Nervous System - TCM Seminars Tests

Question 1

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

Answer 1

Brudzinski sign

Question 2

What is a problem that patients should be cautious with due to head trauma?

Aortic Aneurysm
Insomnia
Stroke
Cerebral bleeding

Answer 2

Cerebral bleeding

Question 3

A patient presents to you with numbness in her fourth and fifth toes. Which spinal nerve is most likely involved?

S1
L5
L3
L4

Answer 3

S1

Question 4

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

Answer 4

Cranial nerve II

Question 5

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

Answer 5

Paralysis of one side of the face

Question 6

List the meninges in order of outer, middle and inner:

Pia - Arachnoid - Dura
Dura - Arachnoid - Pia
Dura - Pia - Arachnoid
Arachnoid - Pia - Dura

Answer 6

Dura - Arachnoid - Pia

Question 7

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

Answer 7

Bacterial Meningitis

Question 8

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

Answer 8

Cranial nerve IX

Question 9

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

Answer 9

Cranial Nerve VII

Question 10

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

Answer 10

Kernig sign

Question 11

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

Answer 11

Cranial Nerve X

Question 12

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.

Answer 12

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.

Question 13

Which part of the Neuron receives the stimulus which initiates the nerve signal?

Soma
Dendrite
Axon
Terminal buttons

Answer 13

Dendrite

Question 14

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

Answer 14

Cranial Nerve XII

Question 15

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

Answer 15

Median nerve

Question 16

Which of the following cranial nerves does NOT have a parasympathetic function?

Cranial Nerve II
Cranial Nerve X
Cranial Nerve IX
Cranial Nerve VII

Answer 16

Cranial Nerve II

Question 17

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

Answer 17

CNS Normality

Question 18

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

Answer 18

Cranial nerve II and III

Question 19

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

Answer 19

Urination block, Ejaculation, Muscle breakdown

Question 20

Which of the following cranial nerves does NOT contain Taste Fibers?

Cranial Nerve IX
Cranial Nerve X
Cranial Nerve VII
Cranial Nerve III

Answer 20

Cranial Nerve III

Question 21

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.

Answer 21

Call 911.

Question 22

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

Answer 22

Nerve biopsy of the 7th cranial nerve

Question 23

Achilles reflex is primarily associated with

S1 nerve root
L4 nerve root
L5 nerve root
L3 nerve root

Answer 23

S1 nerve root

Question 24

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

Answer 24

Cranial Nerve XI

Question 25

Which of the following cranial nerves is both a motor & sensory nerve? Cranial Nerve XII Cranial Nerve V Cranial Nerve II Cranial Nerve I

Answer 25

Cranial Nerve V

Question 26

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

Answer 26

Babinski test

Question 27

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.

Answer 27

Patient is unable to wrinkle forehead.

Question 28

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

Answer 28

Submandibular gland CN 7; Sublingual gland CN 7; Parotid gland CN 9

Question 29

Carpel Tunnel Syndrome affects which nerve? Ulnar nerve Median nerve Radial nerve Axillary nerve

Answer 29

Median nerve

Question 30

Which cervical ganglionic root segments does the biceps reflex tests for? C5, C6 C2, C3 C4, C5 C7, C8

Answer 30

C5, C6

Question 31

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

Answer 31

Sciatica

Question 32

Which of the following cranial nerves provides Vestibular (Position) Cochlear (Hearing) nerve? Cranial Nerve XI Cranial Nerve IX Cranial Nerve VIII Cranial Nerve VI

Answer 32

Cranial Nerve VIII

Question 33

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

Answer 33

Peripheral Efferent nerves

Question 34

The biceps’ reflex is primarily associated with? C3 nerve root C5 nerve root C4 nerve root C8 nerve root

Answer 34

C5 nerve root

Question 35

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

Answer 35

Bacterial Meningitis

Question 36

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

Answer 36

CN 7 = Anterior 2/3; CN 9 = Posterior 1/3; CN 10 = Vallecula and Epiglottis.

Question 37

The triceps’ reflex is primarily associated with? C7 nerve root C6 nerve root C4 nerve root C5 nerve root

Answer 37

C7 nerve root

Question 38

Which cranial nerve is involved in the condition Bell’s Palsy? Vagus nerve Facial nerve Trochlear nerve Trigeminal nerve

Answer 38

Facial nerve

Question 39

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

Answer 39

UMN signs + LMN signs

Question 40

Which of the following physiologic functions is associated with the parasympathetic system? Bronchi dilate Pupils dilate Emission of bile Increased heart beat

Answer 40

Emission of bile

Question 41

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

Answer 41

Negative Babinski Sign

Question 42

A patient comes to you with diminished patellar reflexes. Which spinal nerve is most likely affected? L5 S2 S1 L4

Answer 42

L4

Question 43

Which of the following is not a typical symptom of Parkinson’s Disease? Resting tremor Drooping facial appearance Cogwheel rigidity Shuffling gait

Answer 43

Drooping facial appearance

Question 44

Patella reflex is primarily associated with S1 nerve root L4 nerve root L5 nerve root L3 nerve root

Answer 44

L4 nerve root

Question 45

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

Answer 45

C5 and C6

Question 46

Which of the following Cranial Nerves controls the tongue? CN XII CN VI CN IX CN VII

Answer 46

CN XII

Question 47

Which of the following can indicate the health of the radial nerve? Extension at the wrist One-handed clap Elbow flexion Grip strength

Answer 47

Extension at the wrist

Question 48

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

Answer 48

Cranial Nerve VII

Question 49

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.

Answer 49

It typically affects men more frequently than women.

Question 50

Which cranial nerves are involved in extraocular movements? Trochlear, Oculomotor, Accessory Trochlear, Oculomotor, Abducens Oculomotor, Abducens, Accessory Optic, Oculomotor, Abducens

Answer 50

Trochlear, Oculomotor, Abducens.

Question 51

Which of the following symptoms is NOT a characteristic of Parkinson’s disease? Pill rolling tremor Cogwheeling rigidity Writing changes Tremor during voluntary movements

Answer 51

Tremor during voluntary movements

Question 52

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

Answer 52

Muscle building, Erection, Urination

Question 53

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

Answer 53

Concussion

Question 54

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

Answer 54

Cranial nerve IX

Question 55

Which part of the brain is affected when a patient has issues with coordination and balance? Thalamus Medula Cerebellum Cerebrum

Answer 55

Cerebellum

Question 56

Which of the following organs is the Central Nervous System (CNS) composed of? Brain & Spinal Cord Somatic & Autonomic Sympathetic & Parasympathetic Brain & Eyes

Answer 56

Brain & Spinal Cord

Question 57

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

Answer 57

Multiple Sclerosis (MS)

Question 58

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

Answer 58

Tremor at rest

Question 59

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

Answer 59

Dysfunction of the Cranial Nerve VII

Question 60

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

Answer 60

Cranial Nerve IX

Question 61

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

Answer 61

Serve as a protective membrane covering the brain and spinal cord

Question 62

Which of the following symptoms are indicative of Myasthenia Gravis? Loss of taste Sudden deafness Ptosis (drooping of the eyelids) Vertigo and Dizziness

Answer 62

Ptosis (drooping of the eyelids)

Question 63

Which of the following cranial nerves do NOT contain taste fibers? CN2 CN9 CN10 CN7

Answer 63

CN2