Master Neurological Examination Techniques: Enhance Your Clinical Skills

Question 1

Which of the following is NOT a component of the motor system examination?

Accepted Answer

Sensory testing

Answer

Muscle strength testing

Answer

Muscle tone assessment

Answer

Reflex testing

Question 2

What is the primary purpose of the Romberg test?

Accepted Answer

To evaluate cerebellar function

Answer

To assess for peripheral neuropathy

Answer

To test for spinal cord lesions

Answer

To rule out psychogenic disorders

Question 3

Which cranial nerve is responsible for pupillary constriction?

Accepted Answer

Oculomotor nerve (3rd)

Answer

Trigeminal nerve (5th)

Answer

Facial nerve (7th)

Answer

Vagus nerve (10th)

Question 4

What is the most common cause of a Horner's syndrome?

Accepted Answer

Pancoast tumor

Answer

Carotid artery dissection

Answer

Multiple sclerosis

Answer

Bell's palsy

Question 5

What is the purpose of performing a sensory level examination?

Accepted Answer

To identify the location of a spinal cord lesion

Answer

To assess for peripheral nerve damage

Answer

To evaluate cognitive function

Answer

To rule out psychiatric disorders

Question 6

Which component of the neurological examination can be performed without using any instruments?

Accepted Answer

Mental status examination

Answer

Funduscopy

Answer

Motor examination

Question 7

Which cranial nerve exclusively controls the muscles responsible for facial expressions?

Accepted Answer

Facial nerve (CN VII)

Answer

Trigeminal nerve (CN V)

Answer

Glossopharyngeal nerve (CN IX)

Answer

Vagus nerve (CN X)

Question 8

Which of the following is NOT a component of the Glasgow Coma Scale (GCS)?

Accepted Answer

Pupillary size

Answer

Eye opening

Answer

Verbal response

Answer

Motor response

Question 9

During the sensory examination, which of the following tests assesses the sense of vibration?

Accepted Answer

Tuning fork test

Answer

Pinprick test

Answer

Romberg test

Answer

Weber's test

Question 10

What is the significance of a positive Babinski sign?

Accepted Answer

Indicates an upper motor neuron lesion

Answer

Indicates a lower motor neuron lesion

Answer

Indicates a cerebellar lesion

Answer

Indicates an extrapyramidal lesion

Question 11

What is the primary function of the cerebellum?

Accepted Answer

Coordination and balance

Answer

Memory and learning

Answer

Speech and language

Answer

Emotion and motivation

Question 12

Which deep tendon reflex is elicited by tapping the patellar tendon just below the patella?

Accepted Answer

Patellar reflex

Answer

Biceps reflex

Answer

Triceps reflex

Answer

Achilles reflex

Question 13

In sensory examination, what term describes the loss of sense of joint position and movement?

Accepted Answer

Proprioception

Answer

Anaesthesia

Answer

Hypoesthesia

Answer

Hyperesthesia

Question 14

Which of the following is NOT a characteristic clinical feature of Parkinson's disease?

Accepted Answer

Nystagmus

Answer

Bradykinesia

Answer

Resting tremor

Answer

Cogwheel rigidity

Question 15

What is the term for a sudden onset, focal neurological deficit that resolves within 24 hours?

Accepted Answer

Transient ischemic attack (TIA)

Answer

Stroke

Answer

Seizure

Answer

Epilepsy

Question 16

Which of the following is **NOT** a component of the Glasgow Coma Scale (GCS)?

Accepted Answer

Respiratory rate

Answer

Eye opening

Answer

Motor response

Answer

Verbal response

Question 17

A patient with ataxia has difficulty with:

Accepted Answer

Balance and coordination

Answer

Strength

Answer

Sensation

Question 18

Which of the following reflexes is tested by tapping the patient's patellar tendon and observing the movement of their leg?

Accepted Answer

Patellar reflex

Answer

Babinski reflex

Answer

Achilles reflex

Answer

Biceps reflex

Question 19

Which of the following cranial nerves is responsible for pupillary dilation?

Accepted Answer

Sympathetic chain

Answer

Abducens nerve (CN VI)

Answer

Oculomotor nerve (CN III)

Answer

Trochlear nerve (CN IV)

Question 20

A patient with dysphagia has difficulty with:

Accepted Answer

Swallowing

Answer

Balance

Answer

Vision

Answer

Hearing

Question 21

A patient with a positive Romberg test is unable to maintain balance when:

Accepted Answer

Eyes closed and feet together

Answer

Standing on one leg

Answer

Eyes open

Answer

Walking forward

Question 22

To differentiate between a central and peripheral nervous system lesion, a neurological examination includes a specific test. Which of these tests is most appropriate?

Accepted Answer

Babinski reflex

Answer

Patellar reflex

Answer

Triceps reflex

Answer

Biceps reflex

Question 23

A patient's gait is characterized by a wide base and unsteadiness, with a tendency to fall to one side. What is the most probable explanation?

Accepted Answer

Cerebellar dysfunction

Answer

Peripheral neuropathy

Answer

Spinal cord injury

Answer

Parkinson's disease

Question 24

During a neurological examination, a two-point discrimination test is performed. What sensory function is being specifically assessed?

Accepted Answer

Tactile discrimination

Answer

Pain perception

Answer

Temperature sensation

Answer

Proprioception

Question 25

A brisk response with clonus in the ankle reflex is observed during a neurological examination. What is the most likely interpretation?

Accepted Answer

Upper motor neuron lesion

Answer

Lower motor neuron lesion

Answer

Normal reflex response

Answer

Peripheral neuropathy

Question 26

Which tool is commonly used to assess cognitive function during a neurological examination?

Accepted Answer

Mini-Mental State Examination (MMSE)

Answer

Romberg test

Answer

Cranial nerve examination

Answer

Gait assessment

Question 27

A patient presents with unilateral facial drooping and difficulty closing an eye. Which cranial nerve is most likely affected?

Accepted Answer

Facial nerve (VII)

Answer

Abducens nerve (VI)

Answer

Trigeminal nerve (V)

Answer

Oculomotor nerve (III)

Question 28

A patient presents with an abrupt onset of severe headache, vomiting, and neck stiffness. Papilledema is noted during the neurological examination. What is the most likely diagnosis?

Accepted Answer

Increased intracranial pressure

Answer

Cluster headache

Answer

Migraine

Answer

Tension headache

Question 29

A patient exhibits difficulty initiating movement and a resting tremor. Which neurological condition is most likely present?

Accepted Answer

Parkinson's disease

Answer

Multiple sclerosis

Answer

Cerebellar ataxia

Question 30

Which component is NOT typically included in a neurological examination?

Accepted Answer

Pulmonary function testing

Answer

Sensory examination

Answer

Motor examination

Answer

Cognitive function assessment