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MN 568 FINAL EXAM WITH CORRECT ANSWERS 100 % VERIFIED!!
Which statement about confusion is true? Question options: a) Confusion is a disease process. b) Confusion is always temporary. c) Age is a reliable predictor of confusion. d) Polypharmacy is a major contributor to confusion in older adults. - ANSWER d)Polypharmacy is a major contributor to confusion in older adults.
Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of thefollowing medications will help to decrease edema in the labyrinth of the ear? Question options: a) Meclizine b) Diphenhydramine c) Diamox d) Promethazine - ANSWER c) Diamox The hallmark of an absence seizure is: Question options:
a) No activity at all b) A blank stare c) Urine is usually voided involuntarily d) The attack usually lasts several minutes - ANSWER b) A blank stare How often should drug levels be monitored when a seizure medication has controlledthe seizures, and the drug level is adequate? Question options:
a) Every 3 months b) Every 6 months c) Annually d) Whenever there is a problem - ANSWER b) Every 6 months Which of the following persons fits the classic description of a patient with multiplesclerosis (MS)? Question options:
a) A teenage male b) A 65-year-old male c) A 25-year-old female
b) Subdural hematoma c) Subarachnoid hematoma d) Intraparenchymal hemorrhage - ANSWER a) Epidural hematoma Which cranial nerve is affected in a patient with a cerebrovascular accident who hasdifficulty chewing? Question options:
a) CN V b) CN VII c) CN IX d) CN X - ANSWER a) CN V Which statement best describes a carotid bruit? Question options: a) It is felt with the middle three fingers over the carotid artery. b) A bruit becomes audible when the lumen is narrowed to 1 mm or less. c) A low-pitched bruit is a medical emergency. d) The higher the pitch of the bruit, the higher the degree of stenosis. - ANSWER d) Thehigher the pitch of the bruit, the higher the degree of stenosis.
Which patient is more likely to have a cluster headache? Question options: a) A female in her reproductive years b) A 40-year-old African American male c) A 55-year-old female who drinks 10 cups of coffee daily d) A 45-year-old male awakened at night - ANSWER d) A 45-year-old male awakened atnight
Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of? Questionoptions:
a) Dementia b) Alzheimer's disease c) Parkinson's disease d) Delirium - ANSWER d) Delirium Which type of meningitis is more benign, self-limiting, and caused primarily by a virus?Question options:
a) Purulent meningitis b) Chronic meningitis
Gabby, aged 22, has Bell's palsy on the right side of her face. Her mouth is distorted,and she is concerned about permanent paralysis and pain. What do you tell her? Question options: a) "Most patients have complete recovery in 3 to 6 months." b) "Unfortunately, you'll probably have a small amount of residual damage." c) "Don't worry, I'll take care of everything." d) "You may have a few more episodes over the course of your lifetime but nopermanent damage." - ANSWER a) "Most patients have complete recovery in 3 to 6 months." Sam, aged 65, is started on L-dopa for his Parkinson's disease (PD). He asks why this isnecessary. You tell him: Question options:
a) "L-dopa is neuroprotective." b) "The primary goal of therapy is to replace depleted stores of dopamine." c) "This is the only drug that can provide symptomatic benefit." d) "This is the initial monotherapy drug." - ANSWER b) "The primary goal of therapy is toreplace depleted stores of dopamine."
Which of the following signs is seen in a patient with more advanced PD? Questionoptions:
a) Resting tremor
b) Bradykinesia c) Rigidity d) Postural instability - ANSWER d) Postural instability Which of the following is the most commonly experienced symptom of migraine?Question options:
a) Light sensitivity b) Pulsatile pain c) Sound sensitivity d) Experiencing an aura - ANSWER b) Pulsatile pain Which of the following characteristics differentiates peripheral vertigo from centralvertigo? Question options:
a) The duration of central vertigo is shorter than that of peripheral vertigo. b) There is an auditory-associated symptom with peripheral vertigo and avisual-associated symptom with central vertigo.
c) Central vertigo is positional, and peripheral vertigo is not.
a) MRI b) CT c) Cerebrospinal fluid analysis d) EEG - ANSWER d) EEG Which herbal preparation may cause delirium and should be avoided in an elderlypatient? Question options:
a) Sam-e b) Saint John's Wort c) Melatonin d) Saw Palmetto - ANSWER b) Saint John's Wort Which of the following activities is part of the functional activities questionnaire?Question options:
a) Asking the patient to unravel a Rubik's cube b) Determining if the patient can drive on the highway c) Asking the patient about a news event from the current week
d) Seeing if the patient can keep his or her home clean - ANSWER d) Seeing if the patientcan keep his or her home clean
About 90% of all headaches are? Question options: a) Tension b) Migraine c) Cluster d) Without pathological cause - ANSWER d) Without pathological cause Which statement is true regarding driving and patients with a seizure disorder?Question options:
a) Once diagnosed with a seizure disorder, patients must never drive again. b) After being seizure free for 6 months, patients may drive. c) Each state has different laws governing driving for individuals with a seizure disorder. d) These persons may drive but never alone. - ANSWER c) Each state has different lawsgoverning driving for individuals with a seizure disorder.
