NATIONAL AND STATE NURSING EXAM- MCQ _MG_00112
“ Your score is /25 ”
0
25
Show Answer
1. Nerve supply to hypothenar muscles is from:
a. Ulnar nerve
b. Median nerve
c. Radial nerve
d. Musculocutaneous nerve
Answer: a. Ulnar nerve
Description:The hypothenar muscles are a group of muscles in the hand that are located on the ulnar side of the palm. They are responsible for opposition of the little finger, abduction of the little finger, and flexion of the metacarpophalangeal joint of the little finger. The hypothenar muscles are supplied by the ulnar nerve. The ulnar nerve is a mixed nerve, meaning that it contains both motor and sensory fibers. The ulnar nerve originates in the lower back and travels down the arm to the hand. It supplies the hypothenar muscles, as well as other muscles in the hand and forearm. The median nerve does not supply the hypothenar muscles. The median nerve supplies the muscles on the radial side of the palm, including the abductor pollicis brevis, the opponens pollicis, and the flexor pollicis brevis. The radial nerve supplies the muscles on the back of the hand, including the extensor carpi radialis brevis and the extensor carpi radialis longus. The musculocutaneous nerve supplies the muscles in the front of the forearm, including the biceps brachii and the brachialis.
2. The cubital fossa is bounded by the:
a. Biceps
b. Triceps
c. Brachioradialis
d. Coracobrachialis
Answer: a. Biceps
Description:The cubital fossa is bounded by the following structures: a. Biceps muscle (laterally) b. Brachialis muscle (medially) c. Pronator teres muscle (superiorly) d. Brachioradialis muscle (laterally)
3. Ulnar nerve paralysis causes:
a. Ape tumb deformity
b. Wrist drop
c. Claw finger deformity
d. Madelung deformity
Answer: c. Claw finger deformity
Description:Ulnar nerve paralysis causes claw finger deformity. This is a condition in which the fingers are hyperextended at the metacarpophalangeal joints and flexed at the interphalangeal joints. The claw finger deformity is caused by the unopposed action of the intrinsic muscles of the hand, which are supplied by the ulnar nerve. Ape thumb deformity is caused by median nerve paralysis. Wrist drop is caused by radial nerve paralysis. Madelung deformity is a deformity of the wrist that is caused by a malunion of a fracture of the radius.
4. The plexus that supply nerves to the skin and muscles of the upper limbs and some of the chest muscles is:
a. Cervical plexus
b. Brachial plexus
c. Lumbar plexus
d. Sacral plexus
Answer: b. Brachial plexus
Description:The plexus that supplies nerves to the skin and muscles of the upper limbs (arms) and some of the chest muscles is the brachial plexus.
5. The nerve fibers which carry impulses from the receptors to the central nervous system are known as:
a. Afferent
b. Efferent
c. Synapse
d. Nodes of Ranvier
Answer: a. Afferent
Description:The afferent neurons are also known as the sensory neurons they bring the stimuli from the sensor (e.g., skin, eyes, ears) to the CNS. The efferent neurons are aslo known as motor neurons they brings the responses from the brain to the muscles and the glands.
6. Sixth cranial nerve (Abducens) controls:
a. Movement of the eyeball
b. Taste perception
c. Closure of epiglottis
d. Movement of the tongue
Answer: a. Movement of the eyeball
Description:Movement of the eyeball is controlled by three cranial nerves, i.e., oculomotor (III), trochlear (IV) and abducens nerve (VI). The abducens nerve supplies the lateral rectus muscle of the eye.
7. Monro-Kellies hypothesis is about:
a. Equilibrium of cranial content
b. Affected mental function
c. Increasing intracranial pressure
d. Unresponsive to environment
Answer: a. Equilibrium of cranial content
Description:The presssure-Volume relationship between ICP, volume of CSF blood, and brain tissue, and cerebral perfusion pressure (CPP) is known as the Monro-Kellie doctrine or the Monro-Kellie hypothesis. The Monro-Kellie hypothesis states that because of the limited space for expansion withing the skull, an increase in any one of the components causes a change in the volume of the others. Because brain tissue has limited space to change, compensaton typically is accomplished by displacing or shifting CSG, increasing the absorption of CSF, or decreasing cerebral blood volume. Without such changes, ICP will begin to rise.
