Multiple Choice

1. A patient demonstrates left facial droop but can wrinkle both sides of the forehead. The examiner should suspect a problem with:

(A) Central innervation of cranial nerve VII (facial)

(B) Cranial nerve V (trigeminal)

(C) Peripheral innervation of cranial nerve VII

(D) Frontalis muscle

2. Mr. T. is complaining of a headache. He has just awakened from a nap and states that the headache always begins behind one eye, "feels like an icepick," and is accompanied by tearing and a runny nose. You suspect Mr. T has:

(A) Migraine headache

(B) Tension headache

(C) Cluster headache

3. The muscles in the neck that are innervated by cranial nerve XI are: (A) Spinal accessory and omohyoid

(B) Sternomastoid and trapezius

(C) Trapezius and sternomandibular

(D) Sternomandibular and spinal accessory

4. During your examination you note that your client's eyes are puffy. You further assess coarse and dry hair. You suspect:

(A)

Scleroderma

(B)

Cachexia

(C)

Myxedema

(D)

Cretinism

5. You have just completed your examination and you document that the patient is unable to differentiate between sharp and dull touch bilaterally. You interpret this as:

(B) Scleroderma of the face and cheeks

(C) Damage to cranial nerve V (trigeminal nerve)

(D) Paralysis

6. You notice that your patient's submental lymph nodes are enlarged. You would then assess the:

(A) Supraclavicular area

(B) Infraclavicular area

(C) Area proximal to the enlarged node

(D) Area distal to the enlarged node

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