Exam 2026 WITH Recent Newest Verified And
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2026-2027) Correct Detailed & Verified
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Parkinson's - ANSWERS-• Bradykinesia or Akinesia (slow movements)
• Muscle Rigidity
• "Mask Like" Face
• Dysarthria (Slurred Speech)
• Orthostasis due to diminished sympathetic nervous system
Parkinson's interventions - ANSWERS-• Aspiration Prevention / small meals
• Medication Compliance and ON TIME EVERYDAY
• Monitor for PSYCHOSIS (Hallucinations)
• Nutritional Assessment
o High Calorie, Protein, and Fiber Meals.
• Assess for Insomnia, Depressions and Constipation.
• Safety
Parkinson's meds - ANSWERS-o Selegiline (MAOI)
• Avoid Tyramine Interaction
• Cheese, Red Wine, Meat, Beer
• Increases hypertension
• Dark urine
,• Dopaminergic
o Carbidopa Levodopa (Sinemet)
• Avoid vitamin B6
• Give with meals for absorption
• Rivastigmine - improve memory loss
Migraine meds abortive - ANSWERS-• Acetaminophen or Butalbital (APAP) - Monitor
Liver and Kidney Function. 6 pills a day
• Ketorolac or Naproxen (NSAIDS) - Monitor kidney effectiveness
• Triptan - Vasoconstricts cranial arteries and can cause coronary vasospasm. Do not
take with CHF. 2 doses per day- 2 hours in between
Seizure meds sodium channel blocker - ANSWERS-o Valproic Acid - Therapeutic Index
50 - 125
Hepatotoxicity
Hair Loss/ weight gain
Vitamin Deficiencies
Blood Dyscrasias (Diseased state of blood)
status epilepticus - ANSWERS-• Seizure lasting longer then 5 minutes, or repeated
seizures over the course of 30 minutes.
• Interventions
• Establish Airway + ABCs
• IV Push Benzo with Loading Dose of IV Phenytoin
, peripheral nerve trauma - ANSWERS-• Check Circulation Movement Sensation Distally
to the affected area.
• Age 20-40
• Women are more affected
multiple sclerosis - ANSWERS-• Autoimmune, Lifelong Disease
• Lack of Vitamin D, cannot replace with Vitamin D due to toxicity
• Degradation of the Myelin Sheath
o Relapse-Remitting (Most Common)
o Primary Progressive (Most Debilitating)
Secondary - Caused by another means.
multiple sclerosis s/s - ANSWERS-• Diplopia (Double Visions), Scotomas (peripheral)
• Blurred Vision and Nystagmus (Involuntary Rapid Eye Movement)
• Impaired Muscle coordination and Spasticity
• Decreased memory
• Fatigue
• Incontinence
Multple Sclerosis interventions - ANSWERS-• Avoid Temperature extremes (No heat,
plan activities later in the day)
• *Use Eye Patch and Scan the Room
• *Assist with Orientation, Keep a Journal or Recorded Messages
• Place Objects close
• Encourage rest
• Avoid caffeine to prevent Incontinence
Multiple Sclerosis Meds - ANSWERS-• Anticholinergics: Atropine,Benztropine,
*Tolterodine Tartrate