Neurology (16%) Flashcards

1
Q

Difference thresholds:
• depend on the energy necessary to stimulate a sensory receptor.
• are measured in Judgmental Normal Differences.
• occur when we can detect the change in the intensity of a stimulus.
• occur when we can first detect some stimulus.

A

occur when we can detect the change in the intensity of a stimulus.

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2
Q
Which of the following neurological changes is NOT associated with Alzheimer disease?
•	Neurofibrillary tangles
•	Shrinkage of gyri
•	Presence of amyloid plaques
•	Increase in synapses
A

• Increase in synapses

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3
Q

Which of the following statements about the dura and meninges is incorrect?
• Pacchionian bodies are small arachnoid villi that allow the return of CSF to the vascular system

  • Pia mater is delicate and firmly adherent to brain and spinal cord composed of flat cells and fibrous tissue. It closely follows the brain’s contour into the gyri and sulci
  • Dura is formed by two layers in which the outer layer is the inner bones’ periostrum
  • The dura is a tough fibrous tissue that covers the brain and has three dural infoldings, falx cerebri, tentorium cerebelli, and sella diaphragm
A

• Pacchionian bodies are small arachnoid villi that allow the return of CSF to the vascular system

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4
Q
A patient with several sensory and motor abnormalities exhibits signs of autonomic nervous system dysfunction.  Which of the following is NOT an indicator of increased sympathetic involvement?
•	construction of the pupils
•	rapid, shallow breathing
•	anxiety, distractibility
•	mottled, cold, shiny skin
A

• construction of the pupils

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5
Q
The major link between the brain and the glandular system is the:
•	pituitary
•	hypothalamus
•	midbrain
•	CNS
A

hypothalamus

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6
Q
This stage of synapse causes the opening of the sodium channels and sodium ions begin moving from outside to inside.
•	Production of Muscle Action Potential
•	Activation of Ach Receptors
•	Release of Ach
Termination of the Ach Activity
A

• Activation of Ach Receptors

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7
Q
The junction between the muscle and the neural fiber that supplies it is called
•	ATP
•	Visceral
•	NMJ
•	FOG
A

• NMJ

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8
Q
What is the total possible score for the motor component of the Glasgow Coma Scale?
•	6
•	12
•	15
•	10
A

• 6

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9
Q
A client requires inclient chiropractic treatment after sustaining brain damage in a boating accident.  Upon entering the client’s room, the chiropractor finds the client as shown in the image.  What is the client’s most likely perceptual deficit?
•	diplopia
•	somatoagnosia
•	anosognosia
•	apraxia
A

• somatoagnosia

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10
Q

Which of the following is the most common form of cerebral palsy, affecting 70-80 percent of patients?
• Athetoid cerebral palsy

  • Severe athetoid cerebral palsy
  • Ataxic cerebral palsy
  • Spastic cerebral palsy
A

• Spastic cerebral palsy

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11
Q

Which type of sensory testing is used to identify an object without sight?
• two point discrimination
• temperature
• stereognosis

• graphesthesia

A

• stereognosis

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12
Q
A male patient with a neurological disorder expresses that he is no longer able to differentiate between the taste of many foods on the front portion of his tongue.
•	cranial nerve IX
•	cranial nerve XII
•	cranial nerve I
•	cranial nerve VII
A

• cranial nerve VII

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13
Q

A chiropractor examines a patient with coordination deficits presenting with extraneous and excessive involuntary movements including hemiballismus. Based on this description the damage was done to the:
• cerebellum

  • basal ganglia
  • frontal lobe
  • medulla oblongata
A

• basal ganglia

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14
Q

Which of the following type of cerebral palsy below is most likely to be seen in preterm infants?
• Spastic hemiplegia

  • Spastic diplegia
  • Choreoathetotic
  • Spastic quadriplegia
A

• Spastic diplegia

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15
Q

Which structure would be most affected for a patient with a wound impacting the epidermis of the skin?
• arrector pili muscles

  • Meissner’s corpuscles
  • sebaceous glands
  • melanocytes
A

• Meissner’s corpuscles

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16
Q

Which of the following impairments would most likely be observed for a patient that has a lesion in the posterior portion of the spinal cord?
• inability to distinguish between hot and cold

