Nokea
Which myotome is responsible for plantar flexion of the ankle
- A. L4/5
- B. L5/S1
- C. S1/2
- D. S2/3
Correct Answer: C
Rationale: The S1 and S2 nerve roots innervate the gastrocnemius and soleus muscles, which are responsible for plantar flexion of the ankle. This is important in assessing sacral nerve root function.
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One way of dealing with memory impairments is to train patients in ways to help store and retrieve items and events to be remembered. One such technique is the use of:
- A. Visual imagery mnemonics.
- B. Visual imagery catalogues.
- C. Visual imagery tagging.
- D. Visual compensation.
Correct Answer: A
Rationale: Visual imagery mnemonics is a memory enhancement technique that involves creating vivid mental images to aid in the storage and retrieval of information. By associating new information with familiar visual cues, individuals can improve their ability to remember details and events. This technique is particularly useful for individuals with memory impairments, as it leverages the brain's natural ability to process and recall visual information more effectively than abstract concepts.
The lateral spinothalamic tract:
- A. carries fibres which terminate in the thalamus
- B. contains mainly the second-order neurones.
- C. carries fibres that carry information on temperature and pain
- D. all above
Correct Answer: D
Rationale: The lateral spinothalamic tract carries second-order neurons transmitting pain and temperature information to the thalamus. It is a critical pathway for sensory perception and is involved in relaying these sensations to higher brain centers.
Which of the following is the most common cause of neonatal meningitis?
- A. Haemophilus influenzae b
- B. Streptococcus agalactiae
- C. Neisseria meningitidis
- D. Streptococcus pneumoniae
Correct Answer: B
Rationale: The correct answer is B: Streptococcus agalactiae. This bacterium is the most common cause of neonatal meningitis due to its ability to colonize the maternal genital tract and be transmitted to the newborn during delivery. It is a leading cause of early-onset neonatal sepsis and meningitis. Haemophilus influenzae b, Neisseria meningitidis, and Streptococcus pneumoniae are more commonly associated with meningitis in older children and adults, rather than in neonates. Therefore, choice B is the most appropriate answer based on the specific context of neonatal meningitis.
Executive Functions: involve problem-solving, planning, initiative, organising, and they monitor and inhibit complex behaviours. These functions are normally associated with which area of the brain?
- A. The neocortex.
- B. The corpus callosum.
- C. The cerebellum.
- D. The prefontal cortex.
Correct Answer: D
Rationale: The prefrontal cortex, located in the frontal lobe of the brain, is primarily responsible for executive functions such as problem-solving, planning, decision-making, and self-regulation. This brain region plays a critical role in coordinating complex cognitive processes and inhibiting inappropriate behaviors. Damage to the prefrontal cortex can result in significant impairments in executive functioning, leading to difficulties in managing daily tasks and adapting to new situations.
A patient reports sudden weakness on one side of their body. The nurse should:
- A. Perform a neurologic assessment focusing on motor function and sensation.
- B. Measure the patient's oxygen saturation.
- C. Inspect the patient's skin color.
- D. Check the patient's blood glucose levels.
Correct Answer: A
Rationale: Sudden weakness on one side of the body may indicate a neurological issue, such as a stroke. A focused neurologic assessment is essential. Oxygen saturation, skin color, and blood glucose levels are secondary considerations.