NURS 660 PSYCHOPHARM FINAL
EXAM QUESTIONS WITH
COMPLETE SOLUTIONS ( SURE TO
PASS )
1. What is the best imaging test to perform if your patient
has neck pain WITH radiculopathy? - ANSWER ✔
MRI
2. When is back pain considered chronic? - ANSWER ✔
>3 months of pain
3. What are some red flags associated with back pain that
would make you suspicious of potential malignancy? -
ANSWER ✔ >50, associated with weight
loss/constitutional symptoms, no improvement after 1
month
,4. Straight leg test - ANSWER ✔ Patient supine, passively
raise patient's leg to point of pain or 90 degrees
L5-S1 evaluated by this
5. Femoral stretch test - ANSWER ✔ Pt lies prone,
passively flex knee and passively extend hip.
L2-L4 evaluated by this
6. Describe what a patient will feel if they have a
herniated disc. - ANSWER ✔ Unilatearl radicular pain
that extends below the knee and usually hurts worse
than their back pain.
7. What medications are typically indicated for acute low
back pain, and which are not? - ANSWER ✔ NSAIDs
and steroids not indicated
Tylenol recommended, Flexeril can be prescribed PRN
Caution w/ opioids
8. Describe what a back strain would feel like, what
symptoms the patient would have. - ANSWER ✔
, Strains are not usually accompanied by any
neurological deficits!
Usually just pain and spasms
If functional tests are positive, something more.
9. Is imaging indicated for a suspected back strain? -
ANSWER ✔ no unless radiculopathy or progressive
deficits
10. What must be normal in order to consider a febrile
seizure diagnosis? - ANSWER ✔ development
11. What constitutes a simple febrile seizure? How is it
managed? - ANSWER ✔ ALL of the following traits:
one in 24 hours
generalized
short, resolved on its own <15 min
managed in primary care, no diagnostics, no referral
, 12. What constitutes a complex febrile seizure? How is it
managed? - ANSWER ✔ any of the following traits:
>1 in 24 hours
focal
long (status epilepticus), requires meds
requires EEG or MRI, referral to neurology
13. What is more concerning in regards to a febrile
seizure? Focal or generalized? - ANSWER ✔ focal
14. What is required for a diagnosis of epilepsy? -
ANSWER ✔ either 2 seizures on 2 separate occasions
days apart OR 1 unprovoked seizure with a high
probability of another in the future based on history or
diagnostic testing
15. Describe a partial/focal seizure (simple vs complex as
well) - ANSWER ✔ Affects part of the brain
Can including jerking extremities (typically on one side
of the body) or strange sensations including deja vu,
burning smell, flashing lights, hearing sounds, metal
taste, etc.
EXAM QUESTIONS WITH
COMPLETE SOLUTIONS ( SURE TO
PASS )
1. What is the best imaging test to perform if your patient
has neck pain WITH radiculopathy? - ANSWER ✔
MRI
2. When is back pain considered chronic? - ANSWER ✔
>3 months of pain
3. What are some red flags associated with back pain that
would make you suspicious of potential malignancy? -
ANSWER ✔ >50, associated with weight
loss/constitutional symptoms, no improvement after 1
month
,4. Straight leg test - ANSWER ✔ Patient supine, passively
raise patient's leg to point of pain or 90 degrees
L5-S1 evaluated by this
5. Femoral stretch test - ANSWER ✔ Pt lies prone,
passively flex knee and passively extend hip.
L2-L4 evaluated by this
6. Describe what a patient will feel if they have a
herniated disc. - ANSWER ✔ Unilatearl radicular pain
that extends below the knee and usually hurts worse
than their back pain.
7. What medications are typically indicated for acute low
back pain, and which are not? - ANSWER ✔ NSAIDs
and steroids not indicated
Tylenol recommended, Flexeril can be prescribed PRN
Caution w/ opioids
8. Describe what a back strain would feel like, what
symptoms the patient would have. - ANSWER ✔
, Strains are not usually accompanied by any
neurological deficits!
Usually just pain and spasms
If functional tests are positive, something more.
9. Is imaging indicated for a suspected back strain? -
ANSWER ✔ no unless radiculopathy or progressive
deficits
10. What must be normal in order to consider a febrile
seizure diagnosis? - ANSWER ✔ development
11. What constitutes a simple febrile seizure? How is it
managed? - ANSWER ✔ ALL of the following traits:
one in 24 hours
generalized
short, resolved on its own <15 min
managed in primary care, no diagnostics, no referral
, 12. What constitutes a complex febrile seizure? How is it
managed? - ANSWER ✔ any of the following traits:
>1 in 24 hours
focal
long (status epilepticus), requires meds
requires EEG or MRI, referral to neurology
13. What is more concerning in regards to a febrile
seizure? Focal or generalized? - ANSWER ✔ focal
14. What is required for a diagnosis of epilepsy? -
ANSWER ✔ either 2 seizures on 2 separate occasions
days apart OR 1 unprovoked seizure with a high
probability of another in the future based on history or
diagnostic testing
15. Describe a partial/focal seizure (simple vs complex as
well) - ANSWER ✔ Affects part of the brain
Can including jerking extremities (typically on one side
of the body) or strange sensations including deja vu,
burning smell, flashing lights, hearing sounds, metal
taste, etc.
