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Chapter 35. Headaches

Pharmacotherapeutics for Advanced Practice Nurse Prescribers 4th Edition by Teri Moser Woo

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Chapter 35. Headaches

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Paige has a history of chronic migraines and would benefit from preventative medication. Education regarding migraine preventive medication includes:

1. Medication is taken at the beginning of the headache to prevent it from getting worse.
2. Medication alone is the best preventative against migraines occurring.
3. Medication should not be used more than four times a month.
4. The goal of treatment is to reduce migraine occurrence by 50%.

 

 

____     2.   A first-line drug for abortive therapy in simple migraine is:

1. Sumatriptan (Imitrex)
2. Naproxen (Aleve)
3. Butorphanol nasal spray (Stadol NS)
4. Butalbital and acetaminophen (Fioricet)

 

 

____     3.   Vicky, age 56 years, comes to the clinic requesting a refill of her Fiorinal (aspirin and butalbital) that she takes for migraines. She has been taking this medication for over 2 years for migraines and states one dose usually works to abort her migraine. What is the best care for her?

1. Switch her to sumatriptan (Imitrex) to treat her migraines.
2. Assess how often she is using Fiorinal and refill her medication.
3. Switch her to a beta blocker such as propranolol to prevent her migraine.
4. Request she return to the original prescriber of Fiorinal as you do not prescribe butalbital for migraines.

 

 

____     4.   When prescribing ergotamine suppositories (Wigraine) to treat acute migraine, patient education would include:

1. Ergotamine will briefly make the migraine worse before the migraine resolves.
2. The patient may experience bradycardia and dizziness.
3. They may need premedication with an antinausea medication.
4. Ergotamine works best if the patient starts off with a full suppository to get the full effect.

 

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  4                    PTS:   1

 

  1. ANS:  2                    PTS:   1

 

  1. ANS:  2                    PTS:   1

 

  1. ANS:  3                    PTS:   1

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