8. Laborer’s nerve is another name for which nerve?
a. Median nerve
b. Radial nerve
c. Ulnar nerve
d. Axillary nerve
Answer: a. Median nerve
Description:The median nerve is also known as the labourer's nerve. This is because the median nerve is the main nerve of the front of the forearm. It supplies the muscles of the front of the forearm and muscles of the thenar eminence, thus controlling the coarse movements of the hand. Therefore, it is also called "labourer's nerve". The other nerves are: Radial nerve: It is the largest nerve in the upper limb. It supplies the muscles on the back of the forearm and hand. Ulnar nerve: It supplies the hypothenar muscles, as well as other muscles in the hand and forearm. Axillary nerve: It supplies the deltoid muscle and the teres minor muscle.
9. As a part of the assessment of the cranial nerves, the nurse asks the patient to arise the eyebros, smile and show the teeth, these actions provide information about which cranial nerve?
a. Facial
b. Vagus
c. Olfactory
d. Optic
Answer: a. Facial
Description:The actions of raising the eyebrows, smiling, and showing the teeth are used to assess the function of the facial nerve (cranial nerve VII). The facial nerve is responsible for the motor control of the muscles of facial expression, including raising the eyebrows, smiling, and showing the teeth.
10. Most important nerve in parasympathetic nervous system is:
a. Olfactory
b. Abducent
c. Vagus
d. Spinal accessory
Answer: c. Vagus
Description:The most important nerve in the parasympathetic nervous system is the vagus nerve (cranial nerve X). The vagus nerve is a major parasympathetic nerve that innervates many organs in the thoracic and abdominal cavities, including the heart, lungs, and digestive system. It plays a crucial role in regulating various involuntary functions, such as heart rate, digestion, and respiratory rate.
11. Which of the following function is not likely to be affected by vagus nerve?
a. Tongue movements
b. Peristaltic movements
c. Pancreatic movements
d. Heart rate
Answer: a. Tongue movements
Description:Movement of the tongue is controlled by 12th cranial nerve (Hypoglossal nerve). All other functions (option b, c and d) are controlled vagus nerve.
12. Which of the following activity is increased by sympathetic nervous system?
a. Heart rate
b. Secretion of digestive juices
c. Secretion of saliva
d. All of these
Answer: a. Heart rate
Description:Activation of sympatetic nervous system leads to increasees in heart rate, widening of airways (bronchioles) in the lungs, and dilation of pupils. It also results in slowing down of digestive activity by inhibiting secretion of digestive juices and saliva.
13. Vasocontraction in skin is due to:
a. Sympathetic
b. Parasympathetic
c. Wheal and flare
d. Warm climate
Answer: a. Sympathetic
Description:Vasoconstriction in the skin is due to the sympathetic nervous system. The sympathetic nervous system is responsible for the "fight or flight" response, and it causes the blood vessels in the skin to constrict. This helps to conserve heat and to prevent blood loss in the event of injury. The parasympathetic nervous system is responsible for the "rest and digest" response, and it causes the blood vessels in the skin to dilate. This helps to cool the body and to increase blood flow to the skin. Wheal and flare is a reaction that occurs in the skin in response to an allergic reaction. It is characterized by a raised, red area of skin (wheal) and a surrounding area of redness (flare). Wheal and flare is caused by the release of histamine from mast cells in the skin. Histamine causes the blood vessels in the skin to dilate, which leads to the formation of the wheal and flare. Warm climate does not cause vasoconstriction in the skin. In fact, warm climate can cause the blood vessels in the skin to dilate, which leads to sweating. Sweating helps to cool the body.
14. Which division of the nervous system initiates a response known as fight or flight?
a. The parasympathetic nervous system
b. The sympathetic nervous system
c. The somatic nervous system
d. None of these
Answer: b. The sympathetic nervous system
Description:The division of the nervous system that initiates the fight or flight response is the sympathetic nervous system. The sympathetic nervous system prepares the body for action during stressful or dangerous situations. It activates various physiological responses, such as increased heart rate, dilation of the pupils, and release of adrenaline, to mobilize the body's resources for immediate action.
