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CMN 568 - Unit 5 Test with Verified Answers |Latest 2024/2025
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CMN 568 - Unit 5 Test with Verified Answers |Latest 2024/2025
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CMN 568 - Unit 5 Test with Verified Answers._`- _`- _`- _`- _`- _`- _`- _`-
What is a post-traumatic HA?
_`- _`- _`- _`- _`-_`- _`- + Occurs after a closed head injury.
_`- _`- _`- _`- _`- _`-
+ Usually appears within a day or so following injury, may worsen over
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
ensuing weeks, and gradually subsides
_`- _`- _`- _`-
+ HA which START 1-2 weeks after injury are probably not directly
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
attributable to injury _`- _`-
McPhee p 989 _`- _`-
When to refer pt with sx of HA?
_`- _`- _`- _`- _`- _`- _`- _`-_`- _`- + Thunderclap onset
_`- _`-
+ Increasing HA unresponsive to simple measures
_`- _`- _`- _`- _`- _`-
+ Hx of trauma, HTN, fever, visual changes
_`- _`- _`- _`- _`- _`- _`-
+ Presence of neuro signs or scalp tenderness
_`- _`- _`- _`- _`- _`- _`-
McPhee p 990 _`- _`-
What is a primary cough HA?
_`- _`- _`- + Severe head pain produced by _`- _`- _`-_`- _`- _`- _`- _`- _`- _`- _`-
coughing, lasting for a few minutes or less
_`- _`- _`- _`- _`- _`- _`-
+ CT and MRI scans should be done in all cases to check for lesions or
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
tumors, and should be repeated annually for several years.
_`- _`- _`- _`- _`- _`- _`- _`-
+ Symptoms may clear after lumbar puncture
_`- _`- _`- _`- _`- _`-
McPhee p 989 _`- _`-
,Diminution of headache in response to typical migraine therapies (e.g.
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
seratonin receptor antagonists or ketorolac) does not rule out
_`- _`- _`- _`- _`- _`- _`- _`- _`-
_________________ as underlying cause? Subarachnoid hemorrhage or
_`- _`- _`- _`-_`- _`- _`- _`- _`-
meningitis
Mcphee p 39 _`- _`-
What patients are most at risk for subarachnoid hemorrhage?
_`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`- + Older
_`- _`-
age
+ Female
_`-
+ Non-white
_`-
+ Hypertensive
_`-
+ Smoker
_`-
+ ↑ ETOH consumption
_`- _`- _`-
+ Previous symptoms
_`- _`-
+ Posterior circulation aneurysms
_`- _`- _`-
+ Larger aneurysms
_`- _`-
McPhee p 1008 _`- _`-
IMMEDIATE TREATMENT: Vascular events _`- _`- _`- _`-_`- _`- + Intracranial hemorrhage
_`- _`-
+ Thrombosis
_`-
+ Cavernous sinus thrombosis
_`- _`- _`-
+ Vasculitis
_`-
+ Malignant hypertension
_`- _`-
,+ Arterial dissection
_`- _`-
+ Aneurysm
_`-
McPhee p 39 _`- _`-
IMMEDIATE TREATMENT: Infections _`- _`- _`-_`- + Abscess
_`- _`-
+ Encephalitis
_`-
+ Meningitis
_`-
Mc Phee p 39
_`- _`- _`-
Causes of headache that require IMMEDIATE TREATMENT
_`- _`- _`- _`- _`- _`- _`-_`- _`- + Vascular
_`- _`-
events
+ Infections
_`-
+ Intracranial masses
_`- _`-
+ Preeclampsia
_`-
+ Carbon monoxide poisioning
_`- _`- _`-
McPhee p 39 _`- _`-
"Thunderclap headache" is the classic presentation of what condition?
_`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
Subarachnoid hemorrhage! Should precipitate IMMEDIATE workup!
_`- _`- _`- _`- _`-
McPhee p 39 _`- _`-
, New headache in a patient > ________________ years or with
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
___________________ (condition) should warrant IMMEDIATE neuroimaging. _`- _`- _`- _`- _`- _`-_`-
+ > 50years
_`- _`- _`-
+ HIV infection
_`- _`-
McPhee p 39 _`- _`-
Headache patients with hx of hypertension (esp uncontrolled htn) should be
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
examined for other features of WHAT? _`- Malignant hypertension
_`- _`- _`- _`- _`-_`- _`- _`-
McPhee p 39 _`- _`-
Headache associated with pregnancy? _`- _`- _`- _`-_`- _`- Preeclampsia
McPhee p 39 _`- _`-
Episodic headache associated with triad of hypertension, heart palpitations
_`- _`- _`- _`- _`- _`- _`- _`- _`-
and sweats is suggestive of __________________.
_`- _`- 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)?
_`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- Symtoms: Nausea, photophobia, phonophobia and exacerbation with
_`- _`- _`- _`- _`- _`- _`- _`-
physical activtiy _`-
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