FNP 654 FINAL EXAM WITH CORRECT DETAILED ANSWERS||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
symptoms that include asymmetric weakness in the arms and difficulty walking. The ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
neurologist recognizes these symptoms as characteristic of involvement of which portion of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the nervous system? - correct answer✔✔Lower motor neurons
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The spouse of a patient newly-diagnosed with amyotrophic lateral sclerosis (ALS) asks
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
about long-term care. What will the provider include when teaching the family about this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
disease? - correct answer✔✔Preventing malnutrition is a key element in care.||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which symptoms may occur with Bell's palsy? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Select all that apply. - correct answer✔✔Alteration in taste, Drooling, Tinnitus
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
drooping and tearing in one eye. The patient has a history of a recent viral illness, but is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
otherwise healthy. During the exam, the provider notes that there is unilateral full face ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
paralysis on the right side. What is the initial intervention for this patient? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Prescribe oral prednisolone ||\\//|| ||\\//||
What is recommended to prevent ophthalmic complications in patients with Bell's palsy? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Lubricating eye drops ||\\//|| ||\\//|| ||\\//||
A patient reports a recurrent sensation of spinning associated with nausea and vomiting.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which test will the provider order to confirm a diagnosis for this patient? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔The Hallpike-Dix positioning maneuver ||\\//|| ||\\//|| ||\\//||
,An elderly patient reports sensations of being off balance when walking, but does not
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
experience dizziness. The provider will refer this patient to which specialist for further ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
evaluation? - correct answer✔✔Neurologist ||\\//|| ||\\//|| ||\\//||
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
who is developing muscle weakness and paresthesias? - correct answer✔✔Lumbar
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
puncture
Which monitoring parameters are necessary when caring for a patient with Guillain-Barre
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
syndrome?
Select all that apply. - correct answer✔✔Bladder scans
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Cardiac telemetry ||\\//||
Fever
Vital capacity measures ||\\//|| ||\\//||
Following an upper respiratory infection, a patient begins to develop ataxia and distal ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
paresthesias, along with oculomotor symptoms and double vision. Based on these ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
presenting symptoms which type of GBS does this patient have? - correct answer✔✔Miller ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Fisher syndrome (MFS) ||\\//|| ||\\//||
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
is effective for a majority of patients with cluster headaches? - correct answer✔✔Oxygen
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient reports recurrent headaches occurring 1 or 2 times 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? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Rizatriptan
Which medications may be useful in treating tension-type headache?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,Select all that apply. - correct answer✔✔Antiemetics
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Muscle relaxants ||\\//||
NSAIDs
A provider suspects that a patient has bacterial meningitis. When should antibiotics be
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
given? - correct answer✔✔Prior to obtaining a CT scan or lumbar puncture
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient is brought to the emergency department with fever, lethargy, and headache
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
without meningeal signs. The examination reveals hypotension and lethargy and the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
examiner notes petechiae on the patient's trunk. What do these findings indicate? - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔A poor prognosis ||\\//|| ||\\//||
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
each about 2 months apart. Which diagnostic testing will the provider order initially? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Magnetic resonance imaging ||\\//|| ||\\//|| ||\\//||
A patient diagnosed with multiple sclerosis and begins disease modulating therapy drugs.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
As part of the counseling about this therapy, the provider will tell the patient that this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
regimen will - correct answer✔✔reduce the exacerbation rate. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient who has a seizure disorder and who takes levetiracetam is brought to an
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
emergency department with a seizure which has persisted for15 minutes and which ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
immediately followed another 15 minute seizure. What is the priority action for this ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patient? - correct answer✔✔Administer lorazepam and monitor cardiorespiratory status
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient with a seizure disorder has seizures which begin with eye twitching and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
occasionally visual hallucinations. Which site in the brain is the seizure focus? - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Occipital
, Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Carbamazepine ||\\//||
A patient reports paroxysms of burning, shock-like pain on both sides of the face usually
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
triggered by chewing or talking. The provider suspects trigeminal neuralgia. Based on these
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
presenting symptoms, what testing is indicated? - correct answer✔✔Magnetic resonance ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
imaging
A patient with trigeminal neuralgia has tried several medication regimens to control pain
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
without success. What is the next step in management for this condition? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Referral to a neurosurgeon ||\\//|| ||\\//|| ||\\//||
A patient is diagnosed with trigeminal neuralgia and reports having paroxysms several
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
times each day. What is the initial treatment for this patient? - correct answer✔✔A high
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
dose of carbamazepine with subsequent titration downward
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient develops a gait disorder and the patient's spouse reports noticing recent
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
personality changes. The provider suspects a brain lesion. Which evaluation is especially ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
important in the initial physical examination? - correct answer✔✔Examination of the optic ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
fundi
Which is the preferred treatment for primary brain tumors? - correct answer✔✔Surgical
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
resection
A patient is diagnosed with panic disorder and begins taking a selective serotonin reuptake
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
inhibitor medication. Six weeks later, the patient reports little relief from symptoms. What
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
will the provider do next to manage this patient? - correct answer✔✔Refer to a mental
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
health provider ||\\//||
Which medication are useful in treating both obsessive-compulsive disorder and PTSD?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient with a family history of amyotrophic lateral sclerosis (ALS) begins to have
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
