,A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is
effective for a majority of patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil
A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur
with weather changes or when sleep patterns are disrupted and describes them as severe, with
throbbing on one side of the head and sometimes accompanied by nausea. What is the
recommended treatment for this type of headache?
a. Gabapentin
b. Propranolol
c. Rizatriptan
d. Topiramate
Which medication is NOT useful in treating tension-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each
about 2 months apart. Which diagnostic testing will the provider order initially?
a. Lumbar puncture
b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential
,A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with
good results but develops increased dyskinesia. Which drug will be added to this patient's
regimen to help control this symptom?
a. Amantadine
b. Benztropine
c. Ropinirole
d. Tolcapone
All of the following are common symptoms seen in patients with Parkinson's disease except:
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate
A patient develops a gait disorder and the patient's spouse reports noticing recent personality
changes. The provider suspects a brain lesion. Which evaluation is especially important in the
initial physical examination?
a. Assessment of peripheral reflexes
b. Evaluation of speech
, c. Examination of the optic fundi
d. Testing for memory loss
A toddler has begun hitting and biting other children at a day care center and is exhibiting
temper tantrums and bad language at home. The parent reports that these behaviors began
shortly after a sibling was born. What will the primary care pediatric nurse practitioner do?
A. Advise the parent that the child is exhibiting early symptoms of ADHD.
B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
C. Recommend evaluating the child for conduct or oppositional defiant disorder.
D. Suggest putting the child in another day care center to ameliorate the problems
A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is
negative. The adolescent's body weight is at 82% of expected for height and age. The mother
reports that her daughter often throws up and refuses to eat most foods. Which condition does
the primary care pediatric nurse practitioner suspect?
A. Anorexia nervosa
B. Bulimia nervosa
C. Depression
D. Substance abuse
During a well child examination on a 4monthold infant, the primary care pediatric nurse
practitioner evaluates mental health issues. Which statement by the parent indicates a potential
problem with the parent infant relationship?
a. "I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises."
effective for a majority of patients with cluster headaches?
a. Lithium
b. NSAIDs
c. Oxygen
d. Verapamil
A patient reports recurrent headaches occurring 1 or 2 times per month that generally occur
with weather changes or when sleep patterns are disrupted and describes them as severe, with
throbbing on one side of the head and sometimes accompanied by nausea. What is the
recommended treatment for this type of headache?
a. Gabapentin
b. Propranolol
c. Rizatriptan
d. Topiramate
Which medication is NOT useful in treating tension-type headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days each
about 2 months apart. Which diagnostic testing will the provider order initially?
a. Lumbar puncture
b. Magnetic resonance imaging
c. Optical Coherence Tomography
d. Visual evoked potential
,A patient with Parkinson's disease (PD) has been taking carbidopa-levodopa (Sinemet) with
good results but develops increased dyskinesia. Which drug will be added to this patient's
regimen to help control this symptom?
a. Amantadine
b. Benztropine
c. Ropinirole
d. Tolcapone
All of the following are common symptoms seen in patients with Parkinson's disease except:
a. Bradykinesia
b. Festination
c. Hyperphonia
d. Rigidity
e. Symmetric tremor
Which drug is used to treat patients with focal epilepsy and complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate
A patient develops a gait disorder and the patient's spouse reports noticing recent personality
changes. The provider suspects a brain lesion. Which evaluation is especially important in the
initial physical examination?
a. Assessment of peripheral reflexes
b. Evaluation of speech
, c. Examination of the optic fundi
d. Testing for memory loss
A toddler has begun hitting and biting other children at a day care center and is exhibiting
temper tantrums and bad language at home. The parent reports that these behaviors began
shortly after a sibling was born. What will the primary care pediatric nurse practitioner do?
A. Advise the parent that the child is exhibiting early symptoms of ADHD.
B. Engage the parent in positive parenting strategies to facilitate appropriate child coping.
C. Recommend evaluating the child for conduct or oppositional defiant disorder.
D. Suggest putting the child in another day care center to ameliorate the problems
A 14yearold female comes to the clinic with amenorrhea for 3 months. A pregnancy test is
negative. The adolescent's body weight is at 82% of expected for height and age. The mother
reports that her daughter often throws up and refuses to eat most foods. Which condition does
the primary care pediatric nurse practitioner suspect?
A. Anorexia nervosa
B. Bulimia nervosa
C. Depression
D. Substance abuse
During a well child examination on a 4monthold infant, the primary care pediatric nurse
practitioner evaluates mental health issues. Which statement by the parent indicates a potential
problem with the parent infant relationship?
a. "I can sense a difference in my baby's cries."
b. "I let my baby cry a while to learn to be patient."
c. "My baby prefers to nurse in a darkened room."
d. "My baby seems very sensitive to loud noises."
