Galen NUR 242 Exam 4 - Neuro
What is included in the central nervous system? - correct answer brain and
spinal cord
What is included in the peripheral nervous system? - correct answer cranial
nerves, spinal nerves, ganglia
What does the peripheral nervouse system act as? - correct answer relay station
What three types of headaches impact quality of life? - correct answer migraine,
tension, cluster
What is the pain assessment guideline for migraine headaches? - correct answer
P - provoking (what triggers)
Q - quality (is it pulsating or throbbing)
R - radiation (is it unilateral and supra retro orbital)
S - severity (where is it on pain scale)
T - time (typically 4-72 hours)
What factors make migraines worse? - correct answer light, sound, movement
Pathophysiology of migraine - correct answer most popular theory is that
extracranial arteries expand and irritate nerves due to vasodilation
Why are migraines a problem? - correct answer productivity, sick days, quality of
life
Migraine triggers - correct answer chocolate, red wine, hard cheeses,
monosodium glutamate, hormonal changes, exertion, fatigue, and stress
manifestation of migraine - correct answer Aura (20% of cases), steady
throbbing pain, unilateral, sensitive to light, sound, odors
What does POUND stand for as it relates to migraines - correct answer Pulsatile
One day
Unilateral
, Galen NUR 242 Exam 4 - Neuro
Nausea/vomitting
Disabiling
What are the abortive therapies for migraines? - correct answer Fioricet,
NSAIDS, Triptans and ergotamines
When is abortive therapy contraindicated for migraine treatment? - correct
answer heart disease
What is the best initial treatment for migraine - correct answer triptan derivative
(ex: Imitrex)
What is epilepsy? - correct answer recurrent, unprovoked seizures (at least 2,
with no immediately identifiable cause)
What is a seizure? - correct answer Uncontrolled electrical activity in the brain
that causes disruption in brain activity
Assesssment of epilepsy - correct answer details about the seizure activity,
family history, collateral medical conditions (stroke, HTN, TBI)
Seizure risk factors - correct answer Vascular
Infection or Inherited condition
Trauma
Alzheimers or Autoimmune
Metabolic derangements
Idiopathic
Neoplasm
S - pSychiatric/pSeudoseizure
What can trigger a seizure? - correct answer sleep deprivation, stress, alcohol
withdrawl, food
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