Questions and CORRECT Answers
Nicotine potentiates - CORRECT ANSWER - gastric aggressive factors
Nicotine increases - CORRECT ANSWER - Heart rate and BP and vasoconstriction
stepwise escalation of pain management - CORRECT ANSWER - - non-opiates
- increased dose of non-opiates
- opiates as tolerated
Clinical characteristic of medication overuse for headaches is - CORRECT ANSWER -
headache returns once medication wears off
acute treatment of migraines - CORRECT ANSWER - NSAIDs
Triptans
lifestyle changes
Migraine treatment in pregnancy - CORRECT ANSWER - Acetaminophen
Avoidance of triptans
potential impact of topamax (topiramate) an anticonvulsant for acute migraine therapy -
CORRECT ANSWER - impaired ability to properly sweat during exercise that can lead to
hyperthermia or overheating
drug classes for prophylaxis of migraines - CORRECT ANSWER - BB - atenolol,
metoprolol, propranolol
CCBs - diltiazem
, Antidepressants - amitriptyline, venlafaxine
anticonvulsants - divalproex (depakote), valproate, topiramate
triptans like sumatriptan (imitrex), almotriptan (axer), etc - CORRECT ANSWER - do
NOT effectively treat tension headaches
Verapimil is the drug of choice for prophylaxis of - CORRECT ANSWER - episodic and
chronic cluster headaches
minocycline use and headaches - CORRECT ANSWER - assess for pseudotumor cerebri
(ptc) prior to treatment
withdrawal seizures can occur if - CORRECT ANSWER - levetiracetam is abruptly
stopped and should be told to not stop without consultation
Estrogen derivatives may decrease serum concentrations of - CORRECT ANSWER -
lamotrigine (lamictal)
seizure disorder treatment during conception and pregnancy - CORRECT ANSWER -
lamotrigine and levetiracetam monotherapy
drugs to avoid during pregnancy/conception - CORRECT ANSWER - valproate
(depakote)
first line agents for parkinsons disease - CORRECT ANSWER - dopamine agonists
(amatadine, bromocriptine, pramipexole, ropinirole, and rotigotine
common Alzheimers treatmet options - CORRECT ANSWER - donepezil (Aricept)
galantamine (razadyne)
rivastigmine (exelon)