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SENSORY-NEUROLOGIC SYSTEM ASSESSMENT

Total questions: 95

Worksheet time: 50mins

Name
Class
Date
1.

• Cerebral function

• Cranial nerves (CNs)

• Sensation

• Reflexes

a)

genito-urinary assessment

b)

musculo- skeletal assessment

c)

Sensory-Neurological Assessment

d)

abdominal assesment

2.

functions of neurologic system

a)

Sensation, perception, and the integration of sensory perceptual experience.

b)

Cognition, emotion, and memory

c)

absorb oxygen, cleans waste gases,

d)

Regulation of homeostasis, consciousness, vital signs.

3.

produce action potentials or impulses (excitability or irritability) and to transmit impulses (conductivity).

a)

cell body

b)

dendrites

c)

axons

d)

neurons

4.

contains the nucleus

a)

myelin sheath

b)

cell body

c)

dendrites

d)

neurons

5.

short, branchlike structures that receive and carry impulses to the cell body.

a)

dendrites

b)

axon

c)

synapse

d)

neurotransmitters

6.

long fibers that carry the electrical impulses generated by the cell bodies.

a)

neurotransmitters

b)

myelin sheath

c)

axons

d)

dendrites

7.

covers the axon that allows rapid impulse transmission.

a)

synapse

b)

dendrites

c)

myelin sheath

d)

axons

8.

a space that convey its impulse from one dendrite of the next neuron.

a)

synapse

b)

neurotransmitters

c)

axons

d)

dendrites

9.

chemicals released by the axon that carry the impulse to the receiving dendrite.

a)

neurotransmitters

b)

axons

c)

dendrites

d)

synapse

10.

Incidence of stroke ______ with age

a)

increases

b)

decreases

c)

stays the same

d)

stagnates

11.

usually attack young women with a peak age between 20 and 30 years.

a)

coma

b)

tinitus

c)

Myasthenia gravis (MG) and multiple sclerosis (MS)

d)

paresthesia

12.

Myasthenia gravis (MG) and multiple sclerosis (MS) usually attack young women with a peak age between

a)

20 and 30 yrs

b)

15 and 20 yrs

c)

60 and 70 yrs

d)

80 yrs and above

13.

occur more frequently in young people because of the higher rate of accidents.

a)

cerebral accidents

b)

spinal cord injuries

c)

head injuries

d)

peripheral vascular injuries

14.

in gender, higher incidence of hemorrhagic stroke

a)

pregnant

b)

women

c)

men

d)

infants

15.

have more thrombic strokes before age 40

a)

infants

b)

old adults

c)

women

d)

men

16.

is the most common neurologic symptom.

a)

thrombosis

b)

headache

c)

heartache

d)

abdominal pain

17.

Ninety percent (90%) of all headaches are

a)

benign in nature

b)

underlying pathology

c)

migraine

d)

cluster

18.

___ of all headaches are benign in nature

a)

90%

b)

70%

c)

50%

d)

99.9%

19.

Ninety percent (90%) of all headaches

a)

benign in nature

b)

muscle contraction (tension)

c)

vascular (migraine and cluster)

d)

underlying pathology.

20.

the other 10 percent (10%) have _______

a)

benign in nature

b)

underlying pathology

c)

tension

d)

migraine & cluster

21.

the other ___ have underlying pathology.

a)

99.9%

b)

10%

c)

90%

d)

50%

22.

are an early indication of a change in neurologic status.

a)

hypoxia

b)

mental status changes

c)

paresthesia

d)

coma

23.

is a “fainting” sensation

a)

syncope

b)

dizziness

c)

tinnitus

d)

vitiligo

24.

sensation that the surroundings are spinning around, or that the person is spinning around

a)

paresthesia

b)

vertigo

c)

dizziness

d)

syncope

25.

sensation that the surroundings are spinning around

a)

( overt vertigo )

b)

(objective vertigo)

c)

(subjective vertigo)

d)

(covert vertigo)

26.

the person is spinning around

a)

(objective vertigo)

b)

(covert vertigo)

c)

(subjective vertigo)

d)

(overt vertigo)

27.

Vertigo is often accompanied by

a)

nausea and vomiting

b)

nystagmus

c)

memory loss

d)

tinnitus

28.

temporary loss of consciousness.

