Geri 2

Question 1

Which of these disorders is the more common metabolic etiology of peripheral sensory polyneuropathy?

Answer 1

diabetes

Question 2

Which of the following is a remediable cause of peripheral polyneuropathy if discovered in time?

Answer 2

Vitamin B12 deficiency

Question 3

Neurologic symptoms can affect many parts of the body. What is the most common neurologic complaint heard in primary care?

Answer 3

headache

Question 4

Which symptom description would warrant an evaluation for a ‘sinister’ headache?

Answer 4

headache pain reported as a 10/10

Question 5

Maintenance of balance requires input from many systems of the body. Choose the answer that contains the systems involved with proper balance:

Answer 5

vestibular, proprioceptive receptors, auditory, visual

Question 6

A positive Hallpike (or Dix-Hallpike) maneuver is diagnostic of:

Answer 6

benign positional vertigo

Question 7

Peripheral neuropathy can have many etiologies. In an alcoholic patient, the most likely cause of a neuropathy is:

Answer 7

nutrient deficiency, like the B vitamins

Question 8

Which one of the following is not a specific risk factor for stroke?

Answer 8

female gender

Question 9

Vertigo is a specific disorder of vestibular equilibrium. Patients experiencing vertigo might describe the sensation as:

Answer 9

a sensation of spinning, the room moving while they are still

Question 10

A patient complains of several symptoms. They describe episodic vertigo, fluctuating hearing loss in one ear, tinnitus, and a feeling of fullness in their ear. This best describes which syndrome?

Answer 10

endolymphatic hydrops

Question 11

The term encephalopathy refers to a broad class of disorders in which there is alteration of:

Answer 11

Consciousness

Question 12

Mr. Garcia was in the hospital two days post-op following a hip replacement. His nurse noted that he seemed confused and could not identify where he was. Before surgery, his mental status was intact. You are called to come and evaluate him. The most important illness you must investigate that he could be suffering from right now is:

Answer 12

delirium

Question 13

The symptom presentation of the cortical encephalopathies (i.e. Alzheimer’s Dementia) tend to be:

Answer 13

Cognitive & behavioral

Question 14

Activities of Daily Living (ADLs) involve which activities performed by the patient?

Answer 14

Taking a bath, feeding themselves, getting to the toilet

Question 15

George is 84 years old and has been in the hospital for two days due to community acquired pneumonia. Today the nurse reports that he is disoriented and combative. You suspect delirium. Which of the following tests should you order to evaluate your hypothesis?

Answer 15

CBC and blood culture to identify sepsis

Question 16

Which of the following is NOT a known risk factor for dementia?

Answer 16

chronic migraine headaches

Question 17

Susan is a 30 year old patient who has come to see you stating her life is not going very well. She describes sadness, excessive sleep, weight gain, loss of interest in activities and work, and feeling very sluggish. You did lab testing and all her metabolic indices are normal. Her most likely diagnosis is:

Answer 17

major depressive disorder

Question 18

The diagnostic criteria for delirium involves many signs. Which of the following constellation of signs and symptoms fulfill criteria for a delirium diagnosis?

Answer 18

disturbed consciousness, change in cognition, fluctuating course, evidence of a cause

Question 19

Mr. Crowell is 81 years old and was recently diagnosed with dementia. He began having short term memory problems about 6 months ago. His word recall on the Mini-Mental Status Exam is 1/3. He has not had any behavioral problems. He is fairly aware of the beginnings of his dementia and now lives with his daughter. Based on your statistical knowledge of dementia subtypes, you believe he has the most common form of dementia, which is:

Answer 19

Alzheimer’s dementia

Question 20

Delirium has significant outcomes. Mortality rates are high in the elderly. Primary prevention of delirium includes which one of the following techniques:

Answer 20

an orientation board in the patient’s care area

Question 21

Mr. Williams is 78. His son brought him to clinic because of changing behavior. The family has noticed that the patient wants to walk around without his clothes, even in front of family. His memory seems fine but he does not see anything odd about his behavior. All the evaluations for acute delirium are negative. His most likely diagnosis is:

Answer 21

Frontotemporal dementia

Question 22

Which of these is a potential problem that can be encountered when one starts antidepressant therapy?

Answer 22

developing mania

Question 23

Which disorder is frequently seen in patients with stroke, Parkinson’s disease, seizure disorders, and multiple sclerosis?

Answer 23

depression

Question 24

People with bipolar disorder frequently “self-medicate” with which of the following substances?

Answer 24

alcohol

Question 25

Which characteristic is seen in people with acute mania?

Answer 25

rapid changes from rational to irrational behavior

Question 26

Which of the following describes the hallmark of bipolar disorder?

Answer 26

mania

Question 27

You follow a patient in clinic who has a history of having a bipolar cycle occurring about every two months for the past year. Which of the following terms is used to describe people with this cycling pattern?

Answer 27

rapid cyclers

Question 28

Which of these signs or symptoms is a classic presentation of acute mania?

Answer 28

racing thoughts

Question 29

Heavy and prolonged alcohol use with resulting critical malnutrition results in a serious neurological outcome. In the acute phase these patients develop significant confusion, nystagmus, and ataxia. This condition is called:

Answer 29

Wernicke-Korsakoff Syndrome