-old patient who
presents to your office. On examination you
note impaired pain sensation. Which
additional test is appropriate to further
evaluate this finding?
Heat and deep pressure
sensation
Mr. Black is a 41-year-old construction
worker who comes in to your office. You
squeeze the patient’s biceps muscle as
part of an examination. Which of the
following responses verbalized by the
patient is considered normal?
“That is uncomfortable.”
Mr. Loughren is a 48-year-old patient who
presents for a routine follow-up
examination. Which of the following
findings is associated with an increased
risk of skin breakdown and injury?
An inability to feel pressure
applied by a monofilament
The autonomic nervous system is
characterized by which of the following?
The individual has no voluntary
control over his or her body
functions.
The main function of cerebrospinal fluid is
to:
act as a shock absorber.
During times of physiologic and
psychologic stress, which of the following is
put into action?
Sympathetic nervous system
The cerebellum is primarily responsible for:
controlling reflexive control of
muscle tone, equilibrium, and
posture.
The basal ganglia function in which of the
following ways?
Exert a fine-tuning effect on
motor movements
The spinothalamic and posterior dorsal
column are part of
the ascending spinal tracts.
The upper motor neurons are part of the
descending pathways that connect the:
brain with the spinal cord.
Motor maturation in an infant proceeds in
which direction?
Cephalocaudal
Mrs. Lemanski is a 72-year-old patient who Nerve impulse conduction
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presents for a routine examination. Which
of the following best characterizes changes
that occur in the neurologic system in older
adults?
slows, therefore slowing
response time to various stimuli.
A dermatome is that part of the body that:
is innervated by a particular
spinal nerve.
A functioning CN I allows an individual to: differentiate various odors.
By asking the individual to make various
faces at you, you are testing:
CN VII.
The sensory component of CN VII is
responsible for which of the following?
The patient should identify each
taste bilaterally.
The finger-to-finger test is used to test for: accuracy of movement.
During the examination of a 49-year-old
patient you test rapid rhythmic alternating
movements. This tests an individual’s:
coordination and fine motor
skills.
Mr. Treven is a 48-year-old patient who
presents to your office. Which of the
following is an expected finding when
observing an individual’s gait?
The trunk posture should sway
with the gait phase and arm
swing should be smooth and
symmetric.
Which of the following is required when
testing the sensory function of an
individual?
Individual's eyes closed
Mrs. Bowers is a 63-year-old patient. On
examination you need to test position
sensation. In testing position sensation, the
examiner moves the individual’s:
finger/toe up or down.
Discrimination between sharp and dull
sensations is testing for:
superficial pain.
By simultaneously touching the individual in
two distinct areas of the body and asking
how many stimuli are present, you are
testing:
extinction phenomenon.
When stroking the inner thigh of a male,
which of the following is expected to occur?
The scrotum and testicle on the
stroked side will rise.
The Babinski response of the plantar reflex are younger than 24 months of
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is normally seen in individuals who: age.
Pronation of the forearm and flexion of the
elbow is an expected response of the:
brachioradialis deep tendon
reflex.
A deep tendon reflex that is more brisk
than expected and slightly hyperactive
would be graded as:
3+
Clonus is associated with reflexes that are: hyperactive.
Mr. Arena is a 64-year-old patient. On
examination you note a positive Brudzinski
and Kernig sign. The Brudzinski and Kernig
signs are indicators of:
meningeal irritation.
The motor cortex of the brain is in the: frontal lobe.
The thalamus is the major integration
center for perception of:
pain.
The awareness of body position is known
as:
proprioception.
Nerves that arise from the brain rather than
the spinal cord are called:
cranial.
The major portion of brain growth and
myelinization occurs between ____ year(s)
of age.
birth and 1
Motor maturation proceeds in an orderly
progression from:
head to toe
Normal changes of the aging brain include: diminished perception of touch.
The area of body surface innervated by a
particular spinal nerve is called a:
dermatome.
A neurologic past medical history should
include data about:
circulatory problems.
You are examining a patient in the
emergency department who has recently
sustained head trauma. In order to initially
assess this patient's neurologic status, you
would:
test the six cardinal points of
gaze.
The finger-to-nose test allows assessment coordination and fine motor
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of: function.
You are performing a two-point
discrimination test as part of a well physical
examination. The area with the ability to
discern two points in the shortest distance
is the:
fingertips.
a PT enters the room, you observe that his
gait is wide based and he staggers from
side to side while swaying his trunk. You
would document Mr. B.'s pattern as:
cerebellar ataxia.
To assess a cremasteric reflex, the
examiner strokes the:
inner thigh and observes
whether the testicle and scrotum
rise on the stroked side.
Which one of the following conditions is
consistent with Brown-Séquard syndrome?
Motor paralysis on lesion side of
the body
To assess spinal levels L2, L3, and L4,
which deep tendon reflex should be tested?
Patellar
To assess the cervical spine, which tendon
reflexes should be tested?
triceps, biceps, and
brachioradial
To assess the sacral spine, which deep
tendon reflex should be tested?
Achilles tendon
When using a monofilament to assess
sensory function, the examiner:
applies pressure to the
monofilament until the filament
bends.
Visible or palpable extension of the elbow
is caused by reflex contraction of which
muscle?
Triceps
On a scale of 0 to 4+, which deep tendon
reflex score is appropriate for a finding of
clonus in a patient?
3+
Cranial nerve XII may be assessed in an
infant by:
observing the infant suck and
swallow.
You are most concerned for the infant that
has a:
strong tonic neck at 6 months.
A positive Babinski sign is normal until 16 to 24 months
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what age?
Ipsilateral Horner syndrome indicates a
cerebrovascular accident (CVA) occurring
in the:
posterior inferior cerebellar
artery.
An acute polyneuropathy that commonly
follows a nonspecific infection occurring 10
to 14 days earlier and that primarily affects
the motor and autonomic peripheral nerves
in an ascending pattern is:
Guillain-Barré syndrome.
The immune system attacks the synaptic
junction between the nerve and muscle
fibers blocking acetylcholine receptor sites
in:
myasthenia gravis.
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