Nervous Sytem / Musculoskeletal System Flashcards
This cranial nerve provides taste sensation to the posterior 1/3 of the tongue. A.CNVI B. CNVII C. CNVIII D. CNIX
- D
A 21 year old male has noticed gradual weakness of his legs and hands and is concerned because he has trouble gripping a pen or pencil and he has never
experienced such a problem before. He is recovering from cold-like symptoms and noticed the limb weakness shortly after. What information in his history would indicate that the root cause of this disease is not solely infectious?
A. History in the family of Parkinson’s Disease
B. History of inoculation
C. History of aspirin ingestion
D. History of gonorrhea or chlamydia
- B
This disease only affects the lower motor neurons and has a fecal-oral route of transmission. A. ALS (Lou Gehrig's disease) B. Werdnig-Hoffman disease C. Brown-Sequard syndrome D. poliomyelitis
- D
Homer's syndrome (ptosis, miosis, hemi anhidrosis) is related to this tumor found at the apex of the lung. A. Pancoast's tumor B. Ependymoma C. Meningioma D. glioblastoma multiforme (GBM)
- A
In your clinic, you witness the 6 year old daughter of one of your long-term clients trip and fall. During the fall, she bumps the side of her head and begins to cry. After the client consoles her daughter and rubs her head, the child begins to calm down and, exhausted from crying, starts to fall asleep. What is the most appropriate action you should take?
A. ask the patient to put ice on the girl’s head when they return home
B. refer the patient to a pediatrician
C. refer the patient to a neurologist
D. refer the patient to the ER
- D
A patient suffers an automobile accident and has damage to the left anterior spinal nerves between lumbar vertebrae L2 and L3. Which of the following
correctly matches the patient’s deficits and given symptoms?
A. The patient will have ipsilateral paralysis of the leg and ipsilateral loss of pain and temperature sensation in the leg.
B. The patient will have contralateral paralysis of the leg and ipsilateral loss of pain and temperature sensation in the leg.
c. The patient will have contralateral paralysis of the leg and contralateral loss of pain and temperature sensation in the leg.
D. The patient will have ipsilateral paralysis of the leg and contralateral loss of pain and temperature sensation in the leg.
- D
A 65 year old woman is at a restaurant, enjoying wine at the bar with her friends. The friends notice that the woman begins to slur her words and then slumps over. EMS is called and the woman is sent to the ER. It is later found that she had suffered a massive stroke of the left cerebral hemisphere (pons in specific). Which of the following correctly matches the patient’s deficits and given symptoms?
A. Left facial weakness, right body weakness
B. Right facial weakness, left body weakness
C. Left facial weakness, left body weakness
D. Right facial weakness, right body weakness
- A
While evaluating a patient, the doctor notices that the patient's scapula seems to protrude forward on one side. What muscle could be damaged? A. deltoid B. biceps brachii C. subscapularis D. serratus anterior
- D
Which cranial nerve affects balance? A. IV B. VII C. I D. VIII
- D
The test(s) for carpal tunnel syndrome include: A. Tinel's & Phalen's signs B. Muller sign C. Osler & Oppenheim's signs D. Soto-Hall sign
- A
A DEXA scan gives results on: A. Heart functioning B. Stomach prolapsed C. Brain function D. Bone density
- D
A goniometer measures A. Testosterone levels in females B. Androgen levels in males C. Angles of joints and range of motion D. Head circumference and growth in infants
- C
The Achilles tendon reflex tests which nerve root? A. L5 B. L4 C. L3 D. S1
- D
A patient has a tingling sensation down the arm, weakness in the legs, problems with balance, hand clumsiness, and neck pain. The most probable diagnosis would be A. Cervical stenosis B. Brain tumor C. Herniated cervical disc D. Sciatica
- A
A soft musculoskeletal mass would best be evaluated by A. MRI B. CT scan C. Contrast X-ray D. Plain X-ray
- A
A 40 year old man has low back pain. The doctor's report states that the deep tendon reflex of the Achilles on the left is 0/+4. What does this indicate? A. Possible osteoarthritis B. Hyperreflexia C. Possible herniated disc D. Possible brain tumor
- C
A patient complains of shoulder pain which started after falling in a ski accident in Colorado. Which muscles of the rotator cuff muscles involved?
