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Cranial Nerve Extended Matching Questions Self Assessment Questions

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Test your diagnostic acumen at this neurology clinic
Chris Mulryan
Quiz by Chris Mulryan, updated more than 1 year ago
Chris Mulryan
Created by Chris Mulryan over 8 years ago
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Question 1

Question
A 33-year-old man with a frontal headache which is worse in the morning and when lying down he reports having a loss of enjoyment of food. He also complains that he has a dulled sense of smell?
Answer
  • Trochlear nerve lesion
  • Meningioma
  • Transient ischemic attack
  • Stroke
  • Vagus nerve lesion
  • Optic nerve lesion
  • Lower facial nerve motor lesion
  • Upper facial nerve motor lesion
  • Cerebella lesion
  • Proprioceptive Lesion

Question 2

Question
A 71-year-old man who complains in a reduction in his hearing in his right ear. You assess him and find that Weber’s test is heard best in the left ear. Rinne’s test demonstrates air conduction to be better than bone conduction bilaterally.
Answer
  • Trochlear nerve lesion
  • Meningioma
  • Optic chiasm lesion
  • Hypoglossal nerve lesion
  • Conductive hearing loss bilaterally
  • Conductive hearing loss, right ear
  • Conductive hearing loss, left ear
  • Sensory neural hearing loss in the left ear
  • Sensory neural hearing loss in the right ear
  • Vagus nerve lesion

Question 3

Question
A 34-year-old man presents with a global reduction in hearing. You note that Weber’s test is heard equally bilaterally. Rinne’s test demonstrates that bone conduction is better than air conduction bilaterally.
Answer
  • Trochlear nerve lesion
  • Abducens nerve lesion
  • Upper facial nerve lesion
  • Lower facial nerve lesion
  • Bilateral sensory neural hearing loss
  • Sensory neural hearing loss in the left ear
  • Sensory neural hearing loss in the right ear
  • Conductive hearing loss, left ear
  • Conductive hearing loss bilaterally
  • Glossopharyngeal nerve lesion

Question 4

Question
A 44-year-old woman has a deviated uvula, she is unable to puff out her cheeks.
Answer
  • Vagus nerve lesion
  • Accessory nerve lesion
  • Glossopharyngeal nerve lesion
  • Hypoglossal nerve lesion
  • Trigeminal nerve Lesion
  • Lower motor facial nerve lesion
  • Upper motor facial nerve lesion
  • Encephalitis
  • Optic chiasm lesion
  • Leukoencephalopathy

Question 5

Question
A 67-year-old long term type 1 diabetic man presents with a fixed tachycardia of 100 beats per min. His notes suggest that his DM has been poorly controlled since diagnosis. Sensation in his face is intact.
Answer
  • Meningioma
  • Transient ischemic attack
  • Stroke
  • Accessory nerve lesion
  • Trigeminal nerve Lesion
  • Vagus nerve lesion
  • Glossopharyngeal nerve lesion
  • Acoustic neuroma
  • Polyneuropathy
  • Mononeuropathy

Question 6

Question
A 55-year-old woman presents with a reduced ability to turn her head to push your hand away from her head on the lefthand side.
Answer
  • Oculomotor nerve lesion
  • Optic nerve lesion
  • Phrenic Nerve
  • Vestibular cochlear nerve lesion
  • Vagus nerve lesion
  • Trigeminal nerve Lesion
  • Hypoglossal nerve lesion
  • Accessory nerve lesion
  • Motor Neurone Disease
  • Central pontine myelinolysis

Question 7

Question
A 65-year-old female who has fasciculations of the tongue, when asked to stick her tongue out, the tongue deviates to the left.
Answer
  • Trigeminal nerve Lesion- Ophthalmic division
  • Trigeminal nerve Lesion- Facial division
  • Trigeminal nerve Lesion- Maxillary division
  • Trigeminal nerve Lesion- Mandibular division
  • Brachial Plexus insult
  • Vagus Nerve
  • Facial Nerve
  • Hypoglossal nerve lesion
  • Glossopharyngeal nerve lesion
  • Accessory nerve lesion

