NeuroMusculor

Froggy Jumps

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Neuroscience physical therapy

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Jackie Patton

United States

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NeuroMusculor


Froggy Jumps NeuroMusculorOnline version Neuroscience physical therapy by Jackie Patton 1 The CNS response to infection depends on all of the following factors EXCEPT: a Patient’s socioeconomic status b Type of organism c Route of entry 2 A patient presents with a frontal lobe abscess secondary to sinusitis. Which mechanism most likely caused this condition? a Direct extension from a local infection b Autoimmune inflammatory response c Hematogenous spread from a distant site 3 An otitis media infection is most likely to result in a brain abscess located in the: a Temporal lobe b Frontal lobe c Parietal lobe 4 Which triad is classically associated with brain abscess? a Increased ICP, focal neurological deficit, fever b Fever, headache, photophobia c Seizures, nausea, vomiting 5 Approximately what percentage of patients with brain abscess present with the classic triad? a 50% b 25% c 10% 6 Which intervention is most appropriate in managing a confirmed brain abscess? a Surgical excision and antibiotics b Corticosteroids and VP shunt placement c Physical therapy before antibiotics 7 Long-term neurological sequelae following brain abscess may include all EXCEPT: a Parkinsonism b Seizures c Aphasia 8 In meningitis, infection spreads through CSF in which order? a Arachnoid → subarachnoid space → pia → superficial CNS tissues b Pia → arachnoid → dura → brain c Dura → pia → ventricles → cortex 9 The blood-brain barrier complicates meningitis treatment primarily because it: a Impedes immune cell access and drug penetration b Enhances leukocyte transport c Allows bacterial growth 10 Meningitis may result from: a Organisms crossing the BBB or penetrating trauma b Autoimmune disorders exclusively c Penetrating wounds 11 Diagnosis of meningitis is primarily based on: a Identification of infecting organism (bacterial vs aseptic) b MRI findings c Muscle tone assessment 12 Initial treatment for suspected bacterial meningitis in the emergency department should include: a Immediate antibiotics b Delay antibiotics until lumbar puncture c Physical therapy 13 Dark raised spots under the skin in meningitis patients are due to: a Vessel damage and bleeding into skin b Immune suppression c Increased melanin production 14 Which symptom is most consistent with meningitis? a HA, fever, vomiting, cold hands and feet, cognitive decline, malaise, non-blanching rash, pallor b Stiff neck/nuchal rigidity and photophobia c Tremors 15 Which condition would be the LEAST likely differential diagnosis for meningitis? a Osteoarthritis b Migraine c Influenza 16 Immunosuppressed patients (sickle cell, diabetes) are at increased risk for: a Bacterial meningitis b Aseptic meningitis c Brain tumors 17 Bacterial meningitis organisms differ between adults and children because of differences in: a Immune system maturity b Brain size c CSF volume 18 Aseptic meningitis may be caused by which virus? a Herpes simplex virus type 2 b Influenza B c Epstein-Barr virus 19 Which is a non-viral cause of aseptic meningitis? a Lyme disease (Borrelia) b Varicella zoster c HIV 20 Systemic progression of meningitis includes: a Hydrocephalus and increased ICP b Decreased BP and decreased ICP c Reduced CSF production 21 Pia and arachnoid inflammation leads to obstruction of which structure? a Obstructs foramen of monro, aqueduct of sylvius or exit foramen of 4th ventricle b Thalamus c Basal ganglia 23 Local infections causing bacterial meningitis commonly originate from: a Middle ear or mastoid air cells b Lungs c Kidneys 24 CSF rhinorrhea refers to: a Clear CSF leaking from nose b Infection of sinuses c Bloody nasal discharge 25 Skull fractures may cause bacterial meningitis by: a Exposing CSF to nasal cavity b Increasing CSF pressure c Causing seizures 26 Which finding is MOST consistent with acute bacterial meningitis? a Fever and altered consciousness b Ataxia without fever c Muscle weakness 27 Nuchal rigidity indicates irritation of the: a Subarachnoid space b Dura mater c Ventricles 28 Pain in bacterial meningitis is primarily due to: a Stretching of inflamed meninges b Muscle spasm c Bone compression 29 Which test is used to assess meningeal irritation? a Kernig sign b Babinski sign c Hoffmann sign 30 Pain with cervical flexion occurs in meningitis because it: a Stretches inflamed meninges and nerve roots b Compresses vertebral arteries c Decreases CSF flow 31 With Meningitis cervical rotation and extension are typically: a Not limited b Mildly painful c Severely limited 32 Kernig sign is performed by: a Passive hip flexion with knee extension b Neck flexion causing knee flexion c Lumbar flexion with arm extension 33 A positive Kernig sign produces: a Posterior thigh or lumbar pain b Abdominal pain c No symptoms 34 Brudzinski sign is defined as: a Neck flexion causing hip and knee flexion b Hip pain with extension c Lumbar pain with rotation 35 Brudzinski sign may be absent in comatose patients because of: a Decreased reflexes and muscle tone b Increased muscle tone c Increased alertness 36 Jolt accentuation test is positive when: a Headache increases with rapid rotation b Headache decreases c Vision blurs 37 Bacterial meningitis is diagnosed primarily through: a Blood cultures and lumbar puncture b MRI c X-ray 38 CSF findings in bacterial meningitis include: a Increased protein, decreased glucose, high WBC b Low protein, high glucose c Normal glucose and protein 39 Severity of bacterial meningitis depends on all EXCEPT: a Head size b pathological agent involved c Level of consciousness at initiation of pharmacological therapy 40 A complication of bacterial meningitis is: a Subdural effusion b ALS c Multiple sclerosis 41 Subdural effusion is defined as: a Fluid between dura and brain b Fluid in ventricles c Brain swelling 42 If a subdural effusion becomes infected, it is termed: a Subdural empyema b Brain abscess c Hydrocephalus 43 Medical management of bacterial meningitis includes: a Antimicrobials and symptom management b Vaccination only c Surgery only 44 Which population is four times more likely to develop meningitis? a College freshmen in dormitories b Elderly living alone c Athletes 45 Acute sequelae of bacterial meningitis can include: a Cranial nerve inflammation b Inflammatory or vascular involvement of CN, thrombosis of meningeal vein and acute infarct c ALS 46 Long-term sequelae may include: a Ischemic stroke, cognitive slowness, weakness, spasticity, hemiparesis, ataxia, seizures b None c Blindness 47 A non-purulent inflammatory process of the meninges is termed: a Aseptic meningitis b Bacterial meningitis c Viral encephalitis 48 Compared to bacterial meningitis, aseptic meningitis is: a Less severe b More severe c Equally severe 49 Diagnosis of aseptic meningitis typically shows: a Normal glucose levels b Low glucose c No WBCs 50 Neurological sequelae following aseptic meningitis are: a Rare to none b Common c Severe 51 Which finding best differentiates bacterial from aseptic meningitis? a CSF glucose level b Headache c Photophobia

