CMN 568 - Unit 5 Exam Questions And Answers
Verified 100% Correct
Critical components of physical exam for complaint of HA?
+ Vital signs
+ Complete neuro exam
+ Vision testing (with funduscopic exam)
McPhee p 40
Kernig and Brudzinski signs are indicative of what?
Meningeal irritation
McPhee p 40
Scalp and temporal artery tenderness should be performed on pts with HA
who are > ______________ years.
> 60
McPhee p 40
Components of visual exam for pt presenting with HA?
+ Visual acuity (Snellen)
+ Ocular gaze (Motor test - 9 positions)
+ Visual fields (Cover test - central/periph vision)
+ Pupillary defects (Size, dilation)
+ Optic disks
+ Retinal vein pulsations
McPhee p 40
,Pt with HA and diminished visual acuity suggests....
+ Glaucoma
+ Temporal arteritis
+ Optic neuritis
McPhee p 40
Pt with HA and ophthalmoplegia or visual field defects
suggests....
+ Venous sinus thrombosis
+ Tumor
+ Aneurysm
McPhee p 40
Pt with HA and hypertension, "cotton wool spots", flame hemorrhages
and disk swelling suggests....
+ Acute severe hypertensive retinopathy
McPhee p 40
Pt with HA and ipsilateral ptosis and miosis suggests....
Horner syndrome AND/OR carotid artery dissection
McPhee p 40
Pt with HA and papilledema or absent retinal venous pulsations
suggests....
↑ ICP
+ Follow with neuroimaging prior to performing lumbar puncture
McPhee p 40
ANY abnormality on neuro exam (esp mental status) of pt with HA
warrants....
+ EMERGENT neuroimaging
, McPhee p 40
Ottawa criteria for evaluation of pts presenting with acute nontraumatic
headache for signs of subarachnoid hemorrhage
+ ≥ 40 years of age
+ Neck pain/stiffness
+ Witnessed loss of consciousness
+ Onset during exertion
+ Thunderclap headache
+ Limited neck flexion on examination
McPhee p 41
What kind of early treatment of diagnosed migraine or migrainelike
headache can abort or provide significant relief of symptoms?
+ NSAIDs (e.g. ketorolac)
+ Triptans
McPhee p 41
What types of headaches may respond well to high-flow O2 therapy?
ALL types
McPhee p 41
What types of headaches should be referred?
+ Frequent migraines not responsive to std tx
+ Migraines with atypical features
+ Chronic daily ha r/t medication overuse
McPhee p 41
Primary headache syndromes?
+ Migraine
+ Tension-type headache
+ Cluster headache
Verified 100% Correct
Critical components of physical exam for complaint of HA?
+ Vital signs
+ Complete neuro exam
+ Vision testing (with funduscopic exam)
McPhee p 40
Kernig and Brudzinski signs are indicative of what?
Meningeal irritation
McPhee p 40
Scalp and temporal artery tenderness should be performed on pts with HA
who are > ______________ years.
> 60
McPhee p 40
Components of visual exam for pt presenting with HA?
+ Visual acuity (Snellen)
+ Ocular gaze (Motor test - 9 positions)
+ Visual fields (Cover test - central/periph vision)
+ Pupillary defects (Size, dilation)
+ Optic disks
+ Retinal vein pulsations
McPhee p 40
,Pt with HA and diminished visual acuity suggests....
+ Glaucoma
+ Temporal arteritis
+ Optic neuritis
McPhee p 40
Pt with HA and ophthalmoplegia or visual field defects
suggests....
+ Venous sinus thrombosis
+ Tumor
+ Aneurysm
McPhee p 40
Pt with HA and hypertension, "cotton wool spots", flame hemorrhages
and disk swelling suggests....
+ Acute severe hypertensive retinopathy
McPhee p 40
Pt with HA and ipsilateral ptosis and miosis suggests....
Horner syndrome AND/OR carotid artery dissection
McPhee p 40
Pt with HA and papilledema or absent retinal venous pulsations
suggests....
↑ ICP
+ Follow with neuroimaging prior to performing lumbar puncture
McPhee p 40
ANY abnormality on neuro exam (esp mental status) of pt with HA
warrants....
+ EMERGENT neuroimaging
, McPhee p 40
Ottawa criteria for evaluation of pts presenting with acute nontraumatic
headache for signs of subarachnoid hemorrhage
+ ≥ 40 years of age
+ Neck pain/stiffness
+ Witnessed loss of consciousness
+ Onset during exertion
+ Thunderclap headache
+ Limited neck flexion on examination
McPhee p 41
What kind of early treatment of diagnosed migraine or migrainelike
headache can abort or provide significant relief of symptoms?
+ NSAIDs (e.g. ketorolac)
+ Triptans
McPhee p 41
What types of headaches may respond well to high-flow O2 therapy?
ALL types
McPhee p 41
What types of headaches should be referred?
+ Frequent migraines not responsive to std tx
+ Migraines with atypical features
+ Chronic daily ha r/t medication overuse
McPhee p 41
Primary headache syndromes?
+ Migraine
+ Tension-type headache
+ Cluster headache