15. The autonomic nervous system regulates visceral activites such as:
a. Respiration
b. Contraction of smooth muscles
c. Gastrointestinal motility
d. All of the above
Answer: d. All of the above
Description:The autonomic nervous system (ANS) is a part of the peripheral nervous system that controls involuntary bodily functions. It is divided into two branches: the sympathetic nervous system and the parasympathetic nervous system. The ANS regulates a wide range of visceral activities, including: Respiration Heart rate Blood pressure Digestion Urinary bladder function Sexual function Pupillary dilation Sweating The ANS works by sending signals to the smooth muscles, cardiac muscle, and glands throughout the body. These signals can either stimulate or inhibit the activity of these organs. The sympathetic nervous system is responsible for the "fight or flight" response. It causes the heart rate to increase, the blood pressure to rise, and the pupils to dilate. This prepares the body for a sudden physical exertion. The parasympathetic nervous system is responsible for the "rest and digest" response. It causes the heart rate to slow down, the blood pressure to fall, and the pupils to constrict. This allows the body to conserve energy and to focus on digestion. The ANS is a complex system that plays an essential role in maintaining homeostasis. It ensures that the body's organs are functioning properly and that the body is able to respond to stress.
16. Which of the following is a function of parasympathetic nervous system?
a. Contraction of arrector pili
b. Stimulation of sweat glands
c. Acceleration of heart rate
d. Constriction of pupil
Answer: d. Constriction of pupil
Description:Stimulation of parasympathetic nervous system leads to constriction of pupil. Option a, b, c are associated with sympathetic nervous system functions.
17. Which of the following function is influenced by autonomous nervous system?
a. Knee-jerk response
b. Pupillary reflex
c. Peristalsis of the intestine
d. Blinking of eye
Answer: c. Peristalsis of the intestine
Description:The digestive system is under control of the autonomic nervous system (ANS). Autonomic nervous system (sympathetic and parasympathetic nervous system) is involved in peristalsis of the intestine. Option a, b and d are somatic reflexes.
18. The emergency room nurse is assessing an adult patient who was brought in following a road traffic accident. Which of the following manifestations could have resulted from sympathetic nervous system stimulation?
a. Increased awareness and attention
b. Decreased physiologic functioning
c. Increased salivation
d. A rapid pulse and increased respiratory rate
Answer: d. A rapid pulse and increased respiratory rate
Description:Activation of sympathetic nervous system leads to increase in heart rate, widening of airways (bronchioles) in the lungs, and dilation of pupils. This is similar to fight or flight response facilited by sympathic nervou system. Increased cardiac and respiatory activity facilites survival.
19. Policeman’s tip hand is seen in:
a. Erb’s palsy
b. Klempke’s paralysis
c. Axillary nerve injury
d. None of these
Answer: a. Erb’s palsy
Description:Erb's palsy is a type of brachial plexus injury that affects the nerves that supply the muscles of the shoulder and arm. It is caused by a stretch injury to the nerves in the neck, and it can result in weakness or paralysis of the muscles in the shoulder and arm. One of the characteristic features of Erb's palsy is the policeman's tip hand. This is a deformity in which the thumb is abducted and the fingers are flexed at the metacarpophalangeal joints. The policeman's tip hand is caused by the unopposed action of the flexor pollicis longus muscle, which is supplied by the median nerve. Klumpke's paralysis is another type of brachial plexus injury that affects the nerves that supply the muscles of the hand. It is caused by a stretch injury to the nerves in the neck, and it can result in weakness or paralysis of the muscles in the hand. Axillary nerve injury does not cause policeman's tip hand. The axillary nerve supplies the deltoid muscle and the teres minor muscle. It does not supply any muscles in the hand.
20. Injury to radial nerve at wrist leads to:
a. Wrist drop
b. Sensory loss on adjacent sides of IIIrd and IVth fingers
c. Paralysis of adductor policies
d. Loss of supination in extended position
Answer: a. Wrist drop
Description:Injury to the radial nerve at the wrist can lead to a condition known as "wrist drop." Wrist drop refers to the inability to extend or lift the wrist and fingers. This occurs due to the loss of motor function in the muscles innervated by the radial nerve, including the extensor muscles of the wrist and fingers.
