Nervous System - TCM Seminars Tests Flashcards
Which of the following signs is indicated when the neck is flexed, the knee and hip flex along with it involuntarily?
Kernig sign
Sulcus sign
Brudzinski sign
Murphy’s sign
Brudzinski sign
What is a problem that patients should be cautious with due to head trauma?
Aortic Aneurysm
Insomnia
Stroke
Cerebral bleeding
Cerebral bleeding
A patient presents to you with numbness in her fourth and fifth toes. Which spinal nerve is most likely involved?
S1
L5
L3
L4
S1
A 50-year-old patient enters your office describing a visit to her ophthalmologist complaining of nystagmus. If you want to verify the diagnosis made and only have a little time, which exam can you skip? (Hint: which of the following is NOT related with eye movement?)
Cranial nerve III
Cranial nerve IV
Cranial nerve VI
Cranial nerve II
Cranial nerve II
Which of the following conditions would be a result of inflammation to Cranial Nerve VII?
Paralysis of one side of the face
Paralysis of the lower lip
Paralysis of the upper part of one side of the face
Paralysis of both sides of the face
Paralysis of one side of the face
List the meninges in order of outer, middle and inner:
Pia - Arachnoid - Dura
Dura - Arachnoid - Pia
Dura - Pia - Arachnoid
Arachnoid - Pia - Dura
Dura - Arachnoid - Pia
A 21-year-old male presents to you with nausea, photophobia, neck stiffness, slight disorientation, and what he calls “the worst headache of his life.” The most likely diagnosis of his condition is:
Bacterial Meningitis
Alcohol hangover
Hypoglycemia
Hypertension
Bacterial Meningitis
Which of the cranial nerves below are involved in the posterior 1/3 region for the sensation of taste?
Cranial nerve IX
Cranial nerve XI
Cranial nerve VII
Cranial nerve X
Cranial nerve IX
Which of the following cranial nerves provides parasympathetic innervation to the submandibular, the sublingual salivary glands, and the lacrimal gland?
Cranial Nerve IX
Cranial Nerve VII
Cranial Nerve XII
Cranial Nerve III
Cranial Nerve VII
Which of the following signs is indicated when hip/knee are flexed, there is an inability to straighten the knee?
Babinski test
Kemp’s sign
Kernig sign
Obturator sign
Kernig sign
Which of the following cranial nerves provides parasympathetic innervation to most of the abdomen?
Cranial Nerve X
Cranial Nerve II
Cranial Nerve V
Cranial Nerve III
Cranial Nerve X
Which statement best describes the two types of glaucoma?
They both are characterized by high intraocular pressure; however, open-angle glaucoma is more common, chronic with gradual loss of peripheral vision. Meanwhile, closed-angle glaucoma is acute, presents with eye pain, headache, nausea, conjunctival infection with fixed, dilated pupils and halos around lights.
They both are characterized by high intraocular pressure; however, open-angle glaucoma is less common, acute with immediate loss of peripheral vision. Meanwhile, closed-angle glaucoma is chronic, presents with eye pain, headache, nausea, conjunctival infection with fixed, dilated pupils and halos around lights.
They both are characterized by high intraocular pressure; however, open-angle glaucoma is more common, acute with gradual loss of peripheral vision. Meanwhile, closed-angle glaucoma is chronic, presents with eye pain, headache, nausea, conjunctival infection with fixed, dilated pupils and halos around lights.
They both are characterized by high intraocular pressure; however, open-angle glaucoma is less common, chronic with gradual loss of peripheral vision. Meanwhile, closed-angle glaucoma is acute, presents with eye pain, headache, nausea, conjunctival infection with fixed, dilated pupils and halos around lights.
They both are characterized by high intraocular pressure; however, open-angle glaucoma is more common, chronic with gradual loss of peripheral vision. Meanwhile, closed-angle glaucoma is acute, presents with eye pain, headache, nausea, conjunctival infection with fixed, dilated pupils and halos around lights.
