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CMN 568 Unit 5 Questions And Answers With Verified Study Solutions
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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 ...

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  • October 21, 2024
  • 84
  • 2024/2025
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  • cmn 568 unit 5
  • cmn 568 unit 5 questions and answers with verified
  • cmn 568 unit 5 questions and answers
  • diminution of headache in response to typical migr

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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

+ Thrombosis
+ Cavernous sinus thrombosis
+ Vasculitis
+ Malignant hypertension

+ Arterial dissection
+ Aneurysm


McPhee p 39



IMMEDIATE TREATMENT: Infections ANS + Abscess

+ Encephalitis
+ Meningitis


Mc Phee p 39



Causes of headache that require IMMEDIATE TREATMENT ANS + Vascular events

+ Infections
+ Intracranial masses
+ Preeclampsia
+ Carbon monoxide poisioning

,McPhee p 39



"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)

+ Ocular gaze (Motor test - 9 positions)

+ Visual fields (Cover test - central/periph vision)
+ Pupillary defects (Size, dilation)
+ Optic disks
+ Retinal vein pulsations


McPhee p 40



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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