Acute Neuro Practice/Review Questions Which of the following is not a test of peripheral nerve function? A. Assessment of the gag reflex. B. Assessment of the oculocepalic reflex. C. Babinski test D. Two-point discrimination test. What is the single-most important assessment used to determine neurologic status? Which of the following is considered a normal age related neurophysiologic change? A. Decreased muscle mass. B. Increased touch sensation. C. Loss of recent memory. D. Loss of remote memory. Which of the following would be the most effective tool for evaluation of mentation in an alert client? A. Electroencephalogram (EEG) B. Glascow Coma Scale (GCS) C. Level of Consciousness (LOC) D. Mini Mental Status Exam (MMSE) Which of the following is the most common post-procedural complication of a lumbar puncture? A. Cerebrospinal Fluid Leak B. Headache C. Hematoma D. Infection Which of the following most likely indicates a lesion of the brainstem (midbrain)? A. Decorticate posturing B. Decerebrate posturing C. Hypoactive reflexes D. Positive Romberg A vegetative state occurs when there is severe injury to the: a. cerebral cortex. b. brain stem. c. spinal cord. d. cerebellum. Vomiting is associated particularly with CNS injuries that involve: a. skull fractures. b. the thalamus. c. brain stem compression. d. the frontal lobe. The sudden, explosive, disorderly discharge of cerebral neurons is known as: a. reflex. b. seizure. c. inattentiveness. d. brain death. The cognitive disorder that results in the loss of memory of events that occurred before a head injury is: a. selective memory deficit. b. anterograde amnesia. c. retrograde amnesia. d. executive memory deficit. Since his cerebral vascular accident, Mr. Harold Thomas has been unable to recognize and identify objects by touch because of injury to the sensory cortex. This condition is a form of: a. hypomimesis. b. agnosia. c. dysphasia. d. agraphia. A decrease in cerebral perfusion pressure is related to which of the following changes? a. Increase in arterial blood pressure b. Increase in cerebral blood flow c. Increase in intracranial pressure d. Cerebral artery vasodilation A direct consequence of increased intracranial pressure is: a. brain tissue hypoxia. b. intracranial hypotension. c. ventricular swelling. d. expansion of the cranial vault. Cerebral edema is an accumulation of fluid in the: a. brain ventricles. b. brain tissue. c. subarachnoid space. d. neuroglia. Mr. Walt Elliot is admitted to the neuro critical care unit with a severe closed head injury. When an intraventricular catheter is inserted, the intracranial pressure is recorded at 24 mm Hg. This reading is: a. higher than normal. b. lower than normal. c. normal. d. borderline. Spinal shock is characterized by: a. Loss of voluntary motor function with preservation of reflexes. b. Cessation of spinal cord function below the lesion. c. Loss of spinal cord function at the level of the lesion only. d. Temporary loss of spinal cord function above the lesion. Which of the following are causes of seizure disorders? a. Depression b. Fever c. Brain tumors d. Cerebral trauma e. Dementia Agnosia can be described as which of the following? a. Somatic b. Visual c. Auditory d. Vibratory e. Tactile Acute confusional states can be caused by which of the following? a. Fevers b. Alcohol withdrawal c. Ischemia to Wernicke area d. Congenital causes e. Head injury Spinal shock is characterized by which of the following? a. Flaccid paralysis b. Hyperactive reflexes c. Loss of bladder control d. Disturbed bowel function e. Temporary loss of speech The most common type of traumatic brain injury is: a. penetrating trauma. b. diffuse axonal injury. c. focal brain injury. d. concussion. Sam Jackson was in an automobile accident. At impact, Mr. Jackson’s forehead struck the windshield. In this situation, the coup injury would occur in the: a. frontal region. b. temporal region. c. parietal region. d. occipital region. Sam Jackson was in an automobile accident. At impact, Mr. Jackson’s forehead struck the windshield. Mr. Jackson’s contracoup injury would occur in the: a. frontal region. b. temporal region. c. parietal region. d. occipital region. The main source of bleeding in extradural (epidural) hematomas is: a. arterial. b. venous. c. capillary. d. sinus. An initial clinical manifestation associated with acute spinal cord injury is: a. pain below the level of the injury. b. loss of autonomic reflexes above the injury. c. loss of voluntary control below the injury. d. hyperactive spinal reflexes below the injury. Six weeks ago Sarah Johnson suffered a T6 spinal cord injury. Suddenly she develops a blood pressure of 200/120, a severe headache, blurred vision, and bradycardia. Ms. Johnson is likely experiencing: a. extreme spinal shock. b. acute anxiety. c. autonomic hyperreflexia. d. parasympathetic areflexia. Which population subgroups are at highest risk for traumatic brain injury? a. Infants b. Young school age children c. Males 15 to 35 years of age d. Females age 35 to 55 years of age e. Elderly persons over age 65 Symptoms of bacterial meningitis can include: a. skin rash. b. mild focal headache. c. vomiting. d. nuchal rigidity. e. respiratory distress. Effects of intracranial tumors include: a. seizures. b. increased ICP. c. infections. d. visual disturbances. e. encephalitis.