EXAM 1 MED SURG GALEN QUESTIONS
WITH COMPLETE SOLUTIONS
What are the three main types of headaches? ANS: Migraine, Tension,
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Cluster
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Steps to Pain Assessment ANS: Provoking
| | | |||||| ||
Quality
Radiation
Severity |
Time
Provoking ANS: has anything made it better or worse
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Quality ANS: Sharp, dull, achy, throbbing
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Radiation ANS: Does it radiate to another part of the body
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Severity ANS: Pain scale, 1-10 scale, intense pain, Other symptoms: N/V,
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photophobia
|
Time ANS: how long has it been going on? how long does it usually last?
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Tension Headache ANS: Bandlike, tightness
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,Describe a Migraine ANS: Unilateral, supra and retro orbital, pulsating or
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throbbing, worse with movement, sensitivity with light and sounds
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Cluster ANS: Lancinationg or stabbing, 5-30 minutes. Extreme pain
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Migraine Pathophysiology ANS: 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 ANS: Vasoconstriction works the best, irritation of
| | |||||| || | | | | |
the 5th cranial nerve, Estrogen hormone can causes migraines.
| | | | | | | | |
Migraine Manifestations ANS: 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 ANS: Pain management
| |||||| || |
Symptom management | |
Ex. Pitch black, turn off all the lights, N/V causes dehydration
| | | | | | | | | |
Migraine Drug Therapy ANS: 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
Migraine Complementary and alternative therapies ANS: Acupuncture,
| | | | |||||| ||
Yoga, Stress reduction activities, Supplemental mag, Distraction sometimes
| | | | | | | |
works.
|
Pound acronym ANS: P:Pulsating
| |||||| ||
O:Duration |
U: Unilateral location
| |
N: N/V
|
D: Disabling
|
Epilepsy ANS: Chronic disorder with two or more seizures experienced by
|||||| || | | | | | | | |
the client.
| |
Epilepsy Assessment ANS: 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 ANS: V: Vascular
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, I: Infection or Inherited conditions
| | | |
T: Trauma |
A: Alzheimers/Autoimmune
|
M: Metabolic derangements
| |
I: Idiopathic
|
N: Neoplasm |
S: pSychiatric
|
Epilepsy Triggers ANS: Sleep deprivation | |||||| || |
Stress
Alcohol/ Alcohol Withdrawl | |
MSG |
pg 878 Chart 42-9
| | |
Aura ANS: 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: ANS: 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)
| | | | |
Epilepsy Simple: ANS: Client does not consciousness. Localized
| |||||| || | | | |
jerking/movement. Strange sensations. Autonomic symptoms.
| | | | |
WITH COMPLETE SOLUTIONS
What are the three main types of headaches? ANS: Migraine, Tension,
| | | | | | | |||||| || |
Cluster
|
Steps to Pain Assessment ANS: Provoking
| | | |||||| ||
Quality
Radiation
Severity |
Time
Provoking ANS: has anything made it better or worse
|||||| || | | | | | |
Quality ANS: Sharp, dull, achy, throbbing
|||||| || | | |
Radiation ANS: Does it radiate to another part of the body
|||||| || | | | | | | | |
Severity ANS: Pain scale, 1-10 scale, intense pain, Other symptoms: N/V,
|||||| || | | | | | | | |
photophobia
|
Time ANS: how long has it been going on? how long does it usually last?
|||||| || | | | | | | | | | | | |
Tension Headache ANS: Bandlike, tightness
| |||||| || |
,Describe a Migraine ANS: Unilateral, supra and retro orbital, pulsating or
| | |||||| || | | | | | |
throbbing, worse with movement, sensitivity with light and sounds
| | | | | | | | |
Cluster ANS: Lancinationg or stabbing, 5-30 minutes. Extreme pain
|||||| || | | | | | |
Migraine Pathophysiology ANS: 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 ANS: Vasoconstriction works the best, irritation of
| | |||||| || | | | | |
the 5th cranial nerve, Estrogen hormone can causes migraines.
| | | | | | | | |
Migraine Manifestations ANS: 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 ANS: Pain management
| |||||| || |
Symptom management | |
Ex. Pitch black, turn off all the lights, N/V causes dehydration
| | | | | | | | | |
Migraine Drug Therapy ANS: 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
Migraine Complementary and alternative therapies ANS: Acupuncture,
| | | | |||||| ||
Yoga, Stress reduction activities, Supplemental mag, Distraction sometimes
| | | | | | | |
works.
|
Pound acronym ANS: P:Pulsating
| |||||| ||
O:Duration |
U: Unilateral location
| |
N: N/V
|
D: Disabling
|
Epilepsy ANS: Chronic disorder with two or more seizures experienced by
|||||| || | | | | | | | |
the client.
| |
Epilepsy Assessment ANS: 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 ANS: V: Vascular
| | |||||| || | |
, I: Infection or Inherited conditions
| | | |
T: Trauma |
A: Alzheimers/Autoimmune
|
M: Metabolic derangements
| |
I: Idiopathic
|
N: Neoplasm |
S: pSychiatric
|
Epilepsy Triggers ANS: Sleep deprivation | |||||| || |
Stress
Alcohol/ Alcohol Withdrawl | |
MSG |
pg 878 Chart 42-9
| | |
Aura ANS: 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: ANS: 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)
| | | | |
Epilepsy Simple: ANS: Client does not consciousness. Localized
| |||||| || | | | |
jerking/movement. Strange sensations. Autonomic symptoms.
| | | | |
