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,A patient has recurrent cluster headaches and asks about C. Oxygen
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 c. Rizatriptan
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 b. Lithium
headaches?
a. Antiemetics
b. Lithium
c. Muscle relaxants
d. NSAIDse. Oxygen
A patient reports two episodes of visual disturbances and eye b. Magnetic resonance imaging
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 a. Amantadine
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 c. Hyperphonia
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 a. Carbamazepine
complex partial seizures?
a. Carbamazepine
b. Ethosuximide
c. Lamotrigine
d. Topiramate
A patient develops a gait disorder and the patient's spouse c. Examination of the optic fundi
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 B. Engage the parent in positive parenting strategies to facilitate appropriate child
care center and is exhibiting temper tantrums and bad coping.
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 A. Anorexia nervosa
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 b. "I let my baby cry a while to learn to be patient."
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."