Block-2-MCQ.pdf - Nursing Hero (2024)

Semester 8 Block II: Student Revision Questions 1. A 25 year old male is broughl to the Emergency Dcpar1rncnt by ambulance after a car ac.cideru. He was alert al the-scene of the ace.idem but is unconscious on arrival. His left pupil is dilated. The most likely di,1gnosis is: a) Rupture of the left orbi1 b) Fracture of the base of the skull c) ExtraduraJ haematoma d) Traumatic S\!iZure c) lntrac.erebral haemorrhage 2. The function of the second cranial nerve cun be tested by all of the following except: a) Examination of visual acuity b) Examination for 11ystagmus c) Examination of pupillary reflexes d) Examination of visual fields e) Examination with a Snellen cha.rt 3. CJinkal signs found with compression of the. St nerve root include: a) Loss of knee reflex b) Se,cwry defici1 of the ,nedial side of the calf c) Loss of joint position sense. d) Loss of the ankle ret1ex c) Increased temperature of the foot 4. Facial nerve paralysis is demonstrated by: a) Asking the patie1n to protrude the tongue b) Testing the reaction of the pupil to light c) Testing the. reaction of the pupil to accommodation d) Testing pin prick sensation on the face c) Asking the J>atiem to show his or her teeth 5. All of the following statements about the carpal tunnel syndrome arc tnic except: a) \\.'omen arc more commonly affected than mc;:n b) It occurs more c,ommonly in patients with rheumatoid arthritis c) The. symptoms lend to occm ~t nigh! d) Tingling is a characteristic symptom e) The radial pulse is weaker on the affected side

6. The skin at che tip of the index finger is supplied by the: a) rndi.d nerve only h) radial and median nerves c) median and ulnar oerve.s d) ulnar nerve only e) medirul nel've only 7. Which of the following prurs of spinal nerves supplies udjaccnt dennatome.s on che trunk: a) CJ and Tl b) C4andTI c) C4 and T2 d) C4 and T3 e) None.of the above 8. Which of the follo,\~ng indicates complete 1ransec1ion of the c.ord immediately after spinal cord i1tjury: a) Loss of motor power but not sensation b) Loss of scnsali<.ln, bu1not motor power' c) Flaccid paralysis1 loss of all sensory modalities, and loss of reflexes below the involved segments d) Loss of sensation and power in both legs with nonnal reflexes e) Spas1icity and hyperreflexia be.lowthe involved segments 9. A 24 year old previously well woman complains of a IO days history or progressive ling.ling in the hands and feet. Neurological cxamina1ion re.veals absent deep tendon reflexes in au limbs as ,vell as symmetrical distal weakness. There are no sensory signs. The most likely dhlgnosis in 1his patient is: a) subacute combined degeneration of the spinal cord b) myacsthcnia gnwis c-) ac:Ule demyelinating polyneuropathy (Guillain-Barre syndrome) d) multiple sclero:$iS e) motOI' neurone disease 10. The defect in visual fields most commonly associa1ed v,•ith a pituitary twnour is: a) hom*onymous hcmianopia b) central scotoma c) bitemporal hcmianopic1 d) 101al blindness in one field e) peripheral conslriction 1111d enJargement of the blind spot

11. The mos1 typical single features of a rndial nerve lesion is: a) Weakness of triceps o} Weakness of biceps c) Wenkncss ofbrachioradiaJis d) Wrist drop e) Claw hand 12. 111c commonest cause ofa median nerve palsy is: a) The c.arpaltunnel syndrome b} L;:1ccration c) Fracture of 1be shaft of the radius d) Fracture of the shaft of the ulna e) Gun shot ,vounds 13. A 52 year old man presents with neck pain and pain radiating into the lateral forcann, including the. thu1n1.>. Neurological examination reveals a sensory deficit over the lateral aspect of the thumb, weakness of biceps and a diminished biceps reflex. The affected nerve t00t is: ) -lh • I a :> cerv1ca b) 6th cervical ) 7111 • I c eerv1ca d) 81 h cervical e) I 51 thoracic 14. A 72 year old ,voman presents because of pain in her left cheek precipitated by eating or touchin,g her face under the left eye. The pain lasts for 30 to 60 seconds. The patient is most likely co benefit from: a) indome1hacin b} p<:nicillin c) blockade of the infraorbit,ol nerve d) carbiunazcpinc e) corticosteroids 15. The adverse reactions of dystonia and cardive dyskine.sia are most common]y encoumered after 1rea1men1 with: a) Phenolhiazincs b) Lithium carbonate c} SSRJ's d) Mono-amine oxidase inhibitors e) Oenzodiazcpincs