A 9-year-old female patient is brought to the pediatrician because she says 'a heart is in my head.' She reports bilateral headaches of pulsating quality, nausea, and has vomited 4 times. Her headache began approximately 6 hours ago, and says that lights worsen her symptoms. Her eyes are red teary and she reports nasal congestion. She is in the 4th grade, and does exceptionally well in school; her mother notes she was a colicky baby and is prone to car sickness She has a cat a home that scratched her face earlier today. She is sitting on the exam table wearing sunglasses. She does not appear severely ill. Vitals signs are stable, and there are no focal neurological deficits. Which of the following is most likely the diagnosis?

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NCLEX Neurology Practice Questions Questions

Question 1 of 5

A 9-year-old female patient is brought to the pediatrician because she says 'a heart is in my head.' She reports bilateral headaches of pulsating quality, nausea, and has vomited 4 times. Her headache began approximately 6 hours ago, and says that lights worsen her symptoms. Her eyes are red teary and she reports nasal congestion. She is in the 4th grade, and does exceptionally well in school; her mother notes she was a colicky baby and is prone to car sickness She has a cat a home that scratched her face earlier today. She is sitting on the exam table wearing sunglasses. She does not appear severely ill. Vitals signs are stable, and there are no focal neurological deficits. Which of the following is most likely the diagnosis?

Correct Answer: B

Rationale: Pulsating bilateral headache with nausea, photophobia, and vomiting in a child with a motion sickness history suggests migraine. Corneal abrasion causes unilateral pain, tension headache lacks nausea, and seizures involve altered consciousness.

Question 2 of 5

Nerve impulses are picked up by a neuron's (nerve cell):

Correct Answer: A

Rationale: Dendrites are the branched extensions of a neuron that receive incoming nerve impulses from other neurons or sensory receptors.

Question 3 of 5

The functional unit of the nervous system is the

Correct Answer: B

Rationale: The neuron is the basic structural and functional unit of the nervous system, capable of receiving, processing, and transmitting signals.

Question 4 of 5

The effect of a sending neuron on a receiving neuron is typically greater when neurotransmitters bind to the receiving neuron and the synapse is the base of the receiving cell's axon.

Correct Answer: A

Rationale: Synapses closer to the axon hillock (base of the axon) have a greater impact due to less signal attenuation, and more neurotransmitter enhances the effect.

Question 5 of 5

Which division of the human nervous system carries signals to skeletal muscles?

Correct Answer: D

Rationale: The motor system (part of the somatic nervous system) controls skeletal muscle movement, distinct from the autonomic system’s visceral control.

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