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APEA- Assessment Neurology examination
questions with defined solutions 2025
update.
Qs Symptoms indicative of Shaken Baby Syndrome is related to: poor nutrition and lack of parental bonding. vaso-occlusive crisis and cerebral infarction. uncontrollable cerebral edema and hypoxia. microcephaly and premature closures of the cranial sutures. - n Ans✔ uncontrollable cerebral edema and hypoxia Qs During this type of seizure activity, the patient loses consciousness suddenly, sometimes with a cry, and the body stiffens into tonic extensor rigidity. Breathing stops, and the person becomes cyanotic. A colonic phase of rhythmic muscular contraction follows. This type of seizure activity is referred to as a: focal seizure with impairment of consciousness. Jacksonian seizure. focal seizure that become generalized. grand mal seizure. - n Ans✔ grand mal seizure Qs
When assessing coordination of muscle movement, four areas of the nervous system function in an integrated way. These areas include the motor, cerebellar, the vestibular, and the sensory systems. Which system coordinates head movements? Motor system Cerebellar system Vestibular system Sensory system - n Ans✔ Vestibular system Qs An abnormal or unpleasant sense of touch is termed: dysarthria. dysesthesia. metatarsalgia. paresthesia. - n Ans✔ dysesthesia Qs A patient who is being evaluated for frequent headaches, mentions that the headache worsens with coughing, sneezing, or when changing positions. Increasing pain with these maneuvers may be suggestive of: a brain tumor. a migraine. seizure activity. subarachnoid hemorrhage. - n Ans✔
Ans✔ Parkinson's disease Qs What is an example of a disease or condition that appears in a dermatomal pattern? Fibromyalgia Shingles Diabetic neuropathy Referred pain - n Ans✔ Shingles Qs An older adult presenting with signs of undernourishment, slowed motor performance, and loss of muscle mass or weakness suggests: depression. frailty. Parkinson's disease. Alzheimer's disease. - n Ans✔ frailty Qs A patient complains of experiencing symptoms of nausea, diaphoresis, and pallor triggered by a fearful or unpleasant event. These symptoms are most likely associated with: subarachnoid hemorrhage. stroke.
neurocardiogenic syncope. vasovagal syncope. - n Ans✔ vasovagal syncope Qs With the adult patient lying supine, the nurse practitioner flexes the patient's neck while observing the hips and knees. Flexion of both hips and knees was noted. This is a positive: Brudzinski's sign. Kernig's sign. nuchal rigidity sign. Babinski's sign. - n Ans✔ Brudzinski's sign Qs When evaluating a patient for weakness of the upper extremities, bilateral distal weakness is noted. This finding could be suggestive of: alcohol myopathy. polyneuropathy. myositis. neuromuscular junction disorders. - n Ans✔ polyneuropathy Qs One maneuver used to assess coordination is to observe the patient:
Qs When evaluating a patient for weakness of the upper extremities, bilateral proximal limb weakness without sensory loss is noted. This finding could be suggestive of: alcohol myopathy. polyneuropathy. myositis. neuromuscular junction disorders. - n Ans✔ alcohol myopathy Qs A rhythmic oscillatory movement of a body part resulting from the contraction of opposing muscle groups is: dystonia. bradykinesia. a tremor. a seizure. - n Ans✔ a tremor Qs When assessing the cranial nerves, the nurse practitioner instructs the patient to raise both eyebrows, frown, and smile. These maneuvers would be assessing which cranial nerve? Cranial Nerve IV (CN II) Cranial Nerve V (CN IV) Cranial Nerve VI (CN V) Cranial Nerve VII (CN VII) - n
Ans✔ Cranial Nerve VII (CN VII) Qs When assessing an elderly patient for delirium, the recommended instrument with the best supportive data is the: Delirium Rating Scale (DRS). Confusion Assessment Method (CAM). Mini Mental State Examination (MMSE). Delirium Superimposed on Dementia Algorithm (DSDA). - n Ans✔ Confusion Assessment Method (CAM). Qs A form of aphasia in which the speech is confluent, slow, with few words and laborious effort and inflection and articulation are impaired but words are meaningful, is termed: Broca's aphasia. anomic aphasia. Wernicke's aphasia. global aphasia. - n Ans✔ Broca's aphasia Qs A form of aphasia where articulation is good but sentences lack meaning is referred to as: Broca's aphasia. anomic aphasia.