Which part of the Neuron receives the stimulus which initiates the nerve signal?
Soma
Dendrite
Axon
Terminal buttons
Dendrite
Which of the following cranial nerves provides motor function to the intrinsic and extrinsic of the tongue?
Cranial Nerve XII
Cranial Nerve XI
Cranial Nerve IX
Cranial Nerve VII
Cranial Nerve XII
You ask your patient to place her palms together in front of her with fingers pointing up. After about ten seconds, she reports numbness and tingling in her left hand and wrist. Which structure is most likely involved?
Flexor digitorum profundus
Extensor carpi ulnaris
Radial nerve
Median nerve
Median nerve
Which of the following cranial nerves does NOT have a parasympathetic function?
Cranial Nerve II
Cranial Nerve X
Cranial Nerve IX
Cranial Nerve VII
Cranial Nerve II
A male, 2 years old, comes into the office with his mother. The mother is concerned about “the Babinski” that her medical student friend brought to her attention. What does a (+) Babinski reflex indicate at this child’s age?
CNS Normality
Plantar fasciitis
Deep tendon damage
CNS (central nervous system) disorders
CNS Normality
Which of the following cranial nerves are responsible for pupillary reactions?
Cranial nerve VI and VII
Cranial nerve II and III
Cranial nerve I and II
Cranial nerve VII and IX
Cranial nerve II and III
Which three of the following physiologic activities are associated with the sympathetic nervous system?
Urination block, Ejaculation, Muscle breakdown
Erection, Ejaculation, Muscle building
Erection, Ejaculation, Urination
Pupil constriction, Sexual arousal
Urination block, Ejaculation, Muscle breakdown
Which of the following cranial nerves does NOT contain Taste Fibers?
Cranial Nerve IX
Cranial Nerve X
Cranial Nerve VII
Cranial Nerve III
Cranial Nerve III
A 52-year-old man is a regular patient of yours. Last week, you treated his left arm after he injured it during his weekly tennis game. Today, he says the arm pain went away but has returned and is much worse. He also says that he is experiencing a tight pressure in his chest and some difficulty breathing that got worse when he climbed the stairs up to your office. What is the proper treatment for this patient today?
Tell the patient to lie down and elevate his legs until he feels better.
Recommend that he tell his family doctor about these symptoms at his next check-up.
Call 911.
Repeat the treatment on the arm but add in points for the new symptoms.
Call 911.
A 64-year-old female has Bell Palsy. All of the following can help to confirm diagnosis EXCEPT:
MRI (with contrast agent for 7th cranial nerve)
Nerve biopsy of the 7th cranial nerve
EMG
Physical exam of facial ptosis
Nerve biopsy of the 7th cranial nerve
Achilles reflex is primarily associated with
S1 nerve root
L4 nerve root
L5 nerve root
L3 nerve root
S1 nerve root
Which of the following cranial nerves provides motor function to the SCM and Trapezius muscle?
Cranial Nerve XI
Cranial Nerve XII
Cranial Nerve X
Cranial Nerve IX
Cranial Nerve XI
Which of the following cranial nerves is both a motor & sensory nerve?
Cranial Nerve XII
Cranial Nerve V
Cranial Nerve II
Cranial Nerve I
Cranial Nerve V
Which of the following tests are described by “the big toe dorsiflexing and the toes fan out?”
Brudzinski sign
Babinski test
Sulcus sign
Reverse Phalen’s sign
Babinski test
Which sign can be used to rule in Bell’s Palsy?
Bilateral drooping of the corners of the mouth
Masseter muscle weakness
Unilateral drooping of the corner of the mouth
Patient is unable to wrinkle forehead.
Patient is unable to wrinkle forehead.
