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FNP AANP Neurology Exam 2025- 2026 Questions and Correct Answers Rated A+, Exams of Neurology

FNP AANP Neurology Exam 2025- 2026 Questions and Correct Answers Rated A+

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2024/2025

Available from 07/13/2025

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FNP AANP Neurology Exam 2025-
2026 Questions and Correct Answers
Rated A+
Injectable products (e.g., sumatriptan [Imitrex®] and
dihydroergotamine[D.H.E. 45®,
Migranal®]) have a rapid onset of action, usually within -
ANSWERS-15 to 30 minutes
These products are best suited for patients with rapidly
progressing migraines
accompanied by significant GI upset.
What is the name and function of Cranial Nerve I. -
ANSWERS-Olfactory- carries
impulse for sense of smell
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Download FNP AANP Neurology Exam 2025- 2026 Questions and Correct Answers Rated A+ and more Exams Neurology in PDF only on Docsity!

FNP AANP Neurology Exam 2025-

2026 Questions and Correct Answers

Rated A+

Injectable products (e.g., sumatriptan [Imitrex®] and dihydroergotamine[D.H.E. 45®, Migranal®]) have a rapid onset of action, usually within - ANSWERS-15 to 30 minutes These products are best suited for patients with rapidly progressing migraines accompanied by significant GI upset. What is the name and function of Cranial Nerve I. - ANSWERS-Olfactory- carries impulse for sense of smell

What is the name and function of Cranial Nerve II - ANSWERS-Optic- carries impulse for vision What is the name and function of Cranial Nerve III - ANSWERS-Oculomotor- supplies motor fibers to four muscles that direct eyeball to eyelid and internal eye muscles What is the name and function of Cranial Nerve IV - ANSWERS-Trochlear, responsible for down and inward movement of eyes What is the name and function of Cranial Nerve V - ANSWERS-Trigeminal- activate chewing muscles; sensory impulses of skin of face and mucosae of mouth and nose What is the name and function of Cranial Nerve VI - ANSWERS-Abducens, Responsible for Lateral movement of eye What is the name and function of Cranial Nerve VII - ANSWERS-Facial- activates muscle of facial expression and

Bell's palsy is a rare finding during the secondary stage of what disease? - ANSWERS- Lyme disease How long might it take for Bell's Palsy to resolve? - ANSWERS-Symptoms start to resolve within a few weeks with complete resolve up to 6 months Treatment options for Bell's Palsy may include: (Name 3) - ANSWERS-1. Corticosteroids

  1. Artificial Tears (Lubricants)
  2. Eye protection may be needed There is little evidence for using antivirals to treat Bell's Palsy. Name this headache type: Lasts 30 minutes to 7 days (usually 1-24 hours) with two or more of the following characteristics: Pressing, Non pulsatile pain Mild to moderate in intensity

Usually bilateral location Female to male ratio is 5:4 - ANSWERS-Tension Type This type of headache Lasts 4-72 hours with two or more of the following characteristics: Usually unilateral location, but occasionally bilateral Pulsating quality, moderate to severe Aggravation by normal activity such as walking, or causes avoidance of these activities One or more of the following: Nausea/vomiting, photophobia, phonophobia Female:male ratio 3: Positive family history in 70%-90% - ANSWERS-Migraine without Aura This headache occurs with or after aura Focal dysfunction of cerebral cortex or brainstem causes one or more aura symptoms to develop over 4 minutes, or two or more symptoms occur in succession Symptoms include feeling of dread or anxiety, unusual fatigue, nervousness or excitement, GI upset, visual or olfactory alteration Positive family history in 70%-90% - ANSWERS- Migraine with Aura No aura symptom should last >1 hour. If this occurs, an alternative diagnosis should be

Abortive treatment options to relieve headache pain include the use of (Name 3) - ANSWERS-1. Acetaminophen;

  1. NSAIDs; and
  2. Combination products such as butalbital with acetaminophen and acetaminophen, aspirin, and caffeine Name the rapid imaging (~5-10 min; important if intracranial hemorrhage is suspected) - ANSWERS-CT Scan This imaging is better at detecting acute hemorrhage and bone abnormalities - ANSWERS-CT Scan This imaging is better at detecting small and subtle lesions but cannot be used in patients with implantable devices - ANSWERS-MRI This type of headache is also known as migrainous neuralgia, are most common in middle-aged men, particularly men with heavy alcohol and tobacco use. - ANSWERSCluster headache

Treatment for this type of headache includes reduction of triggers, such as tobacco and alcohol use, and initiation of prophylactic therapy and appropriate abortive therapy (triptans, high-dose NSAIDs, and high flow oxygen) - ANSWERS-Cluster headache How long does it take oral migraine medications to work?

  • ANSWERS-30 mins to 1 hour Dihydroergotamine is usually given ___________________ for severe migraine along with parenteral hydration. - ANSWERS-intravenously Triptans act as selective serotonin receptor agonists and work at the ______________________, allowing an increased uptake of serotonin. - ANSWERS-5HT1D serotonin receptor site Do triptans cause vasodilation or vasoconstriction? - ANSWERS-Vasoconstriction Triptans are contraindicated in patients with (Name 4) - ANSWERS-1. Prinz metal angina

Frequent or excessive use of Fioricet® should be discouraged because of the potential for _________________________ from butalbital and ___________________________ from the acetaminophen component of the product. ANSWERS-barbiturate dependency analgesic rebound headache

________________________________ can lead to analgesic rebound headache - ANSWERS-Excessive acetaminophen use Use of systemic corticosteroids is helpful with what 2 types of headaches? - ANSWERS-1. Intractable or severe migraine

  1. Cluster headache The goal of headache prophylactic therapy is - ANSWERS- a minimum of a 50% reduction in number of headaches in about two-thirds of all patients, along with easierto- control headaches that respond more rapidly to standard therapies and likely require less medication.

