Leik's FNP Exam Tips Neuro Questions and Answers 100% Solved correctly

CN 5 Trigeminal - Answer-ophthalmic branch with Herpes zoster can cause blindness. rash at tip of nose and the temple area Abortive meds for migraines - Answer-triptans: Imitrex NSAIDS Tylenol Narcotics Ergotamine/Cafiene Cafegot ferocet) don't mix with triptans antiemetics prophylactic migraine meds - Answer-Propanolol beta blockers TCA (amitriptyline) Anticonvulsants (Topamax, valprate Neurontin) Temporal arteritis - Answer-tx with po steroids prednisone x several weeks diagnosed w/ sed rate Tinel's sign carpal tunnel test - Answer-tap anterior wrist briskly, +ve tingling sensation of medial nerve over the hand Phalen's sign carpal tunnel test - Answer-full flexion of wrist 60 seconds, +ve finding tingling sensation of medial nerve over whole hand carpal tunnel presentation - Answer-gradual onset afr chronic hand use numbness and tingling thumb index finger weak hand grip Cluster headache - Answer-tx high dose O2 for 15 minutes, don't use if pt with COPDheadaches - Answer-Muscle tension bilateral all the rest unilateral muscle tension headache - Answer-band-like around head last for days life stressors Migraine - Answer-throbbing, nausea, photophobia, phonphobia trigeminal neuralgia - Answer-Tic douloureux or trigeminal neuralgia is a severe, stabbing pain to one side of the face. It stems from one or more branches of the nerve that supplies sensation to the face, the trigeminal nerve. It is considered one of the most painful conditions to affect people. trigeminal neuralgia tx - Answer-cold, talking, chewing food cold air tx with h dosed anticonvulsants Tegretol or Dilantin Temporal arteritis tx - Answer-indurated temple artery, pain behind eye/scalp cluster headache - Answer-tearing nasal ice pick lacerating occurs several times spontaneously resolves idiopathic