Pick the list of correctly matched cranial nerves to their salivary glands:
Submandibular gland CN 7; Sublingual gland CN 7; Parotid gland CN 9
Submandibular gland CN 7; Sublingual gland CN 8; Parotid gland CN 9
Submandibular gland CN 9; Sublingual gland CN 7; Parotid gland CN 9
Submandibular gland CN 9; Sublingual gland CN 9; Parotid gland CN 7
Submandibular gland CN 7; Sublingual gland CN 7; Parotid gland CN 9
Carpel Tunnel Syndrome affects which nerve?
Ulnar nerve
Median nerve
Radial nerve
Axillary nerve
Median nerve
Which cervical ganglionic root segments does the biceps reflex tests for?
C5, C6
C2, C3
C4, C5
C7, C8
C5, C6
You have a patient who has low back pain with decreased patellar reflexes and a slight subluxation at L4. What condition do you think this is?
Drop foot
Ecchymosis
Spondylitis
Sciatica
Sciatica
Which of the following cranial nerves provides Vestibular (Position) Cochlear (Hearing) nerve?
Cranial Nerve XI
Cranial Nerve IX
Cranial Nerve VIII
Cranial Nerve VI
Cranial Nerve VIII
Which type of nerves delivers motor commands from the central nervous system to the body?
Peripheral Afferent nerves
Peripheral Efferent nerves
Systemic nerves
Autonomic nerves
Peripheral Efferent nerves
The biceps’ reflex is primarily associated with?
C3 nerve root
C5 nerve root
C4 nerve root
C8 nerve root
C5 nerve root
If a patient presents with a fever and ‘the worst headache of her life,’ which is the most likely diagnosis?
Intracranial mass
Migraine
Cerebrovascular Accident (stroke)
Bacterial Meningitis
Bacterial Meningitis
Which of the following statements about cranial nerves and taste fibers are true?
CN 10 = Anterior 2/3; CN 7 = Posterior 1/3; CN 9 = Vallecula and Epiglottis
CN 8 = Anterior 2/3; CN 9 = Posterior 1/3; CN 10 = Vallecula and Epiglottis
CN 9 = Anterior 2/3; CN 7 = Posterior 1/3; CN 10 = Vallecula and Epiglottis
CN 7 = Anterior 2/3; CN 9 = Posterior 1/3; CN 10 = Vallecula and Epiglottis
CN 7 = Anterior 2/3; CN 9 = Posterior 1/3; CN 10 = Vallecula and Epiglottis.
The triceps’ reflex is primarily associated with?
C7 nerve root
C6 nerve root
C4 nerve root
C5 nerve root
C7 nerve root
Which cranial nerve is involved in the condition Bell’s Palsy?
Vagus nerve
Facial nerve
Trochlear nerve
Trigeminal nerve
Facial nerve
ALS (amyotrophic lateral sclerosis) is defined by neurologic dysfunction signs in which of the following nerve branches?
Brain stem signs
LMN signs
UMN signs + LMN signs
UMN signs
UMN signs + LMN signs
Which of the following physiologic functions is associated with the parasympathetic system?
Bronchi dilate
Pupils dilate
Emission of bile
Increased heart beat
Emission of bile
All of the following are signs of a possible upper motor neuron lesion except:
Loss of the ability to perform fine motor movements
Decreased superficial reflexes
Negative Babinski Sign
Muscle spasticity
Negative Babinski Sign
A patient comes to you with diminished patellar reflexes. Which spinal nerve is most likely affected?
L5
S2
S1
L4
L4
Which of the following is not a typical symptom of Parkinson’s Disease?
Resting tremor
Drooping facial appearance
Cogwheel rigidity
Shuffling gait
Drooping facial appearance
Patella reflex is primarily associated with
S1 nerve root
L4 nerve root
L5 nerve root
L3 nerve root
L4 nerve root
You test the biceps reflex on your patient. The reflex appears to be diminished. Which spinal nerve(s) is most likely affected?
C5 and C6
C7
C6
C5
C5 and C6
Which of the following Cranial Nerves controls the tongue?
CN XII
CN VI
CN IX
CN VII
CN XII
Which of the following can indicate the health of the radial nerve?