synapse asterixis. - n Ans✔ dermatome Qs By placing the patient in the supine position, the nurse practitioner raises the patient's relaxed and straightened leg while flexing the leg at the hip, then dorsiflexes the foot. This maneuver is known as: Kernig's sign. the straight-leg raise. the plantar response. the ankle reflex. - n Ans✔ the straight-leg raise OR the plantar response ?? Qs When assessing plantar reflexes, the nurse practitioner strokes the lateral aspect of the sole from the heel to the ball of the right foot. Absence of movement of the big toe is noted. This finding could be suggestive of a pathologic lesion in which segmented level of the spine? Thoracic 8, 9, and 10 Thoracic 10, 11, and 12 Lumbar 5 and Sacral 1 Sacral 2, 3, and 4 - n Ans✔ Lumbar 5 and Sacral 1
Qs When assessing anal reflexes, the nurse practitioner strokes the four quadrants of the anus with a cotton swab. A loss of anal reflex is noted. This finding could be suggestive of a pathologic lesion in which segmented level of the spine? Thoracic 8, 9, and 10 Thoracic 10, 11, and 12 Lumbar 5 and Sacral 1 Sacral 2, 3, and 4 - n Ans✔ Sacral 2, 3, and 4 Qs The nurse practitioner instructs the patient to close his eyes and then grasps his big toe and moves the toe up or down asking the patient to correctly identify the direction of the movement. This is an example of identifying: pain sensation in the big toe. vibration of the big toe. proprioception of the big toe. light touch sensation in the big toe - n Ans✔ proprioception of the big toe. Qs During this type of seizure activity, the patient appears confused. Automatisms include automatic motor behaviors such as chewing, smacking the lips, walking about, and unbuttoning clothes. This type of seizure activity is referred to as a: focal seizure with impairment of consciousness. Jacksonian seizure. focal seizure that become generalized.
increased hunger. drowsiness. papilledema. blurred vision. - n Ans✔ drowsiness Qs While assessing the cranial nerves, the nurse practitioner touches the cornea lightly with a wisp of cotton. This maneuver assesses which cranial nerve? Cranial Nerve II (CN II) Cranial Nerve IV (CN IV) Cranial Nerve V (CN V) Cranial Nerve X (CN X) - n Ans✔ Cranial Nerve V (CN V) Qs Winging of the scapula can be noted in patients with all of the following conditions except: liver disease. injury to the long thoracic nerve. muscular dystrophy. weakness of the serratus anterior muscle. - n Ans✔ liver disease
Qs The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. This type of a seizure is consistent with: a myoclonic seizure. an absent seizure. a myoclonic atonic seizure. a focal seizure with impairment of consciousness. - n Ans✔ a myoclonic atonic seizure. Qs What geriatric condition is characterized by normal alertness but progressive global deterioration of cognition in multiple domains? Delirium Cognitive impairment Parkinson's disease Alzheimer's disease - n Ans✔ Alzheimer's disease Qs A form of aphasia in which the person has difficulty speaking and understanding words and is unable to read or write is termed: Broca's aphasia. anomic aphasia. Wernicke's aphasia. global aphasia. - n Ans✔
V, VI, VII - n Ans✔ III, IV, VI Qs Intention tremors appear with movement and: worsen with stress. increase during sleep. are more pronounced when maintaining a posture. worsen as the target gets closer. - n Ans✔ worsen as the target gets closer. Qs A teenager presents with signs of being gleeful, somewhat drowsy, and unable to focus. On examination , B/P 90/65, pupils constricted, and speech slurred. These symptoms are consistent with: opioid intoxication. an amphetamine overdose. an overdose of benzodiazepines. marijuana usage. - n Ans✔ opioid intoxication Qs Uncontrolled electrical activity in the brain, which may produce minor physical signs, thought disturbances, or disturbed motor activity is: dystonia.
bradykinesia. tremor. seizure. - n Ans✔ seizure Qs When assessing abdominal cutaneous reflexes, the nurse practitioner strokes the lower abdomen, the localized twitch is absent. This finding could be suggestive of a pathologic lesion in which segmented level of the spine? Thoracic 8, 9, and 10 Thoracic 10, 11, and 12 Lumbar 5 and Sacral 1 Sacral 2, 3, and 4 - n Ans✔ Thoracic 10, 11, and 12 Qs An example of tandem walking is having the patient: walk across the room. walk heel-to-toe. walk on the toes, then on the heels. walk with a shallow knee bend. - n Ans✔ walk heel-to-toe Qs
Cognition Qs Symptoms of a migraine headache can include throbbing, nausea or vomiting, duration of one day, and be unilateral and/or disabling. How many of these symptoms should be present to classify the headache as a migraine? One of the five Two of the five Three of the five Four of the five - n Ans✔ Three of the five Qs When testing for corneal reflex, an absent blink reflex is noted. This finding may be suggestive of a lesion in which cranial nerve? Cranial Nerve II (CN II) Cranial Nerve IV (CN IV) Cranial Nerve VI (CN VI) Cranial Nerve VII (CN VII) - n Ans✔ Cranial Nerve VII (CN VII) Qs Which of the following symptoms may be associated with a tumor of the eighth cranial nerve? Dizziness Inability to close the eyes
Loss of the sense of smell Inability to taste sour things - n Ans✔ Dizziness Qs When assessing coordination of muscle movement, four areas of the nervous system function in an integrated way. These areas include the motor, cerebellar, the vestibular, and the sensory systems. Which system coordinates a steady posture? Motor system Cerebellar system Vestibular system Sensory system - n Ans✔ Cerebellar system Qs Having the patient shrug his shoulders and elicit neck movements tests Cranial Nerve: VI. VIII. IX. XI. - n Ans✔ XI. Qs
