Exam (elaborations)
CMN 568 - Unit 5: Questions And Answers (Verified)
- Course
- Institution
CMN 568 - Unit 5: Questions And Answers (Verified)
[Show more]
Content preview
CMN 568 - Unit 5: Questions And Answers (Verified)Diminution of headache in response to typical migraine therapies (e.g.
seratonin receptor antagonists or ketorolac) does not rule out _________________
as underlying cause? Right Ans - Subarachnoid hemorrhage or meningitis
Mcphee p 39
IMMEDIATE TREATMENT: Vascular events Right Ans - + Intracranial
hemorrhage
+ Thrombosis
+ Cavernous sinus thrombosis
+ Vasculitis
+ Malignant hypertension
+ Arterial dissection
+ Aneurysm
McPhee p 39
IMMEDIATE TREATMENT: Infections Right Ans - + Abscess
+ Encephalitis
+ Meningitis
Mc Phee p 39
Causes of headache that require IMMEDIATE TREATMENT Right Ans - +
Vascular events
+ Infections
+ Intracranial masses
+ Preeclampsia
+ Carbon monoxide poisioning
McPhee p 39
"Thunderclap headache" is the classic presentation of what condition?
Right Ans - Subarachnoid hemorrhage! Should precipitate IMMEDIATE
workup!
McPhee p 39
,New headache in a patient > ________________ years or with ___________________
(condition) should warrant IMMEDIATE neuroimaging. Right Ans - + >
50years
+ HIV infection
McPhee p 39
Headache patients with hx of hypertension (esp uncontrolled htn) should be
examined for other features of WHAT? Right Ans - Malignant hypertension
McPhee p 39
Headache associated with pregnancy? Right Ans - Preeclampsia
McPhee p 39
Episodic headache associated with triad of hypertension, heart palpitations
and sweats is suggestive of __________________. Right 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)?
Right 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? Right Ans - +
Vital signs
+ Complete neuro exam
+ Vision testing (with funduscopic exam)
McPhee p 40
,Kernig and Brudzinski signs are indicative of what? Right Ans - Meningeal
irritation
McPhee p 40
Scalp and temporal artery tenderness should be performed on pts with HA
who are > ______________ years. Right Ans - > 60
McPhee p 40
Components of visual exam for pt presenting with HA? Right 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.... Right Ans - +
Glaucoma
+ Temporal arteritis
+ Optic neuritis
McPhee p 40
Pt with HA and *ophthalmoplegia or visual field defects* suggests.... Right
Ans - + Venous sinus thrombosis
+ Tumor
+ Aneurysm
McPhee p 40
Pt with HA and *hypertension, "cotton wool spots", flame hemorrhages and
disk swelling* suggests.... Right Ans - + Acute severe hypertensive
retinopathy
, McPhee p 40
Pt with HA and *ipsilateral ptosis and miosis* suggests.... Right Ans -
Horner syndrome AND/OR carotid artery dissection
McPhee p 40
Pt with HA and *papilledema or absent retinal venous pulsations* suggests....
Right 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....
Right Ans - + EMERGENT neuroimaging
McPhee p 40
Ottawa criteria for evaluation of pts presenting with acute non-traumatic
headache for signs of subarachnoid hemorrhage Right Ans - + ≥ 40 years of
age
+ Neck pain/stiffness
+ Witnessed loss of consciousness
+ Onset during exertion
+ Thunderclap headache
+ Limited neck flexion on examination
McPhee p 41
What kind of early treatment of diagnosed migraine or migraine-like
headache can abort or provide significant relief of symptoms? Right Ans - +
NSAIDs (e.g. ketorolac)
+ Triptans
McPhee p 41
What types of headaches may respond well to high-flow O2 therapy? Right
Ans - ALL types
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72841 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now