NBCE Part II: Neuromusculoskeletal (Mock Board Exam) Flashcards
Hyperacusis when associated with a facial nerve lesion occurs as a result of weakening of which muscle / structure? A. tensor tympani B. stapedius C. tensor veli palatine D. stylohyoideus
B. stapedius
Nystagmus is identified by which of the following? A. side of slow pursuit (slow component) B. side of quick return (fast component) C. side of ocular fatigue D. side of neglect
B. side of quick return (fast component)
Hemispheric lesions will cause a lower facial weakness on which side of body weakness?
A. ipsilateral
B. contralateral
C. facial weakness independent of body weakness
D. facial muscles will not be weak, but rather spastic
A. ipsilateral
Herpes Zoster has a predilection for which cranial nerve? A. 11 B. 3 C. 5 D. 12
C. 5
Which of the following lesion sites is most likely to produce vertical nystagmus? A. cerebellum B. labyrinthine failure C. brainstem D. vestibular nerve
C. brainstem
Caloric irrigation of the left ear with warm water will cause which response? A. nystagmus to the right B. nystagmus to the left C. gait to the right D. gait to the left
B. nystagmus to the left
The paramedian pontine reticular formation (PPRF) is responsible for which of the following?
A. salivary function
B. heart rate regulation
C. control of the SCM and trapezius muscles
D. conjugate eye movement
D. conjugate eye movement
Which of the following is most likely to NOT cause a sudden change in blood pressure resulting in syncope? A. Getting out of a hot tub B. Going to the bathroom late at night C. Mowing the lawn D. Changing the oil in your car
D. Changing the oil in your car
A deficit in the visual field, specifically the left inferior quadrant would be indicative of a possible lesion where? A. right inferior parietal lobe B. left superior parietal lobe C. right occipital lobe D. right temporal lobe
A. right inferior parietal lobe
Regulation of bowel and bladder function is a feature of which lobe of the brain? A. Occipital B. Parietal C. Temporal D. Frontal
D. Frontal
Gerstman's syndrome of confusion between right and left sides of the body, finger agnosia, dyscalculia, and dysgraphia is a disorder of which region of the brain? A. Occipital lobe B. Parietal lobe, non-dominant C. Parietal lobe, dominant D. Temporal lobe
C. Parietal lobe, dominant
The return of primitive reflexes, such as grasp and sucking is a feature of dysfunction of which region of the brain? A. Occipital B. Parietal C. Temporal D. Frontal
D. Frontal
Which of the following questions is least appropriate for a mini-mental state examination? A. Divide 100 by 8 B. Count down from 100 by 7 C. What is the capital of Hungary? D. Do you know where you are?
C. What is the capital of Hungary?
What form of dysphasia consists of fluent speech, but with impaired content, comprehension, and repetition. A. Expressive B. Receptive C. Nominal D. Conductive
B. Receptive
In performing a caloric test, cold water is injected into the left ear. Which of the following is an accurate description of what should happen?
A. Horizontal nystagmus with the slow phase to the left
B. Vertical nystagmus with an upbeat
C. Horizontal nystagmus with the slow phase to the right
D. Dizziness and nausea
A. Horizontal nystagmus with the slow phase to the left
A patient has difficulty finding the correct words and often produces incorrect words. The speech is non fluent and hesitant. Repetition is better than spontaneous speech. This person most likely has a deficit in which of the following areas?
A. Frontal lobe, posterior and inferior gyri
B. Temporal lobe, superior gyri
C. Parietal lobe, anterior cortical strip
D. Occipital lobe
A. Frontal lobe, posterior and inferior gyri
Your 25 year old patient describes a severe headache in the frontotemporal area of her head that is throbbing and is somewhat relieved when she lies down. Her mother used to complain about these same symptoms. You suspect that she may be suffering from? A. migraine headaches B. tension headaches C. cluster headaches D. hypertension
A. migraine headaches
Your patient has Parkinson's disease which is sometimes referred to as 'shaking palsy'. Overall, this condition presents with a triad of signs. Two are rigidity and tremor. What is the third? A. double vision B. incoordination C. slurred speech D. flexion posture
D. flexion posture
What is the characteristic that distinguishes classic vs. common migraine headache? A. severity B. frequency C. duration D. prodrome
D. prodrome
Your patient has a long history of chronic obstructive pulmonary disease. Which of the following are you most likely to observe?
A. atrophied neck and trapezius muscles
B. anteroposterior = lateral chest diameter
C. increased tactile fremitus
D. unequal chest expansion
B. anteroposterior = lateral chest diameter
Allodynia refers to:
A. pain from an ordinarily nonpainful stimulus
B. pain in multiple regions of the body
C. the presence of multiple pain qualities at the same site, such as tingling,
burning, throbbing, etc.
