AGNP final Exam
Assessing vision and the visual field involves testing cranial nerve - answer2
You perform extraocular movement testing on a middle-age patient. He is unable to
move his eyes upward and inward. This indicates a possibility of paralysis of cranial
nerve - answer3
Loss of corneal reflex is in part seen in dysfunction of cranial nerve - answer5
Cranial nerve one - answersense of smell (olfactory)
cranial nerve seven - answer(facial nerve) Facial symmetry, drooping mouth
cranial nerve nine - answertongue and throat, swallowing (glossopharyngeal.
You examine a 29 year old woman, who reports a sudden onset of right sided facial
asymmetry. She is unable to close her right eyelid tightly, frown or smile on the affected
side. She states I was fine last night when I went to bed and I woke up like this. Her
health history and physical examination or otherwise unremarkable. Her medication
include a multivitamin daily and a progesterone implant for contraception. He is not a
smoker this presentation likely represents paralysis of cranial Nerve - answerseven
Which represents the most appropriate diagnostic test for a patient with paralysis of
cranial nerve seven - answerlyme disease testing
In prescribing a systemic corticosteroids for a patient with Bell's palsy, the nurse
practitioner considers that it's use - answerShould be initiated as soon as possible after
the onset of facial paralysis
Bell's palsy is also known as - answeridiopathic facial paralysis
A 46 year old man diagnosed with Bell's palsy and being treated with a systemic
corticosteroid ask the NP about the use of an antiviral medication as he read online that
an antiviral can help to cure the disease. The NP correctly responds - answeran antiviral
can be considered through the benefit has not been established in clinical studies
A 35 year old normotensive woman with a history of bilateral tubal ligation presents with
a six month history of gradual bilateral facial nerve paralysis, difficulty swallowing,
altered extraocular eye movements and diminish deep tendon reflexes in all four
extremities. The NP considers - answermaking a prompt referral to neurology
,A 27 year old man presents with a five week history of recurrent headaches that
awaken him during the night. The pain is severe, lasts about one hour and is located
behind his left eye. Additional symptoms include lacrimation and nasal discharge. His
physical examination is within normal limits and he is currently headache free. This
clinical presentation is most consistent with - answercluster headache
A 22 year old woman presents with a three year history of recurrent unilateral pulsating
headaches with vomiting and photophobia she can usually tell that she's going to get a
headache. She explains I see a little squiggly before my eyes for about 15 minutes
before the headache starts. Her physical examination is unremarkable. This
presentation is most consistent with - answermigraine with aura
Indicators that a headache can be presenting symptoms of a serious underlying illness
and condition for Neuro imaging include all the following except - answersimilar
headaches that occur periodically in clusters
Prophylactic treatment for migraine headaches in a 28 year old woman with no chronic
health problems who uses a IUD for contraception include the use of -
answernortriptyline
Among the following beta blockers, which is the preferred agent to use in preventing
migraine headache in a 40yo woman with a history of bilateral tubal ligation and no
history of airway disease - answerpropranolol
Anti-epileptic drugs useful for preventing migraine headaches include all of the following
except - answerlamotrigine
Evidence supports the use of all of the following vitamins and supplements for migraine
prevention except - answerginkgo bilopa
You are examining a 65-year-old man who has a history of acute coronary syndrome
and migraines. Which of the following agents represents the best choice of acute
headache therapy for this patient - answeracetaminophen
A 45 year old man experiences rapidly progressing migraine headaches that are
accompanied by significant G.I. upset. Appropriate acute headache treatment includes
all the following except - answeroral naproxen sodium
With migraine, which of the following statements is true - answerPain is typically
described as pulsating
In tension type headaches, which of the following is true - answerThe pain is typically
described as pressing in quality
onset of age 65 or older - answerNot indicative of cluster headache
, heavy alcohol use - answerIndicative of a cluster headache
tobacco user - answerIndicative of a cluster headache
male gender - answerIndicative of a cluster headache
recent increase in life stressors - answerNot indicative of cluster headache
Which of the following is most specific for abortive therapy of personal headaches? -
answerSupplemental oxygen
Which of the following oral agents has the most rapid analgesic onset? - answerLiquid
ibuprofen
triptans should be used with caution with a con common use of - answerA high dose
SSRI
Limitations associated with the use of firocet include its - answerHigh rate of rebound
headache is used frequently
the use of neuroleptic such as Compazine and promethazine and headache therapy
should be limited to less than three times per week because of their - answerEPM risk
which of the following statements about ergotamines is false? - answerThis drug class
is effective in the treatment of tension type headaches
With appropriately prescribed headache prophylactic therapy, the patient should be
informed to expect - answerAnd approximately 50% reduction of the number of
headaches
A 48-year-old woman presents with a monthly four day pre-menstrual migraine
headache, poorly responsive to triptans and analgesics, and accompanied by
vasomotor symptoms like hot flashes. The clinician considers prescribing all of the
following except - answerTriptan prophylaxis
A first line prophylactic treatment option for the prevention of tension type headache is -
answernortriptyline
A 47 year old woman experiences occasional migraine with aura and reports
improvement in photophobia and phonophobia with zolmitriptan use in a small reduction
and headache pain. You consider prescribing the addition of which of the following to
help improve her overall migraine symptoms - answernaproxen
A 68 year old man presents with new onset headaches. He describes the pain as
bilateral frontal occipital and most severe when he arises in the morning and when
Assessing vision and the visual field involves testing cranial nerve - answer2
You perform extraocular movement testing on a middle-age patient. He is unable to
move his eyes upward and inward. This indicates a possibility of paralysis of cranial
nerve - answer3
Loss of corneal reflex is in part seen in dysfunction of cranial nerve - answer5
Cranial nerve one - answersense of smell (olfactory)
cranial nerve seven - answer(facial nerve) Facial symmetry, drooping mouth
cranial nerve nine - answertongue and throat, swallowing (glossopharyngeal.
