NURS5434/ NURS 5434 Quiz V2– Family III (FNP 3) 2026/ 2027 | UTA Latest Update | Practice Questions & Verified Answers

NURS5434/ NURS 5434 Quiz V2– Family III (FNP 3) 2026/ 2027 | UTA Latest Update | Practice Questions & Verified Answers Q: What are migraine headaches? Answer - severe throbbing unilateral pain lasting 4-72 hours - is a neurologic disease - associated with photophobia, phonophobia, nausea, vomiting, and some with cutaneous allodynia Q: For diagnosing Migraines, what is it based on? Answer Based on frequency of monthly migraine days (MMDs) and monthly headache days (MHDs) Q: Episodic Migraine vs Chronic Migraine: patients with fewer than 15 MMDs or MHDs have what? Answer Episodic Migraines Q: Episodic Migraine vs Chronic Migraine: patients with at least 15 MHDs of which at least 8 are MMDs have what? Answer Chronic MIgraines Q: When using the International Classification of Headache Disorder (ICHD) Criteria for Episodic Migraine, the NP knows that: Answer - at least ___ attacks fulfilling criteria B-D - headache attacks lasts between __-__ hours when untreated or unsuccessfully treated, - the headache has at least ___ of the four characteristics: ______ location, _______ quality, Moderate or severe pain intensity, or aggravation by or causing avoidance of routine physical activity - during the headache at least one of these characteristics of: ________ and/or ________, _______ and _________ - Not better accounted for by another diagnosis - 5 attacks - 4 - 72 hours - at least 2 out of 4, unilateral location, pulsating quality - nausea and/or vomiting, photophobia and phonphobia Q: The NP should encourage the patient with new onset of migraines to keep a what? Answer Headache/Migraine diary Q: What are the established efficacy acute migraine treatments options? Answer Migraine Specific Non-specific - NSAIDs: ASA, celecoxib oral solution, diclofenac, ibuprofen, naproxen Q: How do Triptans work? Answer - postsynaptic serotonin receptor stimulation - causes vasoconstriction and blocks the release of CGRP - prevents vasoactive peptide release. - selective serotonin receptor agonist. - act on the intracranial blood vessels and sensory nerves of the trigeminal system - reduces neurogenic inflammation associated with antidromic neuronal transmission correlating with migraine relief Q: What are the 7 triptions? Answer Sumatriptan Almotriptan Eletriptan Frovatriptan Naratriptan Rizatriptan Zolmitriptan Q: When using a Triptan for migraine relief, the NP know the oral max dose in 24 hours is? Answer 200 mg Q: When using a Triptan for migraine relief, the NP know the intranasal max dose in 24 hours? Answer 40 mg When using a Triptan for migraine relief, the NP know the powdered max dose in 24 hours is? Answer 44 mg Q: When using a Triptan for migraine relief, the NP know the SubQ max dose in 24 hours is? Answer 12 mg Q: What is the onset of action and half-life of a Triptan? Answer Onset: 30 minutes Half-life: 2 hours Q: What are some ADVERSE EFFECTS of Sumatriptan? Answer Bad taste in the mouth Chest symptoms: chest pressure/heavy arms (50% of patients) Coronary vasospasm Teratogenesis Q: What are the CONTRAINDICATIONS for Sumatriptan? Answer ischemic heart disease, prior MI or uncontrolled HTN Pregnancy Severe Liver Disease (monitor LFTs, Creatinine Clearance) MAOI use within 2 weeks Geriatric patients Q: When prescribing Eletriptan, the NP knows that it should not be given within 72 hours of which medications? Answer - Clarithromycin Q: When prescribing a triptan for a patient with migraine headaches, the NP knows that ______ has the longest half-life of all the triptans. Answer Frovatriptan (26 hours) Q: Ergot Alkaloids are used in the treatment of what? Answer Migraines - Dihydroergotamine (DHE) - Ergotamine - Ergotamine plus caffeine (1mg/100mg caffeine; 2 tabs followed by one tab q30 min if no relief with a Max 6 mg in 24 hrs and 10 mg/wk) Q: What are the AEs of Ergot Alkaloids? Answer Muscle pain Parethesia Cold Extremities N/V Physical Dependence Vasospasm Cardiac Vulvular Fibrosis Ergotism: Intense vasoconstriction resulting in peripheral vascular ischemia and possible gangrene Q: What is the dosage and regimen of Ergotamine? Answer 1 mg Sublingually at first sign of HA - then every 30 minutes as needed with a MAX dose of 6 mg in 24 hours and 10 mg per week What are the CONTRAINDICATIONS of Ergotamine? Answer 1. Coronary Artery Disease 2. Peripheral Vascular Disease 3. Impaired hepatic or renal function 4. Pregnancy 5. Potent Inhibitors of CYP3A4 (protease inhibitors, -azole antifungals, and some macrolides What are the newly approved medications for acute migraine treatment? Answer Gepants or Lasmiditan Prior to initiating Gepants or Lasmiditan, the following criteria must be met______. Answer A. Licensed clinician must prescribe B. Patient must be at least 18 years of age C. Diagnosis of ICHD-3 migraine with aura, migraine without aura, or chronic migraine D. Either, Contraindications to or inability to tolerate triptans or inadequate response to two or more oral triptans determined by clinician attestation or validated acute treatment patient reported outcome questionaire True or False: Rimegepant (Nurtec ODT) can be used as both preventive and abortive when treating migraines True Ture or False: Rimegepant (Nurtec ODT) was approved to use in nursing patients with migraines Answer True When using Rimgepant (Nurtec ODT) for abortive treatment, how much should be given? Answer 75 mg Oral in a single dose - Maximum dose of 75 mg in 24hrs True or False: All abortive migraine medications can cause overuse HA or rebound HA Answer True - should be advised to only use for 2 HA days/week (if this proceeds, then preventative treatment should be offered)