CMN 568 Unit 5 Questions And Answers With Verified Study Solutions
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Course
CMN 568
Institution
CMN 568
CMN 568 Unit 5 Questions And Answers With Verified Study Solutions
Diminution of headache in response to typical migraine therapies (e.g. seratonin receptor antagonists or ketorolac) does not rule out _________________ as underlying cause? ANS Subarachnoid hemorrhage or meningitis
Mcphee p 39
...
CMN 568 Unit 5 Questions And Answers With
Verified Study Solutions
Diminution of headache in response to typical migraine therapies (e.g. seratonin receptor antagonists or
ketorolac) does not rule out _________________ as underlying cause? ANS Subarachnoid hemorrhage or
meningitis
Mcphee p 39
IMMEDIATE TREATMENT: Vascular events ANS + Intracranial hemorrhage
"Thunderclap headache" is the classic presentation of what condition? ANS Subarachnoid hemorrhage!
Should precipitate IMMEDIATE workup!
McPhee p 39
New headache in a patient > ________________ years or with ___________________ (condition) should
warrant IMMEDIATE neuroimaging. ANS + > 50years
+ HIV infection
McPhee p 39
Headache patients with hx of hypertension (esp uncontrolled htn) should be examined for other features of
WHAT? ANS Malignant hypertension
McPhee p 39
Headache associated with pregnancy? ANS Preeclampsia
McPhee p 39
Episodic headache associated with triad of hypertension, heart palpitations and sweats is suggestive of
__________________. ANS Pheochromocytoma
McPhee p 39
Symptoms for diagnosis or ruling out migraine in the absence of "classic" presentation (e.g. scintillating
scotomoa, unilateral ha, photophobia and n/v)? ANS Symtoms: Nausea, photophobia, phonophobia and
exacerbation with physical activtiy
THREE OR MORE = MIGRAINE
,< THREE = r/o MIGRAINE
McPhee p 39
Critical components of physical exam for complaint of HA? ANS + Vital signs
+ Complete neuro exam
+ Vision testing (with funduscopic exam)
McPhee p 40
Kernig and Brudzinski signs are indicative of what? ANS Meningeal irritation
McPhee p 40
Scalp and temporal artery tenderness should be performed on pts with HA who are > ______________ years.
ANS > 60
McPhee p 40
Components of visual exam for pt presenting with HA? ANS + Visual acuity (Snellen)
Pt with HA and *diminished visual acuity* suggests.... ANS + Glaucoma
+ Temporal arteritis
+ Optic neuritis
, McPhee p 40
Pt with HA and *ophthalmoplegia or visual field defects* suggests.... ANS + Venous sinus thrombosis
+ Tumor
+ Aneurysm
McPhee p 40
Pt with HA and *hypertension, "cotton wool spots", flame hemorrhages and disk swelling* suggests.... ANS
+ Acute severe hypertensive retinopathy
McPhee p 40
Pt with HA and *ipsilateral ptosis and miosis* suggests.... ANS Horner syndrome AND/OR carotid artery
dissection
McPhee p 40
Pt with HA and *papilledema or absent retinal venous pulsations* suggests.... ANS ↑ ICP
+ Follow with neuroimaging prior to performing lumbar puncture
McPhee p 40
ANY abnormality on neuro exam (esp mental status) of pt with HA warrants.... ANS + EMERGENT
neuroimaging
McPhee p 40
Ottawa criteria for evaluation of pts presenting with acute non-traumatic headache for signs of subarachnoid
hemorrhage ANS + ≥ 40 years of age
+ Neck pain/stiffness
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