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EXAM 1 MED SURG GALEN 2025
QUESTIONS AND ANSWERS.
What are the three main types of headaches? - Correct answer -Migraine,
Tension, Cluster
Steps to Pain Assessment - Correct answer -Provoking
Quality
Radiation
Severity
Time
Provoking - Correct answer -has anything made it better or worse
Quality - Correct answer -Sharp, dull, achy, throbbing
Radiation - Correct answer -Does it radiate to another part of the body
Severity - Correct answer -Pain scale, 1-10 scale, intense pain, Other
symptoms: N/V, photophobia
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Time - Correct answer -how long has it been going on? how long does it
usually last?
Tension Headache - Correct answer -Bandlike, tightness
Describe a Migraine - Correct answer -Unilateral, supra and retro orbital,
pulsating or throbbing, worse with movement, sensitivity with light and
sounds
Cluster - Correct answer -Lancinationg or stabbing, 5-30 minutes. Extreme
pain
Migraine Pathophysiology - Correct answer -Pathophysiology - Not entirely
clear.; theories?
Prevalence: May be seen in children and adults; Among children more
common in boys; among adults more common in women.
History of patient with migraine: Otherwise healthy, usually female in 30's
Individualized triggers (stress, smells, foods, hormones, menses)
Tyramine rich foods- chocolate, cheeses, beer, wine, cigar, sweet and low.
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Treatment for Migraine - Correct answer -Vasoconstriction works the best,
irritation of the 5th cranial nerve, Estrogen hormone can causes migraines.
Migraine Manifestations - Correct answer -Manifestations
Pain: Usually unilateral, supra/retro-orbital, pulsating. Worse with
movement.
Accompanied by non-h/a symptoms: N/V, photophobia, phonophobia,
Aura: (20% of cases):
Migraine Interventions - Correct answer -Pain management
Symptom management
Ex. Pitch black, turn off all the lights, N/V causes dehydration
Migraine Drug Therapy - Correct answer -APAP/Caffeine/ Butabital
(Fioricet)
NSAIDS : Naprosyn
CCBs and Beta- Blockers (Preventative therapy) : Verapamil
Triptans and ergotamine's: Sumatriptan and Cafergot
Anticonvulsants (Preventative therapy): Topiramate
Botox Injections (monthly)
Magnesium
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Migraine Complementary and alternative therapies - Correct answer -
Acupuncture, Yoga, Stress reduction activities, Supplemental mag,
Distraction sometimes works.
Pound acronym - Correct answer -P:Pulsating
O:Duration
U: Unilateral location
N: N/V
D: Disabling
Epilepsy - Correct answer -Chronic disorder with two or more seizures
experienced by the client.
Epilepsy Assessment - Correct answer -Inquire about the seizure activity,
frequency, precipitating factors, aura (pre-ictal phase).
Family history
Collateral medical conditions (hx stroke, HTN, TBI, drug/alcohol abuse)
Seizure risk factors - Correct answer -V: Vascular
I: Infection or Inherited conditions
T: Trauma
A: Alzheimers/Autoimmune
M: Metabolic derangements
EXAM 1 MED SURG GALEN 2025
QUESTIONS AND ANSWERS.
What are the three main types of headaches? - Correct answer -Migraine,
Tension, Cluster
Steps to Pain Assessment - Correct answer -Provoking
Quality
Radiation
Severity
Time
Provoking - Correct answer -has anything made it better or worse
Quality - Correct answer -Sharp, dull, achy, throbbing
Radiation - Correct answer -Does it radiate to another part of the body
Severity - Correct answer -Pain scale, 1-10 scale, intense pain, Other
symptoms: N/V, photophobia
, Page |2
Time - Correct answer -how long has it been going on? how long does it
usually last?
Tension Headache - Correct answer -Bandlike, tightness
Describe a Migraine - Correct answer -Unilateral, supra and retro orbital,
pulsating or throbbing, worse with movement, sensitivity with light and
sounds
Cluster - Correct answer -Lancinationg or stabbing, 5-30 minutes. Extreme
pain
Migraine Pathophysiology - Correct answer -Pathophysiology - Not entirely
clear.; theories?
Prevalence: May be seen in children and adults; Among children more
common in boys; among adults more common in women.
History of patient with migraine: Otherwise healthy, usually female in 30's
Individualized triggers (stress, smells, foods, hormones, menses)
Tyramine rich foods- chocolate, cheeses, beer, wine, cigar, sweet and low.
, Page |3
Treatment for Migraine - Correct answer -Vasoconstriction works the best,
irritation of the 5th cranial nerve, Estrogen hormone can causes migraines.
Migraine Manifestations - Correct answer -Manifestations
Pain: Usually unilateral, supra/retro-orbital, pulsating. Worse with
movement.
Accompanied by non-h/a symptoms: N/V, photophobia, phonophobia,
Aura: (20% of cases):
Migraine Interventions - Correct answer -Pain management
Symptom management
Ex. Pitch black, turn off all the lights, N/V causes dehydration
Migraine Drug Therapy - Correct answer -APAP/Caffeine/ Butabital
(Fioricet)
NSAIDS : Naprosyn
CCBs and Beta- Blockers (Preventative therapy) : Verapamil
Triptans and ergotamine's: Sumatriptan and Cafergot
Anticonvulsants (Preventative therapy): Topiramate
Botox Injections (monthly)
Magnesium
, Page |4
Migraine Complementary and alternative therapies - Correct answer -
Acupuncture, Yoga, Stress reduction activities, Supplemental mag,
Distraction sometimes works.
Pound acronym - Correct answer -P:Pulsating
O:Duration
U: Unilateral location
N: N/V
D: Disabling
Epilepsy - Correct answer -Chronic disorder with two or more seizures
experienced by the client.
Epilepsy Assessment - Correct answer -Inquire about the seizure activity,
frequency, precipitating factors, aura (pre-ictal phase).
Family history
Collateral medical conditions (hx stroke, HTN, TBI, drug/alcohol abuse)
Seizure risk factors - Correct answer -V: Vascular
I: Infection or Inherited conditions
T: Trauma
A: Alzheimers/Autoimmune
M: Metabolic derangements
