Health 104 - Health Education » Fall 2022 » Tim's Clinical EXAM 1 Escaping Neurology_Psychology Rounds

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Question #1
Which of the following conditions has been implicated as a possible cause for multiple sclerosis?
A.   Tinnitus
B.   Exposure to the Epstein-barr virus
C.   Obstructive sleep apnea
D.   A pre-existing seizure disorder
Question #2
How was Tim able to determine that his patient had a migraine headache and not a tension headache?
A.   The headache did not involve light or sound sensitivity
B.   The headache resolved after sleep
C.   The headache was preceded by an aura
D.   The headache was resolved with a shift in body position
Question #3
One of Tim’s patients scored a 15 on the PHQ-9 assessment. What was Tim able to determine about his patient from knowing that score?
A.   The patient needed treatment for seizure disorder
B.   The patient needed treatment for opioid overdose
C.   The patient needed treatment for anxiety
D.   The patient needed treatment for depression
Question #4
Several of Tim’s patients suffered from high blood pressure, hyperlipidemia, poor glucose control, and waistline obesity. Which of the following describes this cluster of comorbidities?
A.   Cardiovascular disease
B.   Metabolic syndrome
C.   Auto-immune disease
D.   Diabetes
Question #5
Tim saw numerous patients who had difficulty with walking and balance. Which of the following conditions is LEAST LIKELY to be diagnosed when gait abnormalities are observed?
A.   Generalized Anxiety Disorder
B.   Delirium tremens
C.   Multiple sclerosis
D.   Peripheral neuropathy
E.   Parkinson’s Disease
Question #6
Tim saw a patient whose progressive illness might require a focal resection or neurostimulation. Which condition might require such treatment?
A.   Parkinson’s Disease
B.   Alzheimer’s Disease
C.   Multiple sclerosis
D.   Seizure disorder
Question #7
Several of Tim’s patients suffered from high blood pressure, hyperlipidemia, poor glucose control, and obesity. Having these diseases increases their risk of which of the following neurological /psychological comorbidities?
A.   Seizure disorder
B.   Depression
C.   Alzheimer’s Disease
D.   All of these
E.   Obstructive sleep apnea
F.   Multiple sclerosis
Question #8
One of Tim’s patients was administered naloxone by EMTs, even before arriving at the clinic. This treatment coupled with CPR likely saved his life. What condition did naloxone resolve?
A.   Opioid overdose
B.   Cocaine overdose
C.   Seizure
D.   Delirium tremens
Question #9
Several of Tim’s patients had conditions that interfered with sleep, which in turn caused cardiovascular and/or neurological impairments. Which of the following did Tim suggest would be important modifications for these patients to make to improve sleep?
A.   Becoming physically active
B.   Using a bi-PAP machine at night
C.   Reducing alcohol use
D.   All of these
E.   Actively pursuing enjoyable and stress-reducing activities
F.   Avoiding daytime napping
Question #10
Which diagnosis was made for the patient who was experiencing loss of control over home affairs, significant memory impairments, and performed poorly on the Clock Draw and Rey’s test?
A.   Parkinson’s Disease
B.   Substance addiction
C.   Alzheimer’s Disease
D.   Depression
E.   Peripheral neuropathy
Question #11
Tim saw several patients who might benefit from an alternative approach to managing addiction, including some that were not substance addicts. Based on what the alternative approach suggests, which patient would be LEAST likely to need referral to such a program?
A.   Woodrow, whose diagnosis was delirium tremens
B.   Glenda, whose diagnosis was Alzheimer’s Disease
C.   Rafael, whose diagnosis was depression and metabolic syndrome
D.   Maricel, who had multiple addictions, with suicidal intent
E.   Arin, whose diagnosis was Parkinson’s Disease
Question #12
One of Tim’s patients had a condition in which the body inflames and destroys its own myelin sheath. This same patient had a family history of two other diseases, lupus, and Epstein-barr which behave similarly in terms of the body destroying itself. The class of diseases containing all three conditions is:
A.   Psychological pathologies
B.   Multiple sclerosis
C.   Auto-immune diseases
D.   Neurological pathologies

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