Med Surg exam 4 (part 2) Galen with answers

Med Surg exam 4 (part 2) Galen with answers

What |are |the |modifiable |RF |of |migraine |headaches?



Nonmodifiable? |- |correct |answer |--individualized |triggers: |stress, |smells, |foods



-age |(20-50), |male |children |& |female |adults, |triggers: |hormones



S/S |of |migraine |headaches? |select |all |that |apply.

A. |Fever

B. |Pain

C. |Edema

D. |Photophobia

E. |Phonophobia |- |correct |answer |-B, |D, |E



Which |meds |are |abortive |therapy |for |migraine |headaches? |select |all |that |apply.

A. |Triptans |& |ergotamine |(sumatriptan, |cafergot)

B. |APAP/caffeine/butalbital |(forcifet)

C. |anticonvulsants |(topiramate)

D. |NSAIDs |(Naprosyn)

E. |CCBs |& |beta |blockers |(Verapamil) |- |correct |answer |-A, |B, |D



Which |meds |are |preventative |therapy |for |migraine |headache. |select |all |that |apply.

A. |CCBs |& |beta |blockers |(Verapamil)

B. |caffeine

C. |anticonvulsants |(topiramate)

D. |NSAIDs

E. |triptans |& |erogamine's |- |correct |answer |-A, |C

,Other |med |management |for |migraine |headaches? |select |all |that |apply.

A. |veramil

B. |naprosyn

C. |botox |injections |(monthly)

D. |propranolol

E. |magnesium |- |correct |answer |-C, |E



Risk |factors |for |epilepsy/seizures? |label |acronym.

F- |fam |hx |of |what |3 |things?

V- |_____

I- |infection, |what |2 |things?

T- |trauma |(____)

A- |what |three |things?

M-metabolic |arrangements |(low |____ |& |high |___)

I- |______

N- |______

S- |pSychiatric |(4 |things?) |- |correct |answer |-F: |cardiac |disease, |DM, |HTN

V: |vascular

I: |meningitis, |inherited |conditions

T: |TBI

A: |Alz, |autoimmune, |alcohol

M: |blood |glucose, |BP

I: |idiopathic

N: |neoplasm

S: |stroke, |stress, |sleep |deprivation, |sub. |abuse



Labs/tests |for |seizures? |select |all |that |apply.

A. |MRI

, B. |Chest |xray

C. |EEG

D. |SPECT, |PET

E. |CT |- |correct |answer |-A, |C, |D, |E



Surgical |management |and |EVB |for |seizures? |select |all |that |apply.

A. |Removal |of |seizure |focus

B. |Vagus |nerve |stimulation |- |correct |answer |-A, |B



You |walk |into |pt |room |& |notice |they |are |having |a |seizure, |what |do |you |do? |- |correct |answer |-1. |
check |O2 |stat

2. |remove |restrictive |clothing, |no |restraints, |never |force |anything |in |mouth |

3. |record |begin/end |time |

4. |what |they |were |doing |(in |bed, |chair, |floor)

5. |what |you |observe |(movements)

6. |meds |(benzos)

7. |pt |side-lying, |check |LOC, |pt |safety



A |prolonged |seizure |lasts |how |long?

A. |Greater |than |10 |mins

B. |Less |than |5 |mins

C. |Greater |than |15 |mins

D. |Greater |than |5 |mins



Or |it |can |be |repeated |seizures |over |a |course |of |how |long |and |what |is |this |called?

A. |30 |mins, |status |epilepticus

B. |10 |mins, |status |epilepticus

C. |20 |mins, |status |epilepticus

D. |40 |mins, |status |epilepticus |- |correct |answer |-D