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Neuropsych Final Practice Exam #1- Chapter 26
  • 1. _______________ is a condition marked by loss of elasticity and thickening or hardening of arteries that results in dementia.
A) cerebral embolism
B) transient ischemia
C) none of the above
D) cerebral arteriosclerosis
E) cerebral vascular insufficiency
  • 2. ______________is a deficiency in the amount of blood getting to the brain that is often abrupt and associated with fleeting sensations of giddiness or impaired consciousness.
A) cerebral vascular insufficiency
B) none of the above
C) cerebral embolism
D) cerebral thrombosis
E) cerebral arteriosclerosis
  • 3. _______________is the sudden blocking of an artery that often affects the ____________ of the _______side of the brain.
A) none of the above
B) thrombosis; middle cerebral artery; right
C) angioma; lower cerebral artery; left
D) embolism; middle cerebral artery; left
E) angioma; lower cerebral artery; right
  • 4. _______________ are ateriovenous malformations that may lead to stroke due to masses of enlarged cortical cells supplied by one or more arteries and drained by one or more vessels.
A) aneurism
B) thrombosis
C) embolism
D) angioma
E) coup
  • 5. Which of the following is the most common reason for an aneurysm (a vascular dilation resulting from localized defects in the elasticity of a vessel)?
A) congenital defects
B) arteriosclerosis
C) embolisms
D) infections
E) hypertension
  • 6. A severe headache (that may be present for years) due to pressure on the dura mater is the characteristic symptom of
A) none of the above.
B) a coup.
C) an aneurysm.
D) a countercoup.
E) an angioma.
  • 7. A ________ is a bruise/contusion with damage __________.
    &
    A _________ is an additional bruise/contusion with damage ________________.
A) countercoup; at the site of the blow; coup; on the opposite side of the countercoup
B) coup; at the site of the blow; countercoup; on the opposite side of the coup
C) none of the above.
D) countercoup; at the opposite side of a blow; coup; at the site of the blow.
E) coup; on the opposite side of the blow; countercoup; at the side of the blow.
  • 8. Which of the following is NOT true?
A) Countercoups are due to the brain being compacted by the bone's pushing inward, even when the skull is not fractured.
B) Countercoups are secondary to coups.
C) Closed head injuries can cause the brain to move and twist/shear nerve fibers to commonly produce microscopic lesions in the frontal and temporal lobes.
D) Countercoups are related to increased pressure in the brain.
E) Countercoups, like coups, may damage major fiber tracts (such as the corpus callosum) in the brain and lead to disconnection syndromes.
  • 9. Blows to the head, resulting in closed-head injuries, can cause all of the following EXCEPT
A) hemorrhage
B) hematoma
C) edema
D) coma
E) arteriosclerosis
  • 10. The duration of unconsciousness following a closed-head injury correlates with
A) intellectual impairment
B) inability to concentrate
C) mortality
D) social skills deficits
E) all of the above
  • 11. Closed head injuries characterized by a loss of mental speed, concentration, and efficiency are associated with
A) localized hematomas that are classified to particular areas of the brain.
B) frontal and temporal lobe impacts on personality and social behavior.
C) tiny lacerations throughout the brain and tears due to hemispheric movement.
D) discrete impairment of specific functions mediated by the cortex at the site of the coup or countercoup.
E) none of the above.
  • 12. Which of the following demonstrates the 3 different common manifestations of complex partial seizures?
A) catatonia, chewing, and undoing buttons
B) hallucinations, lip smacking, and frozen posture
C) forced repetitive thoughts, catatonia, and frozen posture
D) sudden alterations in mood, deja vu, and repetitive sterotyped movements
E) none of the above
  • 13. Which of the following is not an example of an automatism?
A) lip smacking
B) repetitive stereotyped movements
C) sudden alterations in mood
D) chewing
E) undoing buttons
  • 14. Which of the following is NOT one of the 3 main symptoms found in many types of epilepsy?
A) spontaneous vocal tics
B) an odor that warns a seizure is coming on
C) line dancing like there's no tomorrow
D) rubbing hands
E) staring off into space
  • 15. Which type of seizures are bilaterally symmetrical without a focal onset, and are preceded by an aura about 50% of the time?