• The patient may say that he or she “blacked out” or “had a spell.”

a)

syncope

b)

dizzinesss

c)

vertigo

d)

tinnitus

29.

Numbness or tingling

a)

Paresthesia

b)

syncope

c)

vertigo

d)

tinnitus

30.

Possible causes of paresthesia:

a)

Diabetes

b)

Neurologic/Metabolic/Cardiovascular/Renal, /inflammatory diseases.

c)

the person is spinning around

d)

area affected and the onset and progression of symptoms.

31.

sense of smell

a)

CN VII (facial) and IX (glossopharyngeal)

b)

CN I (olfactory)

c)

CN II (optic), III (oculomotor), IV (trochlear), and VI (abducens)

d)

CN VIII (acoustic)

32.

visual acuity, pupillary constriction, and extraocular movement (EOM)

a)

CN V (trigeminal) and dermatomes

b)

CN VIII (acoustic)

c)

CN II (optic), III (oculomotor), IV (trochlear), and VI (abducens)

d)

CN I (olfactory)

33.

control taste

a)

CN VIII (acoustic)

b)

. CN II (optic), III (oculomotor), IV (trochlear), and VI (abducens)

c)

CN V (trigeminal) and dermatomes

d)

CN VII (facial) and IX (glossopharyngeal)

34.

controls hearing

a)

CN VIII (acoustic)

b)

CN I (olfactory)

c)

CN VII (facial) and IX (glossopharyngeal)

d)

CN V (trigeminal) and dermatomes

35.

control somatic sensations.

a)

CN I (olfactory)

b)

CN II (optic), III (oculomotor), IV (trochlear), and VI (abducens)

c)

CN V (trigeminal) and dermatomes

d)

CN VII (facial) and IX (glossopharyngeal)

36.

(double vision)

a)

Photosensitivity

b)

Diplopia

c)

Amaurosis fugax

d)

Visual field cuts

37.

(unilateral vision loss)

a)

Amaurosis fugax

b)

Blurred vision

c)

Diplopia

d)

Photosensitivity

38.

Thorough neurologic examination may take

a)

1-3 hrs

b)

1-2 hrs

c)

30 mins - 1 hr

d)

2-3 hrs

39.

neurological system physical examination

a)

auscultation- percussion

b)

Inspection- Palpation

c)

palpation- auscultation

d)

Percussion- Palpation

40.

responses to questions and directions may be slower and that you may need to adjust the pace of the examination

a)

Older adults

b)

infants

c)

toddlers

d)

pregnant

41.

involves assessing arousal (wakefulness) and orientation (ability to receive and accurately interpret sensory stimuli).

a)

Evaluating LOC

b)

Assessing Arousal

c)

tactile stimuli

d)

Painful stimuli

42.

Assessing Arousal

a)

Auditory stimuli

b)

Tactile stimuli

c)

olfactory stimuli

d)

Painful stimuli

43.

sleeping or awake

a)

Auditory stimuli

b)

Tactile stimuli

c)

Painful stimuli

d)

reflex stimuli

44.

gently shake

a)

Painful stimuli

b)

orientation

c)

Auditory stimuli

d)

Tactile stimuli

45.

Central /Peripheral

a)

Tactile stimuli

b)

Auditory stimuli -

c)

Painful stimuli

d)

central stimuli

46.

Pinch 1 to 2 inches of the trapezius muscle and twist.

a)

Trapezius squeeze

b)

Mandibular pressure

c)

Supraorbital pressure

d)

clavicular squeeze

47.

With your index and middle finger, apply inward and upward pressure at the angle of the jaw.

a)

Supraorbital pressure

b)

Trapezius squeeze

c)

Sternal rub

d)

Mandibular pressure

48.

Apply firm pressure with your thumbs at the notch at the center of the orbital rim below the eyebrow

a)

Supraorbital pressure

b)

Trapezius squeeze

c)

Mandibular pressure

d)

Sternal Rub

49.

Least performed

a)

Trapezius Squeeze

b)

Sternal Rub

c)

Mandibular pressure

d)

Supraorbital pressure

50.

in Painful stimuli – CENTRAL

a)

Apply the stimulus for 15 to 30 seconds.

b)

A responsive patient will experience pain and move in response to these stimuli

c)

Apply the stimulus for 10 to 30 seconds.

d)

An unresponsive patient will experience pain and move in response to these stimuli

51.

