MSN 572 Quiz 6. A 35-year-old reporter presents to your office for evaluation of back pain and weakness in his left leg. He was play-wrestling with his
... [Show More] nephew and hurt his back 2 weeks ago. He states that he has noticed tingling in his left leg as well. He has not noticed incontinence of bowel or bladder function. You perform a physical examination and confirm that he is dragging his left foot when he walks and that his Achilles reflex is diminished. You diagnose him with a herniated disc. Which nerve root are you testing with the Achilles reflex? Question 1 options: C5 C6 L2 L3 L4 S1 L4 L5 Question 2 (1 point) Saved Which part of the brain is associated with personality and intellectual functioning? Question 2 options: Frontal lobe Parietal lobe Occipital lobe Temporal lobe Question 3 (1 point) Saved In which patient would the NP expect to find a palmar grasp reflex and a positive Babinski reflex? Question 3 options: An infant A 4 year old child An adolescent An adult Question 4 (1 point) Saved In long-standing and poorly controlled hypertension, white matter tracts in the brain are subjected to arteriosclerotic affects. Which one of the following is most vulnerable to this process? Question 4 options: Thalamus Basal ganglia Reticular activating system Diencephalon Internal capsule Question 5 (1 point) Saved A new mom brings in her six month old baby for not being able to keep his eyes together when looking to the left. On exam both of his eyes appear in alignment with conjugate gaze, upon looking to the right. However when looking to the left, the baby’s left eye stays in the forward gays position while the right continues on with full adduction to the left. The eyes appear out of alignment. Which cranial nerve is responsible for the dysfunction in looking left? Question 5 options: The left abducens nerve. The right oculomotor nerve The right abducens nerve The left oculomotor nerve The right Trochlear nerve The left Trochlear nerve Question 6 (1 point) Saved Which cranial nerve injury may cause anosmia in the patient? Question 6 options: Cranial nerve I (olfactory nerve) Cranial nerve II (optic nerve) Cranial nerve III (oculomotor nerve) Cranial nerve IV (trochlear nerve) Question 7 (1 point) Saved A 70-year-old retired musician is brought to your clinic for a hospital follow-up visit after sustaining a stroke. He is able to articulate words but they sound slurred or indistinct. As the astute NP student you would document his speech as: Question 7 options: Dysarthria Dysphonia Dysphagia Aphasia Question 8 (1 point) Saved A 22-year-old daycare worker comes to the clinic for evaluation of fever as high as 103.5°F headache and neck pain. She has photophobia and neck stiffness. During the physical examination you flex the patient's leg at both the hip and the knee and then straighten her knee to elicit meningeal irritation. The patient experiences severe pain. The name of this sign is: Question 8 options: Kernig's sign Brudzinski's sign Babinski's sign Lachman's sign Question 9 (1 point) Saved A 25-year-old housewife presents to the clinic for evaluation of paralysis in her face. She has a history of an upper respiratory infection [Show Less]