Mental Status

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Question 1

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Multiple Choice

When is the mental status portion of the neurologic system examination performed?

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During the history-taking process

During assessment of cranial nerves and deep tendon reflexes

During the time when questions related to memory are asked

Continually, throughout the entire interaction with a patient

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Question 2

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Multiple Choice

A 69-year-old truck driver presents with a sudden loss of the ability to understand spoken language. This indicates a lesion in the:

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temporal lobe.

Broca area.

frontal cortex.

cerebellum.

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Question 3

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Multiple Choice

The ability for abstract thinking normally develops during:

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infancy.

early childhood.

adolescence.

adulthood.

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Question 4

Free

Multiple Choice

The Mini-Mental State Examination (MMSE) may be used to:

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estimate cognitive changes quantitatively.

estimate personality disorders qualitatively.

diagnose neurologic disorders.

determine the cause of memory loss.

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Question 5

Free

Multiple Choice

Assessing orientation to person, place, and time helps determine:

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ability to understand analogies.

abstract reasoning.

attention span.

state of consciousness.

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Question 6

Multiple Choice

When you ask the patient to tell you the meaning of a proverb or metaphor, you are assessing which of the following?

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Level of consciousness

Abstract reasoning

Emotional stability

Memory

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Question 7

Multiple Choice

Impairment of arithmetic skills is often the result of:

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impaired execution of motor skills.

impaired judgment.

perceptual distortions.

depression.

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Question 8

Multiple Choice

Peripheral neuropathy is most likely to be manifested by:

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impaired memory.

impaired abstract reasoning.

impaired writing ability.

hallucinations.

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Question 9

Multiple Choice

Recent memory may be tested by:

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asking the patient to name the past four presidents.

asking the patient to listen to and repeat a series of numbers.

showing the patient four items and asking him or her to list the items about 10 minutes later.

asking the patient about verifiable information, such as his or her mother's maiden name.

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Question 10

Multiple Choice

Loss of immediate and recent memory with retention of remote memory suggests:

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attention-deficit/hyperactivity disorder (ADHD).

impaired judgment.

stupor.

dementia.

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Question 11

Multiple Choice

You ask the patient to follow a series of short commands to assess:

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judgment.

attention span.

arithmetic calculations.

abstract reasoning.

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Question 12

Multiple Choice

Which observation would be most significant when assessing the condition of a patient who has judgment impairment?

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Repeated failure to fulfill family obligations

Forgetting family members' birth dates

Going to church three times a week

Planning for retirement in 20 years

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Question 13

Multiple Choice

Appropriateness of logic, sequence, cohesion, and relevance to topics are markers for the assessment of:

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mood and feelings.

attention span.

thought process and content.

abstract reasoning.

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Question 14

Multiple Choice

Which type of hallucination is most commonly associated with alcohol withdrawal?

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Olfactory

Visual

Auditory

Tactile

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Question 15

Multiple Choice

Flight of ideas or loosening of associations is associated with:

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aphasia.

dysphonia.

multiple sclerosis.

psychiatric disorders.

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Question 16

Multiple Choice

The Glasgow Coma Scale is used to:

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determine the cause of decreased consciousness.

diagnose disorders that alter level of consciousness.

quantify consciousness.

predict response to stimulant medications.

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Question 17

Multiple Choice

Which condition is considered progressive rather than reversible?

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Delirium

Dementia

Depression

Anxiety

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Question 18

Multiple Choice

A clinical syndrome of failing memory and impairment of other intellectual functions, usually related to obvious structural diseases of the brain, describes:

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delirium.

dementia.

depression.

anxiety.

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Question 19

Multiple Choice

Mrs. Griffiths, a 28-year-old patient, presents to your office to discuss her attention-deficit/hyperactivity disorder (ADHD). Which statement is true in regard to ADHD?

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It occurs before 7 years of age.

It is usually related to mental retardation.

It is usually related to dementia.

It is manifested by prolonged periods of catatonic behavior.

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Question 20

Multiple Choice

An aversion to touch or being held, along with delayed or absent language development, is characteristic of:

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attention-deficit/hyperactivity disorder.

autism.

dementia.

mental retardation.

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