Apply pressure over the moon of the nail with a pen or pencil.

a)

trapezius squeeze

b)

nail pressure

c)

achilles tendon squeeze

d)

mandibular pressure

52.

Squeeze the Achilles tendon between your thumb and your index finger.

a)

mandibular pressure

b)

achilles tendon squeeze

c)

trapezius squeeze

d)

nail pressure

53.

Provides a more objective way to assess the patient’s level of consciousness.

a)

The Glasgow Coma Scale (GCS)

b)

document

c)

struptous

d)

lethargic

54.

It evaluates best eye response, best motor response, and best verbal response on a scale of 3 to 15.

a)

documenting arousal

b)

The Glasgow Coma Scale

c)

comatose

d)

alert

55.

Follows commands in a timely fashion

a)

alert

b)

lethargic

c)

comatose

d)

syncope

56.

Appears drowsy, may drift off to sleep during examination.

a)

lethargic

b)

comatose

c)

stuporous

d)

alert

57.

Requires vigorous stimulation (shaking, shouting) for a response

a)

stuporous

b)

comatose

c)

lethargic

d)

tinnitus

58.

Does not respond appropriately to either verbal or painful stimuli.

a)

comatose

b)

alert

c)

lethargic

d)

stuporous

59.

Test _____ by asking your patient to repeat a series of numbers

a)

immediate recall

b)

mediate recall

c)

remote memory

d)

recent memory

60.

asking what the patient had for breakfast?

a)

recent memory

b)

Name three objects

c)

Remote memory

d)

immediate memory

61.

ask birth dates or anniversary dates / ask dates of major historical events

a)

remote memory

b)

recent memory

c)

immediate recall

d)

mediate recall

62.

in testing General Knowledge and Vocabulary

a)

Consider the developmental level, educational level, and cultural background

b)

test vocabulary, ask the patient to define words. Begin with easy, familiar words.

c)

test Common knowledge questions (number of months in a year / days in a week.

d)

ask Current events / Name of Philippine presidents

63.

To test general knowledge ask about:

a)

Current events / Name of Philippine presidents

b)

Common knowledge questions (number of months in a year / days in a week.

c)

Ask patient to repeat three numbers, such as “4, 9, 1.” If patient can do so, ask her or him to repeat a series of five digits.

d)

To test vocabulary, ask the patient to define words. Begin with easy, familiar words.

64.

To test mathematical and calculative skills:

a)

Counting backward from 100 by 7s (serial 7s) - frequently used

b)

As an alternative- have the person count backward by 3s or 4s

c)

Have your patient solve a simple math problem.

d)

test vocabulary, ask the patient to define words. Begin with easy, familiar words.

65.

Assess abstract reasoning by asking your patient to:

a)

Explain a simple phrase, “It’s raining cats and dogs!”

b)

“What do an apple, an orange,and a pear have in common?”

c)

“If you were walking down the street and witnessed a car accident,what would you do?

d)

Have your patient solve a simple math problem.

66.

You can further assess abstract ability by asking her or him to group similar objects;

a)

“What do an apple, an orange,and a pear have in common?”

b)

Explain a simple phrase, “It’s raining cats and dogs!”

c)

“If you were walking down the street and witnessed a car accident,what would you do?

d)

Counting backward from 100 by 7s (serial 7s) - frequently used

67.

Assess your patient’s judgment by:

a)

Explain a simple phrase, “It’s raining cats and dogs!”

b)

observing his or her response to the current situation

c)

by giving him or her a hypothetical situation.

d)

by giving him or her a hypothetical situation.

68.

Assess your patient’s judgment by observing his or her response to the current situation or by giving him or her a hypothetical situation.

a)

“If you were walking down the street and witnessed a car accident,what would you do?

b)

Explain a simple phrase, “It’s raining cats and dogs!”

c)

“What do an apple, an orange,and a pear have in common?”

d)

As an alternative- have the person count backward by 3s or 4s

69.

I Olfactory

a)

Diencephalon

b)

Telencephalon

c)

Midbrain

d)

Pons

70.

II Optic

a)

Diencephalon

b)

Telencephalon

c)

Medulla

d)

Pons

71.

Cranial Nerves III through XII arise from the

a)

Brain Stem

b)

Pons

c)

Medulla

d)

Midbrain

72.

III Oculomotor

IV Trochlear

a)

Midbrain

b)

Pons

c)

Medulla

d)

Telencephalon

73.