Name 3 headache-provoking medications. - ANSWERS-1. Estrogen

  1. Progesterone
  2. Vasodilators Which 2 beta-blockers have the strongest evidence demonstrating headache preventive effects - ANSWERS-Metoprolol and propranolol Which beta-blocker has not demonstrated any effects in migraine prevention. - ANSWERS-acebutolol Name 3 Antiepileptic drugs (AEDs) that have also demonstrated effectiveness in preventing migraines. - ANSWERS-1. Divalproex sodium
  3. Sodium valproate
  4. Topiramate Select antidepressants, including the tricyclic antidepressants such as _________________ and ____________________as well as the selective serotonin norepinephrine inhibitors ,including ________________ , can also be considered for migraine
  1. Haemophilus influenzae type b (Hib; gram-negative coccobacilli) The average incubation period for the organism Neisseria meningitidis is - ANSWERS- 3 - 4 days but the range is actually 1-10 days The clinical presentation of bacterial meningitis in an adult usually includes the classic triad of (3 classic symptoms) - ANSWERS-1. fever
  2. headache
  3. nuchal rigidity (stiff neck) When evaluating the person who has bacterial meningitis, the NP expects to find cerebrospinal fluid CSF results of - ANSWERS-glucose at about 30% of serum levels. When evaluating a patient who has aseptic or viral meningitis, the NP expects to find CSF results of - ANSWERS-predominance of lymphocytes This sign is elicited with the patient lying supine and the hip flexed 90 degrees, it is present when extension of the

knee from this position elicits resistance or pain in the lower back or posterior thigh - ANSWERS-Kernig sign What sign is elicited when passive neck flexion in a supine patient results in flexion of the knees and hips - ANSWERS-The Brudzinski sign FYI In meningitis caused by N. meningitidis, a purpura or a petechial rash is noted in about 50% of patients - ANSWERS- For patients with suspected encephalitis, __________________ is often the first test used. - ANSWERS-brain imaging(MRI or CT) Chemoprophylaxis options for meningococcal meningitis include (Name 3) - ANSWERS-1. Single dose of oral ciprofloxacin or 2. Single dose intramuscular ceftriaxone.

  1. four oral doses of rifampin over 2 days. Given rifampin's ability to induce cytochrome P isoenzymes, this medication should only be used after a complete inventory of all medications the patient could be taking

ages of - ANSWERS-20 and 50 years. Name 7 Multiple sclerosis risk factors - ANSWERS-- Genetic factors:

  1. Typical onset between 20 and 40 years
  2. Affects more women than men 3. Positive family history - Environmental factors:
  3. Infections
  4. Vitamin D deficiency
  5. Excessive fatigue, stress
  6. Higher prevalence of MS in colder, more northern latitudes What are the 3 categories of MS treatment - ANSWERS-1. Relapse therapy
  7. Long-term disease modifying medications
  8. Symptomatic therapy Parkinson disease is a slowly progressive movement disorder that is largely caused by an alteration in - ANSWERS-dopamine 6 cardinal symptoms of Parkinson's - ANSWERS-1. tremor at rest,
  9. rigidity,
  1. bradykinesia (slowness in the execution of movement),
  2. flexed posture,
  3. loss of postural reflexes, and
  4. mask-like facies. At least two of these, with one being tremor at rest or bradykinesia, must be present to diagnose parkinson's. Name 2 dopamine agonists that are usually the early disease treatment of choice for parkinson's because of a proposed neuroprotective effect and a better adverse effect profile than levodopa. - ANSWERS-1. asropinirole (Requip®) and
  5. pramipexole (Mirapex®) Using levodopa for more than 5 to 10 years may lead to the development of - ANSWERS-dyskinesia What is Amantadine (Symmetrel)? - ANSWERS-An antiviral drug with time-limited (usually less than 1 year) antiparkinsonian benefits, but it can be used in later stages of the disease to help reduce dyskinesias

when On, can move with ease when off, difficult to move or uncontrolled movement. common toward the end of a levodopa dosing period. Will do med changes but eventually surgical tx. deep brain stim A common time for a person with Parkinson disease to experience an "off" period is ANSWERS-toward the end of a levodopa-dosing period, when the drug seems to be "wearing off"

What effect does carbamazepine have on birth control? - ANSWERS-When taken with birth control pills, carbamazepine induces estrogen metabolism, potentially leading to contraceptive failure Risk factors for TIA include (Name 4) - ANSWERS-1. carotid artery and other forms of atherosclerosis;

  1. structural cardiac problems, such as valvular problems that lead to increased risk of

embolization;

  1. hypercoagulable conditions, such as antiphospholipid antibody
  2. combined oral contraceptive Neuroimaging helpful in identifying acute cerebral hemorrhage - ANSWERS-CT Scan Neuroimaging that is a sensitive test in the acute phase of ischemic stroke - ANSWERS-MRI Secondary prevention against ischemic stroke and TIA should include antiplatelet therapy with (3 things) - ANSWERS-1. aspirin or
  3. aspirin with extended-release dipyridamole (Aggrenox®);
  4. if these options are not tolerated or in the presence of peripheral arterial or multivessel atherosclerotic disease, clopidogrel(Plavix®) should be prescribed 4 Agents recommended to decrease blood pressure poststroke include - ANSWERS-1. thiazide diuretics (e.g. hydrochlorothiazide [HCTZ]), 2. calcium antagonists,