NeuroMusculor

Froggy Jumps

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NeuroMusculorOnline version

by Jackie Patton

The CNS response to infection depends on all of the following factors EXCEPT:

A patient presents with a frontal lobe abscess secondary to sinusitis. Which mechanism most likely caused this condition?

An otitis media infection is most likely to result in a brain abscess located in the:

Which triad is classically associated with brain abscess?

Approximately what percentage of patients with brain abscess present with the classic triad?

Which intervention is most appropriate in managing a confirmed brain abscess?

Long-term neurological sequelae following brain abscess may include all EXCEPT:

In meningitis, infection spreads through CSF in which order?

The blood-brain barrier complicates meningitis treatment primarily because it:

Meningitis may result from:

Diagnosis of meningitis is primarily based on:

Initial treatment for suspected bacterial meningitis in the emergency department should include:

Dark raised spots under the skin in meningitis patients are due to:

Which symptom is most consistent with meningitis?

Which condition would be the LEAST likely differential diagnosis for meningitis?

Immunosuppressed patients (sickle cell, diabetes) are at increased risk for:

Bacterial meningitis organisms differ between adults and children because of differences in:

Aseptic meningitis may be caused by which virus?

Which is a non-viral cause of aseptic meningitis?

Systemic progression of meningitis includes:

Pia and arachnoid inflammation leads to obstruction of which structure?

Local infections causing bacterial meningitis commonly originate from:

CSF rhinorrhea refers to:

Skull fractures may cause bacterial meningitis by:

Which finding is MOST consistent with acute bacterial meningitis?

Nuchal rigidity indicates irritation of the:

Pain in bacterial meningitis is primarily due to:

Which test is used to assess meningeal irritation?

Pain with cervical flexion occurs in meningitis because it:

With Meningitis cervical rotation and extension are typically:

Kernig sign is performed by:

A positive Kernig sign produces:

Brudzinski sign is defined as:

Brudzinski sign may be absent in comatose patients because of:

Jolt accentuation test is positive when:

Bacterial meningitis is diagnosed primarily through:

CSF findings in bacterial meningitis include:

Severity of bacterial meningitis depends on all EXCEPT:

A complication of bacterial meningitis is:

Subdural effusion is defined as:

If a subdural effusion becomes infected, it is termed:

Medical management of bacterial meningitis includes:

Which population is four times more likely to develop meningitis?

Acute sequelae of bacterial meningitis can include:

Long-term sequelae may include:

A non-purulent inflammatory process of the meninges is termed:

Compared to bacterial meningitis, aseptic meningitis is:

Diagnosis of aseptic meningitis typically shows:

Neurological sequelae following aseptic meningitis are:

Which finding best differentiates bacterial from aseptic meningitis?