Julie has relapsing-remitting muscular sclerosis. She has not had a good response tointerferon. Which medication might help given intravenously once a month? Question options:
d) Hand tremors - ANSWER c) Cogwheeling Clinical features of insidious onset, slow progression, and a lack of other findings toexplain the symptoms are fairly diagnostic of which condition? Question options:
a) Guillain-Barré syndrome b) Parkinson's disease c) Alzheimer's disease d) Huntington's disease - ANSWER b) Parkinson's disease Which condition is characterized by the impaired ability to learn new information alongwith either a cognitive disturbance in language, function, or perception? Question options: a) Guillain-Barré syndrome b) Parkinson's disease c) Alzheimer's disease d) Delirium - ANSWER c) Alzheimer's disease A score of 20 to 25 on this test indicates early-stage Alzheimer's disease: Questionoptions:
a) SLUMS
b) MoCA c) FAST d) MMSE - ANSWER d) MMSE Intravenous thrombolytic therapy following an ischemic CVA should be given within howmany hours of symptom onset? Question options:
a) 1 hour b) 3 hours c) 6 hours d) 12 hours - ANSWER b) 3 hours When administered at the beginning of an attack, oxygen therapy may help this kind ofheadache? Question options:
a) Tension b) Migraine c) Cluster d) Stress - ANSWER c) Cluster
a) Pheochromocytoma b) Hyperthyroidism c) Cardiac arrhythmias d) All of the above - ANSWER d) All of the above Which of the following is considered first-line treatment for panic disorders? Questionoptions:
a) Benzodiazepines b) Selective serotonin reuptake inhibitors (SSRIs) c) Tricyclic antidepressants d) Cognitive behavioral therapy - ANSWER d) Cognitive behavioral therapy Which of the following symptoms is not part of the diagnostic criteria for post-traumaticstress disorder (PTSD)? Question options:
a) Hypersomnolence b) Blunted feelings c) Loss of interest in significant activities
d) Intrusive recurrent recollections of the event - ANSWER a) Hypersomnolence Which of the following neuroendocrine abnormalities is implicated in depression?Question options:
a) Decrease in adrenal size b) Increased cortisol and corticotrophin-releasing hormone c) An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasinghormone
d) Increased inhibitory response of glucocorticoids to dexamethasone - ANSWER b)Increased cortisol and corticotrophin-releasing hormone
The clinician has chosen to prescribe an SSRI instead of a tricyclic antidepressant(TCA) for a patient fitting the diagnostic criteria for depression. Which of the following is not true concerning SSRIs in comparison to tricyclic antidepressants? Question options: a) SSRIs are more effective than TCAs. b) SSRIs take less time to work than TCAs. c) SSRIs have a more favorable side-effect profile than TCAs. d) SSRIs are not lethal in overdose. - ANSWER a) SSRIs are more effective than TCAs. After discontinuing fluoxetine, how long must a person wait before starting a
b) Switch the patient to a different antipsychotic. c) Treat the patient with anticholinergics. d) Treat the patient with anticonvulsants. - ANSWER c) Treat the patient withanticholinergics.
According to Kübler-Ross, the stages of grief occur in which order? Question options: a) Anger, denial, depression, bargaining, acceptance b) Anger, denial, bargaining, acceptance, depression c) Denial, anger, depression, bargaining, acceptance
bargaining, depression, acceptanced) Denial, anger, bargaining, depression, acceptance - ANSWER d) Denial, anger, The clinician is educating a patient about the effects of marijuana. The patient statedshe has been smoking for years and believes the use does not interfere with her life. What is a significant long-term sequelae of marijuana use that the clinician shouldeducate this patient about? Question options:
a) Memory impairment b) Sexual dysfunction c) Dry mouth
d) There are no long-term consequences of marijuana use - ANSWER a) Memoryimpairment
Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?Question options:
a) GABA b) Acetylcholine c) Dopamine d) Serotonin - ANSWER c) Dopamine What blood alcohol level corresponds with the signs of stupor and confusion? Questionoptions:
a) 0. b) 0. c) 0. d) 0.3 - ANSWER d) 0. Rapid eye movement (REM) sleep occurs how frequently during non-REM sleep?Question options:
