The Neurological Exam

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Questions

Question 1

The neurological exam is a clinical assessment tool separated into how many major sections?

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Question 2

What is the diagnostic definition of a transient ischemic attack (TIA)?

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Question 3

What is the primary function of Wernicke's area in the cerebral cortex?

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Question 4

Approximately how many distinct regions of the cerebral cortex did Korbinian Brodmann describe based on his study of cytoarchitecture?

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Question 5

In the case of patient HM, who had his medial temporal lobes removed, what type of memory was he unable to form?

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Question 6

Which cranial nerve is tested by presenting common smells like coffee or mint to one nostril at a time?

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Question 7

What is the function of the trapezius muscle, which is innervated by the accessory nerve?

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Question 8

What is the primary purpose of the Romberg test in a neurological exam?

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Question 9

Which of the following signs suggests a lesion of the upper motor neuron (UMN)?

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Question 10

Which region of the cerebellum is referred to as the spinocerebellum and what is its primary input?

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Question 11

What is the definition of an ischemic stroke?

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Question 12

What does the term 'localization of function' refer to in neuroanatomy?

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Question 13

What is the three-word recall test designed to assess?

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Question 14

Aphasia resulting from damage to Broca's area is known as what type of aphasia?

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Question 15

What is the term for the subtest where a patient is asked to identify a common object, like a coin, with their eyes closed, based only on touch?

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Question 16

What does a vision score of 20/60 on a Snellen chart indicate?

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Question 17

In the Rinne test using a tuning fork, what does it indicate if the sound is conducted better through the temporal bone than through the air next to the ear canal?

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Question 18

Which three cranial nerves are responsible for controlling the six extraocular muscles for gaze control?

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Question 19

What is the term for the medial rotation of the eye along its axis, which is controlled by the trochlear nerve?

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Question 20

When testing the hypoglossal nerve, a deficit on one side will cause the tongue to point in which direction upon protrusion?

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Question 21

The dorsal column pathway in the spinal cord primarily conveys which two types of sensory information?

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Question 22

What does a lack of muscle tone, known as hypotonicity or flaccidity, potentially indicate about the motor system?

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Question 23

In a spinal cord hemisection, why would a patient lose pain and temperature sensation on the opposite side of the injury?

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Question 24

Which cerebellar peduncle is the major physical connection of the cerebellum to the brain stem and is composed of fibers projecting from the pons?

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Question 25

A movement disorder of the cerebellum, presenting as a loss of coordination in voluntary movements, is referred to as what?

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Question 26

What is the name of the subtest in which a patient is asked to touch their finger to the examiner's finger and then to their own nose repeatedly?

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Question 27

In the majority of the population, language functions are localized to which cerebral hemisphere?

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Question 28

What is the function of the paramedian pontine reticular formation (PPRF)?

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Question 29

Which structure connects the two cerebral hemispheres, allowing for communication between them?

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Question 30

What is the primary cause of ataxia associated with Wilson's disease?

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Question 31

What type of memory is defined as the memory of how to perform a specific task, such as riding a bike?

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Question 32

Which cranial nerve exam test involves using a tuning fork placed on the mastoid process to distinguish between conductive and sensorineural hearing?

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Question 33

What is the term for the failure of one eye to abduct while the other adducts during a horizontal gaze movement?

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Question 34

The jaw-jerk reflex is a stretch reflex of the masseter muscle and is a component of which cranial nerve's sensory system?

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Question 35

What is a dermatome?

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Question 36

In the context of the motor exam, what is pronator drift?

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Question 37

The patient subtest that involves reciting nonsense consonants like 'lah-kah-pah' assesses rapid, alternating movements related to what function?

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Question 38

What is the primary difference between the Romberg test and the station subtest of the gait exam?

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Question 39

What does tandem gait, a subtest of the coordination exam, require a patient to do?

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Question 40

The primary motor cortex is located in which gyrus of the frontal lobe?

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Question 41

A patient with damage to the spinothalamic tract would most likely have deficits in which sensation?

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Question 42

Which of the following is NOT a cause of cerebellar ataxia mentioned in the text?

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Question 43

In the Field Sobriety Test (FST), touching the fingertip to the nose with eyes closed is designed to force the driver to rely on what type of information?

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Question 44

What type of memory allows a patient to recall their last birthday party?

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Question 45

The mental status exam assesses the function of which major brain region?

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Question 46

What is flaccid paralysis, a sign of a lower motor neuron (LMN) lesion?

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Question 47

Which of the cerebellar subtests involves the patient stopping an increased contraction when resistance is suddenly removed?

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Question 48

Damage to the middle and inferior temporal lobe is associated with what specific language deficit?

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Question 49

In a patient with a pituitary tumor pressing on the optic chiasm, what type of visual field deficit is expected?

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Question 50

Which of the following is an example of a superficial reflex tested in the neurological exam?

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