Pharmacotherapeutics for Advanced Practice Nurse Prescribers Woo Robinson Exam 2 (Chapters 11,12,30,37) With Correct Answers

Pharmacotherapeutics for Advanced Practice Nurse
Prescribers Woo Robinson Exam 2 (Chapters
11,12,30,37) With Correct Answers


Whatzarezcommonlyzusedzabortiveztherapieszforzazheadache?z-zCORRECTzANSWER--OTCzanalgesics

-ErgotzDerivatives

-Triptans

-Antiemetics



WhichzOTCzanalgesicszarezrecommendedzforzmanagementzofzheadaches?z-zCORRECTzANSWER--Aspirin

-Tylenol

-Ibuprofen

-Naproxen

-ExcedrinzMigraine

-AdvilzMigraine



HowzdoeszaspirinzplayzazrolezinzmanagementzofzHA?z-zCORRECTzANSWER--anti-prostaglandin

-antiplatelet

-serotonergiczactivity



HowzdozNSAIDszplayzazrolezinzmanagementzofzHA?z-zCORRECTzANSWER-
inhibitszprostaglandinzsynthesiszforzcentralzanalgesiazeffects



HowzdozergotzderivativeszhelpzmanagezHA?z-zCORRECTzANSWER-
Vasoconstrictionztozdecreasezpulsationzinzextrazcranialzarterieszwithoutzreducingzcerebralzbloodzflow



WhatzarezsomezfactorszthatzpreventzazproviderzfromzprescribingzErgotamine?z-zCORRECTzANSWER--
Extremeznauseaz&zvomiting

,-Unpredictablezoralzabsorption



HowzmanyzdoseszperzweekzofzErgotaminezcanzbezused?zPerzmonth?z-zCORRECTzANSWER--2/week

-12/month



Ergotamineziszcontraindicatedzinzwhichzpatients?z-zCORRECTzANSWER-Pregnantz&zchildren



Whyzmightzdihydroergotaminez(DHE)zbezprescribedzoverzErgotaminezandzwhozmightzbezazbetterzcandidat
ezforzit?z-zCORRECTzANSWER-Lesszvasoconstrictivezeffects

*Mayzbezbetterzalternativezforzpatientszwithzperipheralzvascularzdisease



HowzdoztriptanszinfluencezHAzpain?z-zCORRECTzANSWER-
vasoconstrictionz&zblockagezofzpainzpathwaysztozbrainstem



Whyzwouldzazproviderzprescribezazdifferentztriptanzifzonezisznotzeffective?z-zCORRECTzANSWER-
Theyzeachzhavezslightlyzdifferentzonsetsz&z1/2zlives



Whatzarezcontraindicationsztozprescribingzorzadministeringzaztriptan?z-zCORRECTzANSWER--
CAD,zuncontrolledzHTN

-withinz24zhourszofzanzergotzderivative

-withinz2zweekszofzMAOIzorzSSRI



Whatzarezconsiderationszazproviderzshouldztakezwhenzprescribingzantiemeticszforzazpatientzexperiencingz
HA/migraines?zWhy?z-zCORRECTzANSWER-Routezofzadministration



*Nauseaz&zvomitingzassociatedzwithzepisodezleadsztozdecreasedzgastriczemptyingzandzdecreasedzoralzabs
orptionzofzmedications



WhatzarezpreventativeztherapieszforzthezmanagementzofzHA/migraines?z-zCORRECTzANSWER--
betazblockers

-antidepressants

, -antiepileptics

-NSAIDs

-Cazchannelzblockers

-ACEzinhibitorsz&zARBs

-BotulinumzToxinz(A)



WhatziszthezfirstzbetazblockerzthatzyouzwouldzprescribezforzpreventativezmanagementzofzHA/migraine?z-
zCORRECTzANSWER-Propranolol




HowzlongzshouldzazpatientzbezmonitoredzforzafterzinitiatingzazbetazblockerzforztreatmentzofzHA/migraine?z
Whatzshouldzbezmonitored?z-zCORRECTzANSWER--3zmonths

-Bloodzpressurez&zheartzrate



Propranololziszcontraindicatedzinzwhatztypeszofzpatients?z-zCORRECTzANSWER--CHF

-asthma

-COPD

-PVD

-Wolf-Parkinson-Whitezsyndrome



Iszpropranololzrecommendedzforzpregnancy?z-zCORRECTzANSWER-
No,zCategoryzC.zLastzlinezifznozsaferzoption



Whatzotherzbetazblockerszarezconsideredzifzthezpatientzhaszcoexistingzrespiratoryzconditions?z-
zCORRECTzANSWER--metoprolol


-atenolol



WhichzantidepressantszarezcommonlyzusedzforzmanagementzofzHA/migraine?z-zCORRECTzANSWER-
Amitriptylinez&zvenlafaxine



Whatzarezthezcontraindicationszofzamitriptyline?z-zCORRECTzANSWER--narrowzanglezglaucoma