  • inability to determine joint position
  • inability to distinguish between dull and sharp

inability to feel any light touch

A

• inability to determine joint position

17
Q
What is the primary neurotransmitter released from preganglionic autonomic fibers?
•	Calcium
•	Acetylcholine
•	Epinephrine
•	Serotonin
A

• Acetylcholine

18
Q
Information picked up by the body’s receptor cells is termed
•	cognition
•	perception
•	adaptation
•	sensation
A

• sensation

19
Q

Which one of the following statements regarding the autonomic nervous system is TRUE?
• autonomic fibres exit from the spinal cord via the dorsal root
• parasympathetic fibres arise from the thoracic and sacral spinal segments
• the sympathetic paravertebral ganglia are located close to the spine
• there are 25 ganglia in the parasympathetic paravertebral chain

A

• the sympathetic paravertebral ganglia are located close to the spine

20
Q

Which patient does not have a specific localized cortical brain lesion?
• A 71-year-old woman with sudden unilateral loss of vision
• An 80-year-old man with sudden onset of hemiplegia
• A 30-year-old woman who reports Ilama walks by her a few times a week
• A 42-year-old man not able to identify a key put in his hand

A

An 80-year-old man with sudden onset of hemiplegia

21
Q

Hemiparesis is defined as:
• the lose of the right and left half of the field of vision in both eyes
• A condition where a person plans a task but cannot volitionally perform it
• impairment in the rhythm and inflection of speech
• A condition of weakness on one side of the body

A

A condition of weakness on one side of the body

22
Q

What type of sensory testing occurs when using a cotton ball applied to the skin of a patient?
• proprioception

  • light touch
  • vibration
  • deep pain
A

• light touch

23
Q

Which gait pattern is characterized by a circular motion to advance the leg during swing phase?
• steppage

  • tabetic
  • circumduction
  • scissor
A

• circumduction

24
Q
Which degree of nerve injury is considered when all layers of the nerve is damaged?
•	none of the options
•	2nd degree
•	1st degree
•	3rd degree
A

• 3rd degree

25
Q
Where in the brainstem would the lesion be found for a patient with contralateral hemiplegia also involving the lower face, ipsilateral oculomotor paresis, ptosis, and dilated pupils?
•	Dorsal midbrain
•	Medial medulla
•	Ventral midbrain
•	Lateral medulla
A

• Ventral midbrain

26
Q

Which of the following is a diagnostic characteristic of Parkinson disease?
• Hemiparesis

  • Resting tremor
  • Memory loss
  • Sensory deficits
A

• Resting tremor

27
Q
Which of the following is defined as nerve pain?
•	bursitis
•	tendinitis
•	neuralgia
•	neuritis
A

• neuralgia

28
Q
Early detection of Alzheimer dementia in patients with mild cognitive impairment (MCI) by MRI is most supported by which of the following findings?
•	Hydrocephalus ex vacuo
•	Hippocampal atrophy
•	diffuse cortical atrophy
•	Enlargement of ventricular system
A

• Hippocampal atrophy

29
Q

Deep brain stimulation of the subthalamic nucleus for Parkinson disease would be appropriate for which of the following patients?
• A patient who has idiopathic, levodopa-responsive Parkinsonism and dyskinesias and disabling medication induced motor fluctuations
• A patient who has dyskinesia and disabling medication resistant motor fluctuations who is 55
• A patient who has idiopathic, levodopa-resistant atypical Parkinsonism who is 36-years-old
• A patient who has idiopathic, levodopa-unresponsive parkinsonism and dyskinesia and disabling medication resistant motor fluctuations who is 39 years old

A

• A patient who has idiopathic, levodopa-unresponsive parkinsonism and dyskinesia and disabling medication resistant motor fluctuations who is 39 years old

30
Q
A 42-year-old male undergoes a brain MRI demonstrating a type I Chiari malformation.  Which symptom would most likely be related to this finding?
•	Gait unsteadiness
•	Seizures
•	Intractable headaches
•	Neck pain
A

• Gait unsteadiness

31
Q
which neurotransmitter is in the neuro muscular junction
NA
Ach
dopamine
serotonin
A

Acetylcholine