NSGl 555/l NSG555l Examl 3–l (NEWl 2026/l
2027l Update)l Nursel Practitionersl inl
Primaryl Carel IIl Guidel |l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
DeQuervain'sl tenosynovitisl presentingl sx
Answer:
-graduall onset
-radiall sidedl wristl pain
-painl exacerbatedl byl grippingl andl raisingl objectsl withl wristl inl neutral
-tendernessl overl 1stl dorsall compartmentl atl levell ofl radiall styloid
-normall wristl motion
-painl withl resistedl radiall deviation
QUESTION
DeQuervain'sl tenosynovitisl clinicall dx
Answer:
-radiall sidedl wristl painl madel worsel withl thel Finkelsteinl maneuverl (ulnarl sidel ofl arml
onl table,l flexl wristl down,l manuallyl movel thumbl downl intol palml ofl hand)
QUESTION
DeQuervain'sl tenosynovitisl tx
Answer:
1-rest,l NSAIDs,l thumbl spical splint
,2-steroidl injection
-surgicall releasel forl severel andl afterl 6l monthsl ofl failedl nonopl tx
QUESTION
Spinall stenosis
Answer:
Narrowingl ofl thel spine
-painl isl usuallyl worsel withl backl extensionl (andl standing)l andl relievedl byl sitting
-occursl inl olderl patients
-mayl presentl withl neurogenicl claudicationl symptomsl withl walkingl (legl sxl worsel afterl
walkingl severall minsl andl relievedl byl sitting)
QUESTION
Spinall stenosisl causes
Answer:
-OAl inl lumbarl spine
-largel discl herniation
QUESTION
Spinall stenosisl imaging
Answer:
MRIl andl CT
QUESTION
Spinall stenosisl tx
Answer:
-l flexionl exercisesl (PT)
-facetl jointl corticosteroidl injections
-l surgeryl (butl notl shownl tol bel morel beneficiall thanl otherl tx)
,QUESTION
Spinall stenosisl referrall needed
Answer:
-radicularl orl claudicationl sxl longerl thanl 12l weeks
-MRIl orl CTl confirmationl ofl significant,l symptomaticl spinall stenosis
QUESTION
Firstl linel abortivel txl forl mildl tol moderatel migraines
Answer:
NSAIDs
QUESTION
Abortivel txl forl moderatel migraines
Answer:
ASAl +l acetaminophenl +l caffeine
-overusel ifl frequent
QUESTION
Firstl linel txl forl moderatel -l severel migrainesl abortivel tx
Answer:
Sumatriptan,l rizatriptan,l zolmitriptan,l eletriptan,l almotriptan,l naratriptan,l frovatriptan
-selectivel 5-HT1B/1Dl agonists
-abortl attacksl vial vasoconstrictionl &l trigeminall inhibition
QUESTION
Secondl linel txl forl abortivel migrainel tx
Answer:
, dihydroergotaminel (DHE)
-morel sidel effects
-contraindicatedl withl vascularl dzl orl pregnancy
QUESTION
Abortivel txl forl migraines,l nonvasoconstrictive,l suitablel forl patientsl withl vascularl
conditions
Answer:
gepants
-rimegepantl (Nurtec)
-ubrogepantl (Ubrelvy)
QUESTION
Abortivel txl forl migraines,l alsol nonvasoconstrictive,l mayl causel sedationl -l avoidl drivingl
afterl use
Answer:
Lasmiditan
QUESTION
Abortivel txl forl migrainesl adjustivel therapyl forl n/v
-mayl enhancel analgesicl absorption
Answer:
metoclopramide
prochlorperazine
QUESTION
NOTl recommendedl forl abortivel txl forl migraines
Answer:
Opioidsl andl butalbital-containingl medications
2027l Update)l Nursel Practitionersl inl
Primaryl Carel IIl Guidel |l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
DeQuervain'sl tenosynovitisl presentingl sx
Answer:
-graduall onset
-radiall sidedl wristl pain
-painl exacerbatedl byl grippingl andl raisingl objectsl withl wristl inl neutral
-tendernessl overl 1stl dorsall compartmentl atl levell ofl radiall styloid
-normall wristl motion
-painl withl resistedl radiall deviation
QUESTION
DeQuervain'sl tenosynovitisl clinicall dx
Answer:
-radiall sidedl wristl painl madel worsel withl thel Finkelsteinl maneuverl (ulnarl sidel ofl arml
onl table,l flexl wristl down,l manuallyl movel thumbl downl intol palml ofl hand)
QUESTION
DeQuervain'sl tenosynovitisl tx
Answer:
1-rest,l NSAIDs,l thumbl spical splint
,2-steroidl injection
-surgicall releasel forl severel andl afterl 6l monthsl ofl failedl nonopl tx
QUESTION
Spinall stenosis
Answer:
Narrowingl ofl thel spine
-painl isl usuallyl worsel withl backl extensionl (andl standing)l andl relievedl byl sitting
-occursl inl olderl patients
-mayl presentl withl neurogenicl claudicationl symptomsl withl walkingl (legl sxl worsel afterl
walkingl severall minsl andl relievedl byl sitting)
QUESTION
Spinall stenosisl causes
Answer:
-OAl inl lumbarl spine
-largel discl herniation
QUESTION
Spinall stenosisl imaging
Answer:
MRIl andl CT
QUESTION
Spinall stenosisl tx
Answer:
-l flexionl exercisesl (PT)
-facetl jointl corticosteroidl injections
-l surgeryl (butl notl shownl tol bel morel beneficiall thanl otherl tx)
,QUESTION
Spinall stenosisl referrall needed
Answer:
-radicularl orl claudicationl sxl longerl thanl 12l weeks
-MRIl orl CTl confirmationl ofl significant,l symptomaticl spinall stenosis
QUESTION
Firstl linel abortivel txl forl mildl tol moderatel migraines
Answer:
NSAIDs
QUESTION
Abortivel txl forl moderatel migraines
Answer:
ASAl +l acetaminophenl +l caffeine
-overusel ifl frequent
QUESTION
Firstl linel txl forl moderatel -l severel migrainesl abortivel tx
Answer:
Sumatriptan,l rizatriptan,l zolmitriptan,l eletriptan,l almotriptan,l naratriptan,l frovatriptan
-selectivel 5-HT1B/1Dl agonists
-abortl attacksl vial vasoconstrictionl &l trigeminall inhibition
QUESTION
Secondl linel txl forl abortivel migrainel tx
Answer:
, dihydroergotaminel (DHE)
-morel sidel effects
-contraindicatedl withl vascularl dzl orl pregnancy
QUESTION
Abortivel txl forl migraines,l nonvasoconstrictive,l suitablel forl patientsl withl vascularl
conditions
Answer:
gepants
-rimegepantl (Nurtec)
-ubrogepantl (Ubrelvy)
QUESTION
Abortivel txl forl migraines,l alsol nonvasoconstrictive,l mayl causel sedationl -l avoidl drivingl
afterl use
Answer:
Lasmiditan
QUESTION
Abortivel txl forl migrainesl adjustivel therapyl forl n/v
-mayl enhancel analgesicl absorption
Answer:
metoclopramide
prochlorperazine
QUESTION
NOTl recommendedl forl abortivel txl forl migraines
Answer:
Opioidsl andl butalbital-containingl medications