A. Deltoid, supraspinatus, and infraspinatus
B. Supraspinatus, infraspinatus, teres minor and subscapularis
C. Trapezius, supraspinatus and infraspinatus
D. Deltoid and biceps
- B
Chronic elbow pain from playing tennis is diagnosed as A. Lateral epicondylitis B. Radio-ulnar synostosis C. Medial epicondylitis D. Olecranon bursitis
- A
The only sure way to determine the fracture risk for osteoporosis is to perform a A. Bone mineral density test B. Bone scan C. Bone marrow biopsy D. Bone X-ray
- A
From two years of age on. a positive Babinski reflex indicates A. Central nervous system disorder B. Normal reflex C. Low back pain D. Arthritis of the knee
- A
A patient with blood pressure of 210/130 with headache and blurred vision should be
A. Referred to emergency room immediately
B. Treat in office with acupuncture
C. Treat in office with Chinese herbs
D. Refer to physician for evaluation
- D
A. symptom of myasthenia gravis MOST likely could be A. Dizziness B. Sudden hearing loss C. Tongue protrusion D. Ptosis, drooping of the eyelids
- D
Which cranial nerve controls the tongue A. III B.V C. X D. XII
- D
Raising the arm above the shoulder with elicited pain at 90 degrees is used to test for A. Thoracic outlet syndrome B. Herniated disc C. Rotator cuff injury D. Acromio-clavicular injury
- C
The Babinski test is positive when
A. The whole foot drops
B. The big toe plantar flexes and the toes fan out
C. The big toe dorsiflexes and the toes fan out
D. The toes fan out
- C
A person with a suspected herniated intervertebral disk could show signs of increased intensity of pain A. Upon urination B. While resting in a prone position C. When coughing or sneezing D. While eating a meal
- C
An inflammation of the seventh cranial nerve allows the characteristic Bell’s palsy trait to appear as
A. Sudden loss of taste
B. Paralysis, usually of one side of the face
C. Sudden hearing loss
D. Twitching muscles around the eyes
- B
To slow the progress of osteoporosis it is BEST to ban the use of A. Alcohol B. Caffeine and smoking C. Dairy products D. Diet sodas with aspirin intake
- B
Which type of image study is performed to evaluate muscle injury? A.MRI B. Bone scan C. Stress testing D. Regular X-ray
- A
Which cranial nerve is NOT associated with eye movement A. II B. IV C. VI D. III
- A
Common symptoms of meningitis include the following EXCEPT A. High fever B. Bloody diarrhea C. Stiffneck D. Drowsiness
- B
Sympathetic nervous system B-receptors cause all the following physiological responses EXCEPT A. Vasoconstriction B. Heart rate increase C. Pupil constriction D. Bronchodilation
- C
Which symptoms suggest an elderly person is having a TIA (transient ischemic attack)?
A. Intermittent migraine headaches
B. Brief episodes of profound sadness
C. Brief experiences of sensitivity to light
D. Short periods of unilateral weakness
- D
Which peripheral nerve innervates the dorsal aspect of the Index, middle, and distal thumb? A. Radial nerve B. Median nerve C. Ulnar nerve D. Superficial ulnar nerve
- B
McMurray test is to test for?
A. Tear of the posterior cruciate ligament
B. Tear of the medial collateral ligament
C. Tear of the anterior cruciate ligament
D. Tear of the lateral and medial meniscus
- D
The dermatome of the nipples is? A. T12 B.T4 C.T7 D.T9
- B
When asking the patient to say "ah" and watching the movement of the soft palette and the pharynx, what cranial nerve are you testing? A. Cranial nerves V, VII B. Cranial nerves VII, X C. Cranial nerves IX, X D. Cranial nerves VII, IX
- C
In older patients, benign essential tremors of the head are often confused with Parkinson’s disease. Clinically, how would you distinguish benign tremors from Parkinson’s disease?
A. Tremors are associated with muscle rigidity
B. Tremors are slower
C. Tremors are slightly faster and disappear at rest
D. Tremors are present at rest and activity
- C