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Neuro Quiz

1. The vast majority of human deaths due


to rabies come from exposure to what
animal?
a.dogs c. rats
b.bats
d. cows

2. With Bovine spongiform encepalopathy


(mad cow disease), the cause of illness
is accumulations of misfolded proteins in
the central nervous system. What are
these proteins known as?
a. complement proteins
b. c-reactive protein
c. hemagglutinin
d. prion

a.
b.
c.
d.

3. The abortive tyepe of polio usually


resolves in:
3 days
3 months
3 weeks
3 years

4. A lumbar puncture is performed on a child suspected


of having bacterial meningitis. cerebrospinal fluid
(CSF) is obtained for analysis. A nurse reviews the
results of the CSF analysis and determines that which
of the following results would verify the diagnosis?
a. Cloudy CSF, decreased protein, and decreased
glucose
b. Cloudy CSF, elevated protein, and decreased glucose
c. Clear CSF, elevated protein, and decreased glucose
d. Clear CSF, decreased pressure, and elevated protein

5. A nurse is evaluating the status of a client


who had a craniotomy 3 days ago.The
nurse would suspect the client is
developing meningitis as a complication of
surgery if the client exhibits
a.A positive Brudzinskis sign
b.A negative Kernigs sign
c.Absence of nuchal rigidity
d.A Glasgow Coma Scale score of 15

6. During the acute stage of meningitis, a 3-yearold child is restless and irritable. Which of the
following would be most appropriate to institute?
a. Limiting conversation with the child
b. Keeping extraneous noise to a minimum
c. Allowing the child to play in the bathtub
d. Performing treatments quickly

7. The innermost meningeal layer that is


tightly bound to the brain is the:
a. pia mater
b. arachnoid mater
c. subarachnoid mater
d. dura mater

8. The three principal menigeal pathogens


are:
a. H.influenzae, S. aureus, Klebsiella
b. H.influenzae, S. aureus, and E. coli
c. N. meningitidis, H.influenzae, and S.
pneumoniae
d. S. aureus, E. coli, and L.
monocytogenes

9. This type of meningitis is related to


exposure to pigeon droppings.
a. Candidal meningitis
b. Neisseria meningitis
c. Anthrax meningitis
d. Cryptococcal meningitis

10. Which one is not a meningeal sign?


a. high fever
b. stiff neck
c. Kernigs sign
d. Brudzinskis sign

11. Purpuric rashes in septicemia are


associated with which of the following
conditions?
a. Disseminated intracapsular coagulation
b. Disseminated intracavitary coagulation
c. Disseminated intravascular coagulation
d. Disseminated intermedullary
coagualtion

12. This sign is said to be present if passive


flexion of one hip and knee causes flexion
of the other leg
a. Kernigs sign
b. Brudzinskis sign
c. Contralateral reflex
d. Jolt accentuation of headache

13. Severe neck stiffness causes a patient's


hips and knees to flex when the neck is
flexed indicates a:
a. positive kernigs sign
b. negative kernigs sign
c. positive brudzinskis sign
d. negative brudzinskis sign

14. A greater percentage of


polymorphonuclear leukocutes upon CBC
suggests meningitis of which origin?
a. viral
b. bacterial
c. fungal
d. protozoan

15. Pharmacotherapy is initiated for


bacterial meningitis
a. after obtaining cultures
b. before obtaining cultures
c. after the result of the culture is
available
d. after obtaining three separate cultures