A) none of the above
B) jacksonian focal seizures
C) akinetic seizures
D) complex partial seizures
E) generalized seizures
  • 16. The stages of a grand mal attack, which is characterized by a loss of consciousness and stereotyped motor activity, go in the following order:
A) 1. postictal stage 2. tonic stage 3. clonic stage
B) 1. clonic stage 2. postictal stage 3. tonic stage
C) 1. clonic stage 2. tonic stage 3. postictal stage
D) 1. tonic stage 2. clonic stage 3. postictal stage
E) none of the above
  • 17. In grand mal attacks,
    rhythmic shaking is part of the ______ stage. Depression and confusion are part of the __________ stage. Body stiffening and loss of breathing are part of the _________ stage.
A) postictal; clonic; tonic
B) clonic; tonic; postictal
C) tonic; postictal; clonic
D) clonic; postictal; tonic
E) tonic; clonic; postictal
  • 18. Patient Parack Opama has jerky movements in his finger, that quickly move to his other fingers, then his whole hand, then his harm. He probably is having
A) a grand mal attack
B) a petit mal attack
C) a jacksonian seizure
D) an akinetic seizure
E) a myoclonic spasm
  • 19. Patient Polly Darton was staring off into space and blinking her eyes for a very short duration, with a loss of awareness. She probably had
A) a petit pal attack
B) none of the above
C) a complex partial seizure
D) a jacksonian focal seizure
E) a grand mal attack
  • 20. Sudden, short, unwarned, and potentially dangerous collapses are seen in _________________. Those that start out with a cry and have a sudden extension of the body are seen in _______________.
A) all of the above
B) petit mal attacks; grand mal attacks
C) myoclonic spasms; akinetic seizures
D) akinetic seizures; myoclonic spasms
E) complex partial seizures; complex full seizures
  • 21. complex partial seizures more commonly originate in the ____________ and less frequently originate in the _____________.
A) occipital lobes; frontal lobes
B) parietal; temporal lobes
C) temporal lobes; frontal lobes
D) parietal lobes; frontal lobes
E) frontal lobes; occipital lobes
  • 22. The majority of brain tumors are
A) meningiomas.
B) metastatic.
C) encapsulated.
D) gliomas.
  • 23. Tumors that surround, occupy, or destroy normal neurons and glia are called
A) none of the above.
B) malignant tumors.
C) encapsulated tumors.
D) infiltrating tumors.
E) benign tumors.
  • 24. All of the following are symptoms of neoplasms EXCEPT
A) mental dullness
B) double vision
C) convulsions
D) dyslexia
E) headache
  • 25. Brain tumors grow from ______ and NOT from _______.
A) neurons; other supportive cells
B) glia; neurons
C) none of the above
D) glia; other supportive cells
E) neurons; glia
  • 26. Which of the following treatments is not very successful for brain tumors?
A) all of the above
B) surgery
C) none of the above
D) chemotherapy
E) radiation therapy
  • 27. Which type of tumor can put pressure on the brain and produce seizures?
A) inflitrating
B) meningioma
C) metastatic
D) glioma
  • 28. Choose the correct tumor & characteristics
A) meningioma - encapsulated - usually benign - can erode the skull
B) metastatic - encapsulated - usually benign - begin with another part of the body
C) glioma - infiltrating - usually benign - begin with the glia
D) This question is depressing, isn't it? (This isn't the correct answer, BTW)
  • 29. Which of the following is the most common neurological disorder?
A) alexia
B) aphasia
C) motor ataxia
D) migraine
E) speech apraxia
  • 30. No clear aura but possible gastrointestinal signals that an attack is coming:
A) classic migraine
B) cluster headache
C) opthalmologic migraine
D) common migraine
E) hemiplegic mygraine
  • 31. Which of the following is NOT true
A) Classic migraines can last for days and cause extreme nausea and vomiting.
B) The auras in classic migraines are due to constriction of cerebral arteries with ischemia in the occipital cortex.
C) Some patients with classic migraines experience auras with no headaches.
D) Classic migraines are due to an increase of blood flow to the posterior cortex that spreads without regard to major blood vessels.
E) Classic migraines usually include a headache with pain lateralized to one side of the head.
  • 32. ____________ migraines have to do with loss of movement to the limbs.
    ____________ migraines have to do with loss of movement of the eyes.
    Both are very rare.
A) Stinky mittens; Stinky socks
B) Cluster; Common
C) Hemiplegic; Opthalmologic
D) This answer should pop right out at you.
E) Classic; Cluster
  • 33. Which of the following are symptoms of cerebral infections?
A) vertigo and mental confusion
B) convulsions
C) disturbances of brain functions and intracranial pressure
D) headache and nausea
E) all of the above
  • 34. Which of the following is NOT true?
