MARYVILLE NURS 620 EXAM 1
QUESTION WITH CORRECT ANSWERS.
Four types of headaches - ANSWER- Traction (tension), Vascular (migraine), cluster,
mixed (vascular and tension), Inflammatory
How do you treat migraines? - ANSWER- 1. Avoid triggers
2. Use biofeedback
3. Use abortive therapy... medications
4. Preventative medications
What are some of the ABORTIVE migraine medications? - ANSWER- 'Triptans' Trip the
switch to abort the headache
Almotriptan (Exert)
Eletriptan (Relpax)
Frovatriptan (Frova
Sumatriptan (Imitrex)
Zolmatriptan (Zomig)
PREVENTATIVE/PROPHYLACTIC migraine medicines - ANSWER- Beta-blockers
"olol"
Propranolol
Metoprolol
Timolol
Atenolol
Dizziness is a - ANSWER- sensation of unsteadiness, or feeling of movement inside of
the head
Vertigo is - ANSWER- Sensation of the room spinning and obects moving around the
head
Differential Diagnosis for dizziness would be - ANSWER- 1. Anxiety
2. CNS disorders
3. Systemic disorders
4. Peripheral vestibular disease
Differential diagnosis for dizziness and vertigo - ANSWER- Peripheral Vestibular
Disease, systemic disorder, central nervous system disorder
, Peripheral Vestibular Disease is - ANSWER- There is a problem located in the labyrinth
of the middle ear. Signs and symptoms include dizziness, N/V, diaphoresis, trouble
balancing, vertigo, tinnitus, pressure in the ear, intermittent hearing loss, diplopia.
Medications prescribed for vertigo? - ANSWER- Meclizine
Phenergan. Take these medications for a week, then taper slowly.
Diamox can also be used to decrease edema in the labyrinth.
Antiemetics (Compazine and Tigan)
If the patient has systemic disorders, the following symptoms will occur - ANSWER-
Lightheadedness, pallor, dyspnea, tachycardia, bounding pulse, weakness,hypotension,
blurred vision, headache, diaphoresis.
PARESIS IS - ANSWER- WEAKNESS
Paresthesia is - ANSWER- numbness/tingling, cramping, pain without stimulus that is
felt along the nerve pathway
The most common diagnosis associated with paresthesia is - ANSWER- araterial
occlusion, arteriosclerosis, nerve entrapment, neuropathy, TIA, Herpes Zoster
Arterial occlusion is a medical emergency and usually requires intervention within -
ANSWER- 4-6 hours
Nerve entrapment usually is caused by - ANSWER- Edema, RA, infection, prolonged
standing or sitting, tight clothing
Neuropathy is usually caused by - ANSWER- MS, DM neuropathy, collagen disease,
renal failure, thyroid disease, toxins, nutritional deficiency
Simple partial seizure is explained as - ANSWER- No loss of consciousness, and
usually unilateral hemisphere
Complex partial seizure is explained as - ANSWER- Consciousness is impaired, usually
bilateral hemisphere
Absense seizure - ANSWER- Sudden onset of interruption of activities, such as a
sudden blank stare, brief rotation of the eyes upward, stop eating while food is on the
way to the mouth. Usually lasts a few seconds to 30 seconds.
Tonic-clonic seizure - ANSWER- Most frequent generalized seizure. Patient falls to the
ground in a tonic state. Rigidity with respiratory inhiition, cyanosis, may bite their tongue
or become incontinent with confustion or combativeness after
Myclonic jerks - ANSWER- Brief shock-like contractions, to the face, trunk, or
extremities. Mostly during sleep