Causes and Treatments of Neural Conditions

Help Questions

NCLEX-PN › Causes and Treatments of Neural Conditions

Questions 1 - 10
1

Bell's palsy is due to dysfunction of which of the following cranial nerves?

Cranial nerve VII

Cranial nerve III

Cranial nerve IV

Cranial nerve VIII

Explanation

Bell's palsy is due to dysfunction of cranial nerve VII, the facial nerve. The facial nerve provides motor control to the musculature of the face and sensory innervation of taste, facial sensation, and parasympathetic innervation of the submandibular and sublingual glands.

2

Bell's palsy is associated with infection by which of the following pathogens?

All of these are correct

Epstein Barr virus

Herpes zoster

Herpes simplex 1

Explanation

While Bell's palsy is most frequently associated with prior infection with herpes simplex 1, is may also be associated with cytomegalovirus, Epstein Barr virus, and herpes zoster.

3

Which of the following interventions has been shown to be effective in reducing the severity of pain in cluster headaches?

100% oxygen at minimum 12 liters per minute

Carotid sinus massage

Heel-drop maneuver

Hot and cold alternating applications

Explanation

One non-pharmaceutical intervention that has shown to provide relief for a significant number of individuals with cluster headaches is 100% oxygen, delivered via mask at a minimum of 12 liters per minute. Relief can be felt in as little as 15 minutes. None of the other interventions mentioned would be likely to improve symptoms of a cluster headache.

4

A patient is hospitalized for alcohol withdrawal and is started on medication to prevent complications from withdrawal. Which type of medication is used to attenuate the possibility of seizures during this hospitalization?

Benzodiazepines

Selective serotonin re-uptake inhibitor (SSRI)

Atypical antipsychotic

Typical antipsychotic

Anti-epileptic drug (AED)

Explanation

Benzodiazepines are the mainstay of treatment for alcohol withdrawal. Anti-epileptic drug (AEDs) are not to be used during alcohol withdrawal, and are reserved for patients who have a true seizure disorder. The Clinical Institute Withdrawal Assessment for Alcohol (CIWA) protocol is used as symptom based therapy with benzodiazepines to prevent seizures and other complications from withdrawal.

5

What is the prognosis with Bell's palsy?

Self-resolving in 1-6 months

Antiviral treatment is required to prevent permanent paralysis

Nerve resection is required to prevent corneal abrasions

Corticosteroid treatment is required to prevent permanent loss of taste

Explanation

In the vast majority of cases Bell's palsy resolves within 1-6 months without medical intervention. Moistening of the affected eye (rather than nerve resection) is required during this period to prevent corneal damage. There is very little risk of permanent paralysis or loss of taste.

6

Which of the following herbs has been shown to be effective in prevention of migraine symptoms?

Petasites hybridus (butterbur)

Hypericum perforatum (St John's wort)

Agrimonia eupatoria (agrimony)

Uncaria tomentosa (cat's claw)

Explanation

Petasites hybridus (butterbur) is a flowering plant of the family asteraceae. It has been shown in studies to reduce the frequency of migraine headaches by as much as 68%. None of the other herbs listed have any significant medicinal benefit in migraine headaches.

7

Which of the following is the first-line treatment for cauda equina syndrome?

Surgical decompression

Muscle relaxants

Chiropractic manipulation

Physiotherapy

Explanation

Cauda equina syndrome is a serious condition in which the cauda equina is disturbed within the spinal cord, generally due to impingement, trauma, local lesion, or compression. The first-line treatment is surgical decompression. Neither physiotherapy nor muscle relaxants would address the cause of this condition, and chiropractic manipulation may actually exacerbate the symptoms.

8

All of the following medications are considered first-line treatments of absence seizures except __________.

Carbamazepine

Ethosuximide

Valproic acid

Lamotrigine

Explanation

The most commonly prescribed medication for absence seizures is Ethosuximide. Lamotrigine and valproic acid may also be used if seizures are unable to be controlled with ethosuximide. Carbamazepine, a common medication prescribed for simple and complex partial seizures, is specifically contraindicated in absence seizures.

9

All of the following are common etiologies of seizure disorders except __________.

marijuana use

brain tumor

infection

genetic predisposition

Explanation

The most common causes of seizures include brain injury or tumor, genetic predisposition, medications, and infections such as meningitis. While marijuana may be a trigger for sensitive individuals with seizure disorders, it has not been known to cause seizures in a non-epileptic individual and has shown to reduce seizure incidence in some individuals with this condition when used in a medical setting.

10

Which of the following classes of medication is not used for treatment of migraine headaches?

All of these may be used to treat migraines

Triptans

Antidepressants

Beta blockers

Explanation

Migraine headaches are commonly treated at first by over the counter (OTC) medications such as NSAIDS and acetaminophen. Other treatment options include triptans, antidepressants such as amitriptyline, and anti-hypertensives (beta blockers and calcium channel blockers).

Page 1 of 2
Return to subject