21. The commonest cause for neuralgic pain in foot is:
a. Compression of communication between medial and lateral plantar nerves
b. Exaggeration of longitudinal arches
c. Injury to deltoid ligament
d. Shortening of planter aponeurosis
Answer: a. Compression of communication between medial and lateral plantar nerves
Description:The commonest cause for neuralgic pain in the foot is compression of the communication between the medial and lateral plantar nerves. This is a condition known as Morton's neuroma. Morton's neuroma is caused by the compression of the nerve as it passes between the metatarsal bones in the foot. This can cause pain, numbness, and tingling in the ball of the foot. Exaggeration of the longitudinal arches, injury to the deltoid ligament, and shortening of the plantar aponeurosis can all cause pain in the foot, but they are not as common as Morton's neuroma. Morton's neuroma is a common condition, affecting about 1% of the population. It is more common in women than in men, and it typically occurs in people between the ages of 30 and 60. The condition is often treated with conservative measures, such as wearing orthotics or taking over-the-counter pain medication. However, in some cases, surgery may be necessary to relieve the pain.
22. The injury of which nerve leads to Wrist drop?
a. Axillary nerve
b. Median nerve
c. Radial nerve
d. Ulnar nerve
Answer: c. Radial nerve
Description:The injury to the radial nerve can lead to wrist drop. The radial nerve is responsible for innervating the extensor muscles of the wrist and fingers. When the radial nerve is damaged or injured, it can result in weakness or paralysis of these muscles, leading to an inability to extend or lift the wrist and fingers properly.
23. Functions affected in anterior cerebral artery obstruction is:
a. Language comprehensions
b. Balance and coordination
c. Judgment, insight and reasoning
d. Visual and auditory
Answer: c. Judgment, insight and reasoning
Description:The anterior cerebral artery (ACA) is a major artery that supplies blood to the frontal lobe of the brain. The frontal lobe is responsible for a variety of functions, including judgment, insight, and reasoning. An obstruction of the ACA can cause damage to the frontal lobe and lead to a variety of symptoms, including: Weakness or paralysis of the leg on the side of the obstruction. Loss of sensation in the leg on the side of the obstruction. Changes in personality, such as becoming more impulsive or less motivated. Trouble with judgment, such as making poor decisions or being unable to learn from mistakes. Trouble with insight, such as being unable to understand the consequences of one's actions. Trouble with reasoning, such as being unable to solve problems or think logically. The symptoms of an ACA obstruction can vary depending on the severity of the obstruction and the extent of the damage to the frontal lobe. In some cases, the symptoms may be mild and only noticeable to the patient. In other cases, the symptoms may be severe and interfere with the patient's ability to function. If you are experiencing any of the symptoms of an ACA obstruction, it is important to see a doctor right away. Early diagnosis and treatment can help to minimize the damage to the frontal lobe and improve the patient's chances of recovery.
24. Nerve involved in Carpal tunnel syndrome is:
a. Peroneal nerve
b. Ulnar nerve
c. Brachial plexuses
d. Median nerve
Answer: d. Median nerve
Description:The nerve involved in Carpal Tunnel Syndrome is the median nerve. Carpal Tunnel Syndrome occurs when the median nerve, which runs through the carpal tunnel in the wrist, becomes compressed or irritated. This can result in symptoms such as pain, numbness, and tingling in the thumb, index finger, middle finger, and half of the ring finger.
25. Foot drop result as a result of injury to:
a. Deep peroneal nerve
b. Superficial peroneal nerve
c. Tibial nerve
d. Deltoid ligament
Answer: a. Deep peroneal nerve
Description:Foot drop can result from an injury to the deep peroneal nerve. The deep peroneal nerve is a branch of the common peroneal nerve and provides motor innervation to the muscles that dorsiflex the foot and extend the toes. Injury or compression of the deep peroneal nerve can lead to weakness or paralysis of these muscles, causing difficulty or inability to lift the foot and toes properly, resulting in foot drop.
Back
Please Answer Minimum Five Questions