A) Infections put pressure on the brain by removing pus through the extracellular fluid.
B) Infections alter neural cell membranes and change the electrical properties and enzymatic processes of neurons.
C) Infections can cause edema that leads to compresison of brain tissues.
D) Infections disturb glycose/oxygen metabolism in brain cells severely enough to kill them.
E) Infections interfere with blood supply to neurons and produce thrombosis, hemorrhaging of capillaries, and choking of large blood vessels.
  • 35. Rabies and Polio are examples of ______________ that like the cells of the CNS. Mumps and Herpes are examples of __________ that attack other body tissues and the CNS.
A) pantropic viruses; neurotropic viruses
B) parasites; neurotropic viruses
C) neurotropic viruses; pantropic viruses
D) none of the above
E) bacterial infections; pantropic viruses
  • 36. Amebiasis is ____________ and is characterized by ______________.
A) none of the above
B) a parasitic infection; encephalitis & brain abscesses.
C) a viral infection; nonspecific lesions in the brain
D) a bacterial infection; meningitis & intracranial pressure.
E) a mycotic infection; an invasion of the nervous system by a fungus.
  • 37. Poliomyelitis is an acute viral infectious disease with a special affinity for motor neurons of the spinal cord and cranial nerves. It causes paralysis and wasting of the muscles. A person can die from asphyxia if respiratory centers are attacked.
A) False
B) We love the funk. Gotta have that funk.
C) True
  • 38. Which of the following is false?
A) Myasthenia Gravis is caused by a failure of normal neuromuscular transmission due to lack of muscle receptors for acetylcholine.
B) People are more likely to get Myasthenia Gravis in their 30s.
C) In Myasthenia Gravis, there are obvious visible signs of muscle pathology.
D) Myasthenia Gravis is the rapid onset of muscular weakness after exercise.
E) Myasthenia Gravis is more common in women.
  • 39. Which of the following are not symptoms of Myasthenia Gravis?

    *note that the cranial nerves are the first to be affected
A) weakness of voice and difficulty swallowing
B) ataxia and difficulty drinking
C) difficulty holding up the head
D) diploplia and limb problems
E) ptosis and difficulty chewing
  • 40. brief, irresistible episodes of NREM sleep that last about 15 minutes and common when bored or after meals.
A) hypnagogic hallucinations
B) sleep paralysis
C) sleep attacks
D) cataplexy
  • 41. Loss of muscle tone and sudden paralysis linked to an attack of REM sleep. Often occurs during times of emotional excitement.
A) sleep paralysis
B) hypnagogic hallucinations
C) cataplexy
D) sleep attacks
  • 42. Which of the following is not true?
A) Narcolepsy is characterized by excessive sleep or brief inappropriate episodes of sleep.
B) Narcolepsy is common in families.
C) Narcolepsy effects men and women equally.
D) Narcolepsy can be treated with stimulants and tricyclic antidepressants.
E) Narcolepsy is a rare sleep disorder.
  • 43. __________ can be thought of as dreams someone is having while still conscious.
A) Hypnagogic hallucinations
B) Sleep attacks
C) The Disney Channel
D) Cataplexy
  • 44. Yeasts, molds, and mushrooms can cause
A) viral infections
B) parasitic infections
C) mycotic infections
D) happy dance infections
E) bacterial infections
  • 45. the CNS develops bacterial infections via
A) herpes.
B) scary ghost monster goblins.
C) malaria.
D) infestations of bacterium through the bloodstream.
  • 46. In a classic migraine, as _________________ reverses, ______________ takes place.
A) vasoconstriction; vasodilation
B) clustering; vasodilation
C) vasodilation; vasoconstriction
D) clustering; vasoconstruction
E) car; crash
  • 47. brain abscesses
A) are produced by bacteria
B) none of the above
C) cause intracranial pressure
D) all of the above
E) are secondary to infection elsewhere in the body
  • 48. Patient Shevy Shace has pain on one side of his head that comes and goes in 2 hour sets. This pattern seems to continue for a few weeks at a time. He probably has
A) hemiplegic migraines
B) common migraines
C) opthalmologic migraines
D) classic migraines
E) cluster headaches
  • 49. diplopia is
A) sleepiness
B) drooping of the eyelid
C) double vision
D) bad hearing
E) the name of the best line-dancing monkey in the world.
  • 50. Sometimes closed head brain injury can only effect the brain functions at the area of the coup or countercoup.
A) False
B) I like to eat apples and bananas.
C) True
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