symptoms that include asymmetric weakness in the arms and difficulty walking. The ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
neurologist recognizes these symptoms as characteristic of involvement of which portion of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
the nervous system? - correct answer✔✔Lower motor neurons
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The spouse of a patient newly-diagnosed with amyotrophic lateral sclerosis (ALS) asks
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
about long-term care. What will the provider include when teaching the family about this
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
disease? - correct answer✔✔Preventing malnutrition is a key element in care.||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which symptoms may occur with Bell's palsy? ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Select all that apply. - correct answer✔✔Alteration in taste, Drooling, Tinnitus
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
drooping and tearing in one eye. The patient has a history of a recent viral illness, but is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
otherwise healthy. During the exam, the provider notes that there is unilateral full face ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
paralysis on the right side. What is the initial intervention for this patient? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Prescribe oral prednisolone ||\\//|| ||\\//||
What is recommended to prevent ophthalmic complications in patients with Bell's palsy? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Lubricating eye drops ||\\//|| ||\\//|| ||\\//||
A patient reports a recurrent sensation of spinning associated with nausea and vomiting.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Which test will the provider order to confirm a diagnosis for this patient? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔The Hallpike-Dix positioning maneuver ||\\//|| ||\\//|| ||\\//||
,An elderly patient reports sensations of being off balance when walking, but does not
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
experience dizziness. The provider will refer this patient to which specialist for further ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
evaluation? - correct answer✔✔Neurologist ||\\//|| ||\\//|| ||\\//||
Which diagnostic test helps confirm a diagnosis of Guillain-Barre syndrome in a patient
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
who is developing muscle weakness and paresthesias? - correct answer✔✔Lumbar
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
puncture
Which monitoring parameters are necessary when caring for a patient with Guillain-Barre
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
syndrome?
Select all that apply. - correct answer✔✔Bladder scans
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Cardiac telemetry ||\\//||
Fever
Vital capacity measures ||\\//|| ||\\//||
Following an upper respiratory infection, a patient begins to develop ataxia and distal ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
paresthesias, along with oculomotor symptoms and double vision. Based on these ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
presenting symptoms which type of GBS does this patient have? - correct answer✔✔Miller ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Fisher syndrome (MFS) ||\\//|| ||\\//||
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
is effective for a majority of patients with cluster headaches? - correct answer✔✔Oxygen
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient reports recurrent headaches occurring 1 or 2 times 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? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Rizatriptan
Which medications may be useful in treating tension-type headache?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,Select all that apply. - correct answer✔✔Antiemetics
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Muscle relaxants ||\\//||
NSAIDs
A provider suspects that a patient has bacterial meningitis. When should antibiotics be
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
given? - correct answer✔✔Prior to obtaining a CT scan or lumbar puncture
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient is brought to the emergency department with fever, lethargy, and headache
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
without meningeal signs. The examination reveals hypotension and lethargy and the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
examiner notes petechiae on the patient's trunk. What do these findings indicate? - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔A poor prognosis ||\\//|| ||\\//||
A patient reports two episodes of visual disturbances and eye pain that lasted 1 to 2 days
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
each about 2 months apart. Which diagnostic testing will the provider order initially? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔Magnetic resonance imaging ||\\//|| ||\\//|| ||\\//||
A patient diagnosed with multiple sclerosis and begins disease modulating therapy drugs.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
As part of the counseling about this therapy, the provider will tell the patient that this
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regimen will - correct answer✔✔reduce the exacerbation rate. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A patient who has a seizure disorder and who takes levetiracetam is brought to an
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emergency department with a seizure which has persisted for15 minutes and which ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
immediately followed another 15 minute seizure. What is the priority action for this ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
patient? - correct answer✔✔Administer lorazepam and monitor cardiorespiratory status
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A patient with a seizure disorder has seizures which begin with eye twitching and
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occasionally visual hallucinations. Which site in the brain is the seizure focus? - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Occipital
, Which drug is used to treat patients with focal epilepsy and complex partial seizures? -
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correct answer✔✔Carbamazepine ||\\//||
A patient reports paroxysms of burning, shock-like pain on both sides of the face usually
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triggered by chewing or talking. The provider suspects trigeminal neuralgia. Based on these
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presenting symptoms, what testing is indicated? - correct answer✔✔Magnetic resonance ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
imaging
A patient with trigeminal neuralgia has tried several medication regimens to control pain
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without success. What is the next step in management for this condition? - correct
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answer✔✔Referral to a neurosurgeon ||\\//|| ||\\//|| ||\\//||
A patient is diagnosed with trigeminal neuralgia and reports having paroxysms several
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times each day. What is the initial treatment for this patient? - correct answer✔✔A high
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dose of carbamazepine with subsequent titration downward
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A patient develops a gait disorder and the patient's spouse reports noticing recent
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personality changes. The provider suspects a brain lesion. Which evaluation is especially ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
important in the initial physical examination? - correct answer✔✔Examination of the optic ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
fundi
Which is the preferred treatment for primary brain tumors? - correct answer✔✔Surgical
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resection
A patient is diagnosed with panic disorder and begins taking a selective serotonin reuptake
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inhibitor medication. Six weeks later, the patient reports little relief from symptoms. What
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will the provider do next to manage this patient? - correct answer✔✔Refer to a mental
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health provider ||\\//||
Which medication are useful in treating both obsessive-compulsive disorder and PTSD?
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