CMN 568 Unit 5 Test Questions With 100% Verified Solutions

CMN 568 Unit 5 Test Questions With 100% Verified Solutions What medications may provide symptomatic relief of episodic migraines? - ANSWER cafergot and triptans (usually works best if taken with naproxen) When should preventative therapy be considered for patients with migraines? - ANSWER 2-3 migraines per month or sig. disability during attacks What 2 antiepileptic medications can be used for PREVENTION of migraine headaches? - ANSWER Topiramate and valproic acid What 2 classes of CV drugs can be used in the prevention of migraine headaches? - ANSWER BB and CCB What type of antidepressants can be used in the prevention of migraine headaches? - ANSWER tricyclics (amitriptyline) and Venlafaxine (SNRI) What are contraindications for tricyclics? - ANSWER HX OF CORONARY OR PERIPHERAL VASCULAR DISEASE, pregnancy, basilar/hemiplegic migraines, hx. of diabetes, hyperlipidemia, obesity What is the only FDA approved drug to tx migraines in children 12-17? - ANSWER almotriptan What is the most common type of primary headache disorder? - ANSWER tension What are characteristics of tension headaches? - ANSWER dull, generalized headache worse in neck or back of head; NOT worsened by movement, NOT ass. with n/v or neurologic deficit, may have photophobia OR phonophobia but not both; may occur daily Who is typically affected by cluster headaches? - ANSWER middle-aged men with no family hx of migraine What are the characeristics of cluster headaches? - ANSWER typically occur at night; severe, unilateral episodes of periorbital pain lasting 15 min.- 3 hours; ipsalateral nasal congesiton, rhinorrhea, lacrimation, redness of eye, and Horner's syndrome. pt. is usually restless and agitated How often do cluster headaches occur? - ANSWER in cylcles; daily for 4-8 weeks then remission for months What is the tx for cluster headaches? - ANSWER Triptans, o2 administration, viscous lidocaine intranasally What should be initiated ASAP in the tx of PTSD? - ANSWER brief psychotherapy course for 8-12 weeks What medication may help with depression, panic attacks, and sleep disturbances in PTSD? - ANSWER SSRIs (Sertraline and paroxetine) What meds may lessen tremors and palpitations in PTSD? - ANSWER Beta Blockers What meds may decrease hyperarousal symptoms of PTSD? - ANSWER nonadrenergic agents (Clonidine) What are the psychological features of anxiety disorder? - ANSWER tension, fears, difficulty in concentrating, and apprehension What are the somatic features of anxiety disorder? - ANSWER tachycardia, hyperventilation, SOB, palpitations, tremors, and sweating What is the first-line tx in the LONG TERM management of generalized anxiety disorder? - ANSWER antidepressants: SSRIs and SNRIs What are the anxiolytics of choice in the ACUTE management of generalized anxiety disorders? - ANSWER Benzos (diazepam and clorazepate) What is the fear of being in places where escape is difficult? - ANSWER agoraphobia How is panic disorder tx? - ANSWER high-dose benzos (clonazepam and alprazolam) and antidepressants What is usually prescribed for the first week or two until antidepressants can take effect? - ANSWER benzos How are phobic disorders tx? Social and agoraphobia? Specific phobias such as performance or test anxiety? - ANSWER Social phobias and agoraphobias- SSRIs and SNRIs Gabapentin (anitseizure med) is alternative for anitdepressants Performance or test anxiety- BB (propanolol) 1 hour prior Specific phobias can benefit from systematic desensitization How can you test for anxiety disorder? - ANSWER response to BB What is the best tx for phobic disorder in children? - ANSWER cognitive therapy Children with social anxiety have an increased risk of what? - ANSWER depression What is the mainstay of tx for social anxiety disorder? - ANSWER Therapy with a goal of modifying behavior