Stroke (CVA), Spinal Cord Injury & Parkinson’s MCQs | Medical Surgical Nursing for NCLEX & NORCET

Strengthen Your Neurological Nursing Knowledge

Neurological disorders require sharp clinical judgment and rapid intervention. In today's Medical Surgical Nursing Mock Test, we cover critical conditions like Cerebrovascular Accident (Stroke/CVA) and Spinal Cord Injury (SCI), with a focus on Autonomic Dysreflexia.

This quiz also includes high-yield questions on degenerative disorders like Parkinson’s Disease and autoimmune conditions like Myasthenia Gravis. We also touch upon Nerve Palsies (Bell’s Palsy etc.) and Kernicterus (Bilirubin Encephalopathy). Practice these solved Neuro MCQs to strengthen your preparation for AIIMS NORCET and NCLEX-RN.

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Essential Concepts You Must Master for Top Ranks

Spinal Cord Injury

Quick Fact

Spinal cord injury can cause paralysis depending on the level of damage.

Complete Coverage

Spinal cord injury (SCI) occurs when trauma damages the spinal cord, leading to loss of function below the injury level.

Pathophysiology
Primary injury (direct trauma) → secondary injury (ischemia, inflammation, edema)

Classification

• Complete: no motor/sensory function below level
• Incomplete: some function preserved

Level-Specific Signs

• Cervical: quadriplegia
• Thoracic: paraplegia
• Lumbar: lower extremity weakness

Complications

• Autonomic dysreflexia (above T6)
• Neurogenic shock (hypotension, bradycardia)
• Pressure ulcers, UTI, spasticity

Nursing Care

• Immobilization (cervical collar, log roll)
• Monitor for neurogenic shock, maintain BP
• Prevent contractures, skin care

High-yield fact for exams
Autonomic dysreflexia = hypertensive crisis triggered by bladder distension.

Stroke (CVA)

Quick Fact

Ischemic stroke is most common type.

Complete Coverage

Stroke is sudden neurological deficit due to vascular interruption.

Types

• Ischemic (thrombotic/embolic)
• Hemorrhagic (intracerebral/subarachnoid)

Risk Factors
Hypertension, diabetes, smoking, atrial fibrillation

Clinical Signs
FAST (Face drooping, Arm weakness, Speech difficulty, Time to call)

Diagnostics
CT head (rule out bleed), MRI, carotid Doppler

Management
tPA within 4.5 hours (ischemic), BP control, rehabilitation

High-yield fact for exams
Time window for tPA = 4.5 hours.

Myasthenia Gravis

Quick Fact

Myasthenia gravis is autoimmune neuromuscular disorder.

Complete Coverage

Pathophysiology
Autoantibodies against acetylcholine receptors → muscle weakness

Clinical Signs
Fatigable weakness, ptosis, diplopia, dysphagia, worse with activity

Diagnostics
Tensilon test, anti-AChR antibodies, repetitive nerve stimulation

Management
Acetylcholinesterase inhibitors (pyridostigmine), immunosuppressants

High-yield fact for exams
Myasthenic crisis = respiratory failure.

Parkinson’s Disease

Quick Fact

Parkinson’s features bradykinesia, tremor, rigidity.

Complete Coverage

Pathophysiology
Dopamine deficiency in substantia nigra

Clinical Signs
TRAP: Tremor (resting), Rigidity, Akinesia/bradykinesia, Postural instability

Management
Levodopa/carbidopa, dopamine agonists, MAO-B inhibitors

High-yield fact for exams
Pill-rolling tremor characteristic.

Nerve Palsy

Quick Fact

Bell’s palsy is facial nerve paralysis.

Complete Coverage

Common Nerve Palsies

• Bell’s palsy: facial nerve (VII), unilateral weakness
• Radial nerve: wrist drop
• Median nerve: carpal tunnel
• Ulnar nerve: claw hand

Management
Steroids for Bell’s, splinting, physiotherapy

High-yield fact for exams
Bell’s palsy = idiopathic facial paralysis.

Kernicterus

Quick Fact

Kernicterus is bilirubin-induced brain damage in newborns.

Complete Coverage

Pathophysiology
Unconjugated bilirubin crosses blood-brain barrier → basal ganglia damage

Clinical Signs
Lethargy, poor feeding, high-pitched cry, opisthotonos

Prevention
Phototherapy, exchange transfusion

High-yield fact for exams
Kernicterus causes choreoathetosis, hearing loss.

Why Neurological Disorders Help You Score Better

Neurological disorders are important because they appear in many exam questions. They test your ability to spot serious signs like stroke or spinal injury quickly. Many students find these topics difficult, but once you understand them well, you can answer both theory and practical questions easily. These topics give you extra points because they show you know how to care for patients safely. Mastering them makes the rest of the exam easier!

Top Searched Questions for Nursing Officer Exam 2026

Q: Kernicterus cause? → High unconjugated bilirubin
Q: Bell’s palsy nerve? → Facial nerve (VII)
Q: Parkinson’s classic tremor? → Resting, pill-rolling
Q: Myasthenic crisis sign? → Respiratory failure
Q: Stroke FAST acronym? → Face, Arm, Speech, Time

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Recommended MCQs: Medical-Surgical Nursing by Lewis

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Conclusion: Your Neurological Nursing Prep Is Stronger!

This test has covered essential neurological concepts. Keep practicing daily for excellent results!

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Frequently Asked Questions (Neuro Nursing)

Q1: What is the priority nursing action for a patient with Autonomic Dysreflexia?

Ans: The priority action is to sit the patient upright (High Fowler's position) immediately to lower blood pressure. Then, the nurse should identify and remove the trigger, such as a full bladder (kinked catheter) or fecal impaction.

Q2: What are the classic signs (Triad) of Parkinson’s Disease?

Ans: The classic triad of symptoms includes Tremors (at rest, often pill-rolling), Rigidity (muscle stiffness), and Bradykinesia (slowness of movement).

Q3: Which test is used to confirm the diagnosis of Myasthenia Gravis?

Ans: The Tensilon Test (Edrophonium Test) is historically used. A temporary improvement in muscle strength after injecting Edrophonium confirms the diagnosis. (Note: Always have Atropine available as an antidote).