NURS 5433 UNIVERSITY OF TEXAS - ARLINGTON
NURS5433 FNP midterm EXAM 2026 BANK EXAM
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What is the criteria for Episodic Migraines - Answers-A. 5
attacks fulfilling B-D
B. HA lasts 4-72 hours if untreated
C. Has 2/4 of the following: unilateral, pulsating, moderate-
severe, aggravated by activity
D. At least 1 of the following: N/V, photophobia or
phonophobia
E. Not better accounted by another disease/diagnosis
What is the criteria for chronic migraines? - Answers-A.
Migraine-like or tension-like headaches on 15 or more
days a month for more than 3 months
B. at least 5 attacks fulfilling criteria that meet criteria for
migraine with or without aura
C. on 8 or more days a month for 3 months: criteria C and
D are met for migraine without aura, and criteria B and C
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are met for migraine with aura, the symptoms are relieved
by a triptan or ergot
What are some common migraine triggers? - Answers-
alcohol, exercise, caffeine, menses, OCPs, stress,
weather changes, smoke, chocolate, light
When should you offer preventative treatment for
migraines? - Answers-6 or more headache days with no
disability
4 or more headache days with some disability
3 or more headache days with severe disability
When should you consider preventative treatment for
migraines? - Answers-4 or 5 headache days with no
disability
3 headache days with some disability
2 headache days with moderate disability
How long does it take to get benefit from preventive
therapies for migraines? - Answers-can take 2-6 months.
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How do you taper preventive medications for migraine? -
Answers-start low and go slow. Titrate ever 2-4 weeks until
effective.
When should you consider switching preventive migraine
medications? - Answers-if patient cannot tolerate AE, or
patient has been on medication for 8 weeks or they are on
max dose without relief....
try a second first line medication in conjunction, and if they
is unsuccessful, consider second line therapy like
amitriptyline, venlafaxine, atenolol, feverfew or riboflavin
What are first line preventive treatments for migraines? -
Answers-"BAT"
Beta blockers (TMP... timolol, propranolol, metoprolol)
Anticonvulsants (divalproex, topiramate)
Triptans (Frovatriptan)... only for menstural migraines
What are the AE of divalproex? - Answers-alopecia, liver
failure, pancreatitis, thrombocytopenia, weight gain,
teratogenesis