Question 8

Question
A 41-year-old woman with a diagnosis of relapsing remitting multiple sclerosis wakes to find that she has monocular vision loss
Answer
  • Oculmotor nerve lesion
  • Optic chiasm lesion
  • Optic nerve lesion
  • Optic tract lesion
  • Optic radiation lesion
  • Optic neuclie lesion
  • Optic Nerve Lesion
  • Branch retinal vein occulsion
  • Branch retinal artery occulsion
  • Centeral retinal artery occulsion

Question 9

Question
39-year-old male with acromegaly presents with bi-temporal hemianopia.
Answer
  • Trochlear nerve lesion
  • Oculmotor nerve lesion
  • Meningioma
  • Optic nerve lesion
  • Optic chiasm lesion
  • Hypoglossal nerve lesion
  • Vagus nerve lesion
  • Accessory nerve lesion
  • Amaurosis fugax
  • Bells Palsy

Question 10

Question
A 66-year-old woman who reports developing double vision when she is asked to look upwards towards the sky.
Answer
  • Trochlear nerve lesion
  • Oculmotor nerve lesion
  • Meningioma
  • Optic nerve lesion
  • Transient ischemic attack
  • Abducens nerve lesion
  • Hypoglossal nerve lesion
  • Trigeminal nerve Lesion
  • Vagus nerve lesion
  • Glossopharyngeal nerve lesion

Question 11

Question
A 24-year-old who complains of blurred vision when asked to look towards the floor?
Answer
  • Trochlear nerve lesion
  • Oculmotor nerve lesion
  • Meningioma
  • Optic nerve lesion
  • Abducens nerve lesion
  • Transient ischemic attack
  • Optic chiasm lesion
  • Hypoglossal nerve lesion
  • Upper facial nerve lesion
  • Lower facial nerve lesion

Question 12

Question
A 71-year-old woman who has a loss of sensation to middle of her face, there is atrophy of the masseter muscle on the same side and a exaggerated jaw jerk?
Answer
  • Hypoglossal nerve lesion
  • Accessory nerve lesion
  • Trigeminal nerve Lesion
  • Vagus nerve lesion
  • Glossopharyngeal nerve lesion
  • Upper facial nerve lesion
  • Lower facial nerve lesion
  • Trochlear nerve lesion
  • Oculmotor nerve lesion
  • Abducens nerve lesion

Question 13

Question
A 52-year-old man complains of blurred vision when asked to look laterally?
Answer
  • Trochlear nerve lesion
  • Oculmotor nerve lesion
  • Meningioma
  • Acoustic neuroma
  • Optic nerve lesion
  • Abducens nerve lesion
  • Optic chiasm lesion
  • Vagus nerve lesion
  • Upper facial nerve lesion
  • Lower facial nerve lesion

Question 14

Question
A 63-year-old man develops a facial droop. He has a headache. His frown lines are preserved in the upper aspect of his face?
Answer
  • Trochlear nerve lesion
  • Oculmotor nerve lesion
  • Meningioma
  • Optic nerve lesion
  • Upper facial nerve lesion
  • Lower facial nerve lesion
  • Optic chiasm lesion
  • Vagus nerve lesion
  • Trigeminal nerve Lesion
  • Acoustic Neuroma

Question 15

Question
A 20-year-old woman wakes up with a facial droop. The whole of her face is affected?
Answer
  • Trochlear nerve lesion
  • Oculmotor nerve lesion
  • Meningioma
  • Optic nerve lesion
  • Transient ischemic attack
  • Abducens nerve lesion
  • Upper facial nerve lesion
  • Lower facial nerve lesion
  • Glossopharyngeal nerve lesion
  • Stroke
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