Extension at the wrist
One-handed clap
Elbow flexion
Grip strength
Extension at the wrist
Which of the following cranial nerves provides taste from the Anterior 2/3 of the tongue?
Cranial Nerve IX
Cranial Nerve VII
Cranial Nerve VI
Cranial Nerve X
Cranial Nerve VII
Which of the following statements about Multiple Sclerosis is not true?
An electrical sensation down the back with neck flexion is often a symptom.
It may cause increased sensitivity to temperature changes.
It typically affects men more frequently than women.
Its first sign is often unilaterally blurred vision.
It typically affects men more frequently than women.
Which cranial nerves are involved in extraocular movements?
Trochlear, Oculomotor, Accessory
Trochlear, Oculomotor, Abducens
Oculomotor, Abducens, Accessory
Optic, Oculomotor, Abducens
Trochlear, Oculomotor, Abducens.
Which of the following symptoms is NOT a characteristic of Parkinson’s disease?
Pill rolling tremor
Cogwheeling rigidity
Writing changes
Tremor during voluntary movements
Tremor during voluntary movements
Which three of the following physiologic activities are associated with the parasympathetic nervous system?
Muscle breakdown, Muscle building, Erection
Muscle building, Erection, Urination
Urination, Urination block, Ejaculation
Erection, Ejaculation, Muscle building
Muscle building, Erection, Urination
A patient comes to your clinic after having a car accident the day prior. The medical center stated that they seem fine though they were having a one sided headache with no other symptoms. The physician wanted to keep the patient in the hospital longer but the patient refused. Why do you think the physician was concerned?
Patient may have been on drugs
Concussion
Possible hangman’s fracture
Seizure disorder
Concussion
Which of the following cranial nerves are involved in the sense of taste?
Cranial nerve IV
Cranial nerve XII
Cranial nerve III
Cranial nerve IX
Cranial nerve IX
Which part of the brain is affected when a patient has issues with coordination and balance?
Thalamus
Medula
Cerebellum
Cerebrum
Cerebellum
Which of the following organs is the Central Nervous System (CNS) composed of?
Brain & Spinal Cord
Somatic & Autonomic
Sympathetic & Parasympathetic
Brain & Eyes
Brain & Spinal Cord
Which disorder best describes a patient who presents with paresthesias, ataxic gait, facial twitching, heat intolerance, and difficulty concentrating with symptoms that remit then relapse at separate intervals:
Systemic Lupus Erythematous (SLE)
Amyotrophic Lateral Sclerosis (ALS)
Multiple Sclerosis (MS)
Guillian-Barre Syndrome
Multiple Sclerosis (MS)
A 60-year-old male comes into your clinic with a tremor. Which of the follow types of tremors are pathognomonic for Parkinson’s disease?
Tremor at rest
Tremor with activity
Tremor at rest
Which condition is characterized by peripheral ipsilateral facial paralysis with an inability to close the eye on the involved side:
Dysfunction of the Cranial Nerve VI
Dysfunction of the Cranial Nerve XII
Dysfunction of the Cranial Nerve I
Dysfunction of the Cranial Nerve VII
Dysfunction of the Cranial Nerve VII
Which of the following cranial nerves provides taste from the Posterior 1/3 of the tongue?
Cranial Nerve X
Cranial Nerve VI
Cranial Nerve IX
Cranial Nerve IV
Cranial Nerve IX
What is the role of the meninges of the brain?
Surround the sulci and insulate neuronal signals
Facilitate activity between both lobes of the brain
Serve as a protective membrane covering the brain and spinal cord
Protect the pia mater from molecules that cannot pass the blood brain barrier
Serve as a protective membrane covering the brain and spinal cord
Which of the following symptoms are indicative of Myasthenia Gravis?
Loss of taste
Sudden deafness
Ptosis (drooping of the eyelids)
Vertigo and Dizziness
Ptosis (drooping of the eyelids)
Which of the following cranial nerves do NOT contain taste fibers?
CN2
CN9
CN10
CN7
CN2
