Galen NUR 242 Exam 4 - Neuro Questions and
Graded Answers.
What is included in the central nervous system? - brain and spinal cord
What is included in the peripheral nervous system? - cranial nerves, spinal nerves, ganglia
What does the peripheral nervouse system act as? - relay station
What three types of headaches impact quality of life? - migraine, tension, cluster
What is the pain assessment guideline for migraine headaches? - P - provoking (what
triggers)
Q - quality (is it pulsating or throbbing)
R - radiation (is it unilateral and supra retro orbital)
S - severity (where is it on pain scale)
T - time (typically 4-72 hours)
What factors make migraines worse? - light, sound, movement
Pathophysiology of migraine - most popular theory is that extracranial arteries expand and
irritate nerves due to vasodilation
Why are migraines a problem? - productivity, sick days, quality of life
Migraine triggers - chocolate, red wine, hard cheeses, monosodium glutamate, hormonal
changes, exertion, fatigue, and stress
, manifestation of migraine - Aura (20% of cases), steady throbbing pain, unilateral,
sensitive to light, sound, odors
What does POUND stand for as it relates to migraines - Pulsatile
One day
Unilateral
Nausea/vomitting
Disabiling
What are the abortive therapies for migraines? - Fioricet, NSAIDS, Triptans and
ergotamines
When is abortive therapy contraindicated for migraine treatment? - heart disease
What is the best initial treatment for migraine - triptan derivative (ex: Imitrex)
What is epilepsy? - recurrent, unprovoked seizures (at least 2, with no immediately
identifiable cause)
What is a seizure? - Uncontrolled electrical activity in the brain that causes disruption in
brain activity
Assesssment of epilepsy - details about the seizure activity, family history, collateral
medical conditions (stroke, HTN, TBI)
Seizure risk factors - Vascular
Infection or Inherited condition
Trauma
Alzheimers or Autoimmune
Graded Answers.
What is included in the central nervous system? - brain and spinal cord
What is included in the peripheral nervous system? - cranial nerves, spinal nerves, ganglia
What does the peripheral nervouse system act as? - relay station
What three types of headaches impact quality of life? - migraine, tension, cluster
What is the pain assessment guideline for migraine headaches? - P - provoking (what
triggers)
Q - quality (is it pulsating or throbbing)
R - radiation (is it unilateral and supra retro orbital)
S - severity (where is it on pain scale)
T - time (typically 4-72 hours)
What factors make migraines worse? - light, sound, movement
Pathophysiology of migraine - most popular theory is that extracranial arteries expand and
irritate nerves due to vasodilation
Why are migraines a problem? - productivity, sick days, quality of life
Migraine triggers - chocolate, red wine, hard cheeses, monosodium glutamate, hormonal
changes, exertion, fatigue, and stress
, manifestation of migraine - Aura (20% of cases), steady throbbing pain, unilateral,
sensitive to light, sound, odors
What does POUND stand for as it relates to migraines - Pulsatile
One day
Unilateral
Nausea/vomitting
Disabiling
What are the abortive therapies for migraines? - Fioricet, NSAIDS, Triptans and
ergotamines
When is abortive therapy contraindicated for migraine treatment? - heart disease
What is the best initial treatment for migraine - triptan derivative (ex: Imitrex)
What is epilepsy? - recurrent, unprovoked seizures (at least 2, with no immediately
identifiable cause)
What is a seizure? - Uncontrolled electrical activity in the brain that causes disruption in
brain activity
Assesssment of epilepsy - details about the seizure activity, family history, collateral
medical conditions (stroke, HTN, TBI)
Seizure risk factors - Vascular
Infection or Inherited condition
Trauma
Alzheimers or Autoimmune