V Trigeminal

VI Abducens

VII Facial

a)

Pons

b)

Midbrain

c)

Brain stem

d)

Diencephalon

74.

VIII Vestibulocochlear

IX Glossopharyngeal

X Vagus

XII Hypoglossal

a)

Medulla

b)

Pons

c)

Midbrain

d)

Brain stem

75.

Spinal Accessory Nerve arises from the Spinal Cord

a)

Cranial Nerve XI

b)

II Optic

c)

I Olfactory

d)

III acoustic

76.

loss of sense of smell.

a)

Anosmia

b)

Anemia

c)

Paresthesia

d)

syncope

77.

(C5, C6)

a)

Biceps

b)

Triceps

c)

Achilles

d)

Plantar

78.

(C7, C8)

a)

biceps

b)

triceps

c)

plantar

d)

babinski

79.

(C5, C6)

a)

biceps

b)

brachioradialis

c)

triceps

d)

achilles

80.

(L2, L3, L4)

a)

patellar

b)

achilles

c)

triceps

d)

biceps

81.

(S1,S2)

a)

achilles

b)

plantar

c)

triceps

d)

biceps

82.

(L4 to S2)

a)

plantar

b)

abdominal

c)

triceps

d)

cremasteric

83.

(T8,T9,T10)

a)

abdominal

b)

triceps

c)

cremasteric

d)

bulbocavernous

84.

(S3, S4, S5)

a)

anal

b)

bulbocaverrnous

c)

triceps

d)

cremastic

85.

(L1,L2)

a)

cremastic

b)

bulbocavernous

c)

triceps

d)

babinski

86.

(S3, S4)

a)

bulbocavernous

b)

triceps

c)

biceps

d)

plantar

87.

GAG, COUGH and SWALLOW REFLEX

a)

Cranial Nerve IX and X

b)

Cranial Nerve V and VII-

c)

Cranial Nerve VI and VIII

d)

Cranial Nerve IV and X

88.

BLINK and CORNEAL REFLEX

a)

Cranial Nerve VI and VIII

b)

Cranial Nerve V and VII

c)

Cranial Nerve IV and VII

d)

Cranial Nerve VIII and VII

89.

• Rigid, stooped posture with head leaning forward and arms, knees, and hips stiffly flexed.

• Rapid, short, shuffling steps.

• Causes: Parkinson’s disease (classic gait).

a)

PROPULSIVE GAIT

b)

SCISSORS GAIT

c)

WADDLING GAIT

d)

POTTBELLY GAIT

90.

• Bilateral spastic paresis of legs; arms not involved. • Legs flexed at hip and knees.

• Knees adduct and meet or cross like scissors.

• Short steps, foot plantar flexed, walks on toes.

• Causes: Cerebral palsy, spinal cord tumors.

a)

PROPULSIVE GAIT

b)

SCISSORS GAIT

c)

WADDLING GAIT

d)

POTBELLY GAIT

91.

• Ducklike walk with wide base of support, chest thrown back, exaggerated lumbar curve (lordosis), and protruding abdomen.

 Normal in toddlers and late stages of pregnancy.

Causes: MS, hip dislocation.

a)

WADDLING GAIT

b)

POTBELLY GAIT

c)

SCISSORS GAIT

d)

PROPULSIVE GAIT

92.

• Unilaterally stiff, dragging leg from leg, muscle hypertonicity.

• Causes: Stroke, brain tumor.

a)

SPASTIC GAIT (HEMIPELGIC)

b)

STEPPAGE GAIT

c)

SCISSORS GAIT

d)

PROPULSIVE GAIT

93.

• Foot drop with external rotation of hip and hip and knee flexion.

• Foot slaps paretic, or weak) when it hits ground.

a)

PROPULSIVE GAIT

b)

STEPPAGE GAIT

c)

HEMIPELGIC

d)

SPASTIC GAIT

94.

may sway slightly but is able to maintain upright posture and foot stance

a)

NEGATIVE ROMBERG

b)

POSITIVE ROMBERG

c)

NEUTRAL ROMBERG

d)

STANGNATED ROMBERG

95.

cannot maintain foot stance; moves the feet apart to maintain stance

a)

POSITIVE ROMBERG

b)

NEGATIVE ROMBERG

c)

STAGNATED ROMBERG

d)

NEUTRAL ROMBERG

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