ABPN Neurological Examination and Conditions 5

Question 1

A patient opens eyes to pain (2), gives confused speech (4), and localizes to pain (5). What is the total Glasgow Coma Scale score?

Accepted Answer

11

Answer

9

Answer

10

Answer

12

Question 2

Homonymous hemianopia (loss of the same visual field in both eyes) results from a lesion where?

Accepted Answer

Optic tract or occipital cortex behind the chiasm

Answer

Optic nerve

Answer

Optic chiasm

Answer

Retina of one eye

Question 3

A patient develops facial droop involving the forehead on one side with inability to close the eye. This localizes the lesion to:

Accepted Answer

Lower motor neuron facial nerve (Bell's palsy)

Answer

Upper motor neuron (cortical stroke)

Answer

Trigeminal nerve

Answer

Cerebellum

Question 4

Which finding is characteristic of a cerebellar rather than a sensory ataxia?

Accepted Answer

Ataxia unchanged by eye closure

Answer

Ataxia markedly worse with eyes closed

Answer

Loss of vibration sense

Answer

Positive Romberg sign

Question 5

The Kernig sign, resistance and pain on extending the knee with the hip flexed, indicates:

Accepted Answer

Meningeal irritation

Answer

Sciatic disc herniation only

Answer

Cerebellar disease

Answer

Peripheral neuropathy

Question 6

A patient with a lesion of Broca's area would most likely have:

Accepted Answer

Non-fluent, effortful speech with intact comprehension

Answer

Fluent speech with poor comprehension

Answer

Normal speech and comprehension

Answer

Complete inability to hear

Question 7

Which cranial nerve is tested by asking the patient to shrug the shoulders and turn the head against resistance?

Accepted Answer

CN XI (accessory)

Answer

CN X (vagus)

Answer

CN XII (hypoglossal)

Answer

CN VII (facial)