Neurological Assessment Insights

Neurological Assessment Insights

The PMHNP is evaluating a 68-year-old man for symptoms of major
depression., While assessing the appearance of the patient an obvious
left-sided ptosis is noted. ,Which cranial nerve is directly linked to this
condition?
A. III
B. IV
C. V
D. VI
2. A 55-year-old woman has been referred for a psychiatric evaluation for
a change in personality, lack of impulse control, and increasingly
reckless decision-making. Which area of the brain would be
responsible for these symptoms?
A. Parietal lobe
B. Broca’s area
C. Wernicke’s area
D. Frontal lobe

Neurological Assessment Insights

3. A patient was recently started on a dopamine antagonist, and complains
of breast tenderness and a milky discharge. What is the most likely
explanation for these symptoms?
A. Dopamine transmission in the nigrostriatal pathway
B. Dopamine transmission in the tuberoinfundibular pathway
C. Dopamine transmission in the mesolimbic pathway
D. Dopamine increases throughout the basal ganglia

Neurological Assessment Insights

4. A patient who was recently started on haloperidol for psychosis begins to
manifest hand tremor, and a shuffling gait. What is the most likely
explanation for these symptoms?
A. Dopamine transmission in the nigrostriatal pathway
B. Dopamine transmission in the tuberoinfundibular pathway
C. Dopamine transmission in the mesolimbic pathway
D. Dopamine increases throughout the basal ganglia

5. A 72-year-old man with a comorbid history of uncontrolled hypertension
is referred to the PMHNP for dementia secondary to depression. The
mental status exam reveals difficulty speaking fluently, inappropriate
and confabulated responses, incongruent affect, and poor judgment. A
cerebrovascular accident in which region of the brain would better
explain these symptoms?
A. Parietal lobe
B. Wernicke’s area
C. Broca’s area
D. Occipital lobe
6. Which region of the brain is associated with sensory integration, spatial
awareness, and conscious awareness of the opposite side of the body?
A. Occipital lobe
B. Wernicke’s area
C. Broca’s area
D. Parietal lobe

Neurological Assessment Insights

7. A patient appears internally preoccupied and responding to auditory
hallucination. This patient may have a pathology affecting which lobe
of the brain?
A. Temporal lobe
B. Occipital lobe
74
C. Parietal lobe
D. Cerebellum
8. A patient presents with atypical symptoms of psychosis that include
inconsistent auditory hallucinations without disorganization. APA

Leave A Comment