D. an absence of pain sensation
A. pain from an ordinarily nonpainful stimulus
Cozen's orthopedic test is indicative of? A. Medial Meniscus Tear B. Lateral Epicondylitis C. DeQuervin's Syndrome D. Carpal Tunnel Syndrome
B. Lateral Epicondylitis
14 year old patient presents with right infrapatellsr pain, pain is increased upon exertion your most likely diagnosis is? A. Chondromalacia patells B. Subpatellar Bursitis C. Osgood Schlater's D. Baker's Cyst
C. Osgood Schlater’s
During gait analysis, your patient manifests a gluteus maximus lurch. Which neurologic level is impaired? A. L3 B. L4 C. L5 D. S1
D. S1
A one sided throbbing headache that is preceded by a short period of photosensitivity is likely to fit which of the following choices? To answer this question correctly, think carefully about the description of the headache and then apply critical analysis of the choices.
A. Vascular and involves the posterior cranial circulation (vertebrobasilar)
B. Vascular and involves the anterior cranial circulation (carotid)
C. Mechanical and involves the upper cervical spine
D. Mechanical and involves the lower cervical spine
A. Vascular and involves the posterior cranial circulation (vertebrobasilar)
Which of the following is a clinical differential diagnosis to be considered in cases of vertigo? A. cervical spine dysfunction B. anemia C. hypotension D. all of the above
D. all of the above
A patient has difficulty finding the correct words and often produces incorrect words. The speech is non fluent and hesitant. Repetition is better than spontaneous speech. This person most likely has a deficit in which of the following areas?
A. Frontal lobe, posterior and inferior gyri
B. Temporal lobe, superior gyri
C. Parietal lobe, anterior cortical strip
D. Occipital lobe
A. Frontal lobe, posterior and inferior gyri
Which of the following cranial nerves is most likely to convey painful afferents associated with a headache? A. Trigeminal B. Facial C. Glossopharyngeal D. Vagus
A. Trigeminal
Patients who suffer from labyrinthine failure are most likely to veer toward which side when walking?
A. toward the affected side
B. away from the affected side
C. they typically do not veer to either side
D. they will veer back and forth
A. toward the affected side
With a lesion affecting the labyrinth and subsequently the vestibular nerve, a person may tend to veer when walking to which side? A. the side of the lesion B. the side opposite the lesion C. either side depending on gravity D. neither side
A. the side of the lesion
With a lesion affecting the labyrinth and subsequently the vestibular nerve, a person may tend to veer when walking to which side? A. the side of the lesion B. the side opposite the lesion C. either side depending on gravity D. neither side
A. the side of the lesion
Which questions during history taking are considered “most risky” since they limit the information the patient thinks you want to know? A. Open ended questions B. Direct questions C. Leading questions D. Explorational questions
C. Leading questions
The type of history taking that involves the touching on the main points without going into a detail is referred to as? A. Complete history B. Inventory history C. Problem history D. Interim history
B. Inventory history
The type of history taking that is done when the patient’s problem is acute, possibly life threatening is called? A. Complete history B. Inventory history C. Problem history D. Interim history
C. Problem history
C.A.G.E. & T.A.C.E questionnaires are used in patient’s with a history of which condition? A. Alcohol abuse B. Physical abuse C. Sexual abuse D. Drug abuse
A. Alcohol abuse
The term “Iatrotropic Stimulus” means?
A. Where the patient hurts
B. What the patient feels is the cause of their problem
C. What the patient’s pain threshold is
D. What made the patient seek health care
D. What made the patient seek health care
A patient that has a lesion located in the basal ganglia (Substantia nigra), would present with which one of the following gaits? A. Steppage gait B. Waddling gait C. Festination gait D. Stamping gait
C. Festination gait
The most commonly fractured carpal bone is: A. Scaphoid B. Lunate C. Pisiform D. Capitate
A. Scaphoid
The myotome test for the S1 segment is: A. Eversion of the ankle B. Inversion of the ankle C. 1st digit extension D. 1st digit flexion
A. Eversion of the ankle
Meralgia Parasthetica involves compression of this nerve: A. Median B. Sciatic C. Lateral Femoral Cutaneous D. Medial Antebrachial Cutaneous
C. Lateral Femoral Cutaneous
The orthopedic test that involves pressing on the patient’s mastoid processes in order to rule out a malingerer is called: A. Magnuson’s test B. Hoover’s test C. Mankopf’s test D. Libmans’s test
D. Libmans’s test
The L5 dermatome involves: A. Dorsum of the foot B. 1st digit of the foot C. Lateral ankle including the 5th digit D. Medial knee and the medial amalleolus
A. Dorsum of the foot
The reflex used to test the L4/L5 disc level is: A. Lateral hamstring reflex B. Medial hamstring reflex C. Achilles reflex D. Patella reflex
B. Medial hamstring reflex
The condition in which the 2nd toe is longer than the 1st toe is called: A. Bunion B. Morton’s neuroma C. Morton’s foot D. Hallux rigidus
C. Morton’s foot