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EXAM 1 MED SURG GALEN 2026 BRAND NEW
ACTUAL EXAM WITH VERIFIED QUESTIONS
AND CORRECT SOLUTIONS
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
| |
| I: Idiopathic
|
N: Neoplasm |
| S: pSychiatric
|
Epilepsy Triggers - Correct Answer-Sleep deprivation Stress
| | | | | |
, Page |2 | |
Alcohol/ Alcohol Withdrawl | |
| MSG
pg 878 Chart 42-9
| | |
Aura - Correct Answer-Seizures often preceded by an aura; it is unique to that
| | | | | | | | | | | | |
patient, not every patient has them.
| | | | | |
Somatic: rising epigastric sensation | | |
| Hallucinations: Visual, gustatory, olfactory | | |
Halos, Zig-zags, h/a, paresthesias, psychiatric phenomenon, deja-vu
| | | | | |
Epilepsy Partial: - Correct Answer-Partial (also called focal or local seizures):
| | | | | | | | | |
Occurs in a specific part of the brain. May be characterized by automatism or
| | | | | | | | | | | | | |
tic. Ex: Jerk, reflex, lip smacking (complex)
| | | | | | |
What are the three main types of headaches? - Correct Answer-Migraine,
| | | | | | | | | |
Tension, Cluster
| |
Steps to Pain Assessment - Correct Answer-Provoking
| | | | | |
| Quality
Radiation
Severity
|
Time
|
, Page |3 | |
Provoking - Correct Answer-has anything made it better or worse
| | | | | | | | |
Quality - Correct Answer-Sharp, dull, achy, throbbing
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Radiation - Correct Answer-Does it radiate to another part of the body
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Severity - Correct Answer-Pain scale, 1-10 scale, intense pain, Other
| | | | | | | | |
symptoms: N/V, photophobia
| | |
Time - Correct Answer-how long has it been going on? how long does it
| | | | | | | | | | | | |
usually last?
| |
Tension Headache - Correct Answer-Bandlike, tightness
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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
|
, Page |4 | |
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.
| | | | | | | | | |
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
| | | | | | | | | |
| |
EXAM 1 MED SURG GALEN 2026 BRAND NEW
ACTUAL EXAM WITH VERIFIED QUESTIONS
AND CORRECT SOLUTIONS
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
| |
| I: Idiopathic
|
N: Neoplasm |
| S: pSychiatric
|
Epilepsy Triggers - Correct Answer-Sleep deprivation Stress
| | | | | |
, Page |2 | |
Alcohol/ Alcohol Withdrawl | |
| MSG
pg 878 Chart 42-9
| | |
Aura - Correct Answer-Seizures often preceded by an aura; it is unique to that
| | | | | | | | | | | | |
patient, not every patient has them.
| | | | | |
Somatic: rising epigastric sensation | | |
| Hallucinations: Visual, gustatory, olfactory | | |
Halos, Zig-zags, h/a, paresthesias, psychiatric phenomenon, deja-vu
| | | | | |
Epilepsy Partial: - Correct Answer-Partial (also called focal or local seizures):
| | | | | | | | | |
Occurs in a specific part of the brain. May be characterized by automatism or
| | | | | | | | | | | | | |
tic. Ex: Jerk, reflex, lip smacking (complex)
| | | | | | |
What are the three main types of headaches? - Correct Answer-Migraine,
| | | | | | | | | |
Tension, Cluster
| |
Steps to Pain Assessment - Correct Answer-Provoking
| | | | | |
| Quality
Radiation
Severity
|
Time
|
, Page |3 | |
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
| | |
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
|
, Page |4 | |
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.
| | | | | | | | | |
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
| | | | | | | | | |