You examine a 29 year old woman, who reports a sudden onset of right sided facial
asymmetry. She is unable to close her right eyelid tightly, frown or smile on the affected
side. She states I was fine last night when I went to bed and I woke up like this. Her
health history and physical examination or otherwise unremarkable. Her medication
include a multivitamin daily and a progesterone implant for contraception. He is not a
smoker this presentation likely represents paralysis of cranial Nerve - answerseven
Which represents the most appropriate diagnostic test for a patient with paralysis of
cranial nerve seven - answerlyme disease testing
In prescribing a systemic corticosteroids for a patient with Bell's palsy, the nurse
practitioner considers that it's use - answerShould be initiated as soon as possible after
the onset of facial paralysis
Bell's palsy is also known as - answeridiopathic facial paralysis
A 46 year old man diagnosed with Bell's palsy and being treated with a systemic
corticosteroid ask the NP about the use of an antiviral medication as he read online that
an antiviral can help to cure the disease. The NP correctly responds - answeran antiviral
can be considered through the benefit has not been established in clinical studies
A 35 year old normotensive woman with a history of bilateral tubal ligation presents with
a six month history of gradual bilateral facial nerve paralysis, difficulty swallowing,
altered extraocular eye movements and diminish deep tendon reflexes in all four
extremities. The NP considers - answermaking a prompt referral to neurology
,A 27 year old man presents with a five week history of recurrent headaches that
awaken him during the night. The pain is severe, lasts about one hour and is located
behind his left eye. Additional symptoms include lacrimation and nasal discharge. His
physical examination is within normal limits and he is currently headache free. This
clinical presentation is most consistent with - answercluster headache
A 22 year old woman presents with a three year history of recurrent unilateral pulsating
headaches with vomiting and photophobia she can usually tell that she's going to get a
headache. She explains I see a little squiggly before my eyes for about 15 minutes
before the headache starts. Her physical examination is unremarkable. This
presentation is most consistent with - answermigraine with aura
Indicators that a headache can be presenting symptoms of a serious underlying illness
and condition for Neuro imaging include all the following except - answersimilar
headaches that occur periodically in clusters
Prophylactic treatment for migraine headaches in a 28 year old woman with no chronic
health problems who uses a IUD for contraception include the use of -
answernortriptyline
Among the following beta blockers, which is the preferred agent to use in preventing
migraine headache in a 40yo woman with a history of bilateral tubal ligation and no
history of airway disease - answerpropranolol
Anti-epileptic drugs useful for preventing migraine headaches include all of the following
except - answerlamotrigine
Evidence supports the use of all of the following vitamins and supplements for migraine
prevention except - answerginkgo bilopa
You are examining a 65-year-old man who has a history of acute coronary syndrome
and migraines. Which of the following agents represents the best choice of acute
headache therapy for this patient - answeracetaminophen
A 45 year old man experiences rapidly progressing migraine headaches that are
accompanied by significant G.I. upset. Appropriate acute headache treatment includes
all the following except - answeroral naproxen sodium
With migraine, which of the following statements is true - answerPain is typically
described as pulsating
In tension type headaches, which of the following is true - answerThe pain is typically
described as pressing in quality
onset of age 65 or older - answerNot indicative of cluster headache
, heavy alcohol use - answerIndicative of a cluster headache
tobacco user - answerIndicative of a cluster headache
male gender - answerIndicative of a cluster headache
recent increase in life stressors - answerNot indicative of cluster headache
Which of the following is most specific for abortive therapy of personal headaches? -
answerSupplemental oxygen
Which of the following oral agents has the most rapid analgesic onset? - answerLiquid
ibuprofen
triptans should be used with caution with a con common use of - answerA high dose
SSRI
Limitations associated with the use of firocet include its - answerHigh rate of rebound
headache is used frequently
the use of neuroleptic such as Compazine and promethazine and headache therapy
should be limited to less than three times per week because of their - answerEPM risk
which of the following statements about ergotamines is false? - answerThis drug class
is effective in the treatment of tension type headaches
With appropriately prescribed headache prophylactic therapy, the patient should be
informed to expect - answerAnd approximately 50% reduction of the number of
headaches
A 48-year-old woman presents with a monthly four day pre-menstrual migraine
headache, poorly responsive to triptans and analgesics, and accompanied by
vasomotor symptoms like hot flashes. The clinician considers prescribing all of the
following except - answerTriptan prophylaxis
A first line prophylactic treatment option for the prevention of tension type headache is -
answernortriptyline
A 47 year old woman experiences occasional migraine with aura and reports
improvement in photophobia and phonophobia with zolmitriptan use in a small reduction
and headache pain. You consider prescribing the addition of which of the following to
help improve her overall migraine symptoms - answernaproxen
A 68 year old man presents with new onset headaches. He describes the pain as
bilateral frontal occipital and most severe when he arises in the morning and when
