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Neurology FNP AANP Exam 2023.pdf
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Neurology FNP AANP Exam 2023-2024 Questions and Correct Answers
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Injectable products (e.g., sumatriptan [Imitrex®] and dihydroergotamine[D.H.E. 45®,
Migranal®]) have a rapid onset of action, usually within - ANSWERS-15 to 30 minutes
These products are best suited for patients with rapidly progressing migraines
accompanied by significant GI upset.
What is the name and function of Cranial Nerve I. - ANSWERS-Olfactory- carries
impulse for sense of smell
What is the name and function of Cranial Nerve II - ANSWERS-Optic- carries impulse
for vision
What is the name and function of Cranial Nerve III - ANSWERS-Oculomotor- supplies
motor fibers to four muscles that direct eyeball to eyelid and internal eye muscles
What is the name and function of Cranial Nerve IV - ANSWERS-Trochlear, responsible
for down and inward movement of eyes
What is the name and function of Cranial Nerve V - ANSWERS-Trigeminal- activate
chewing muscles; sensory impulses of skin of face and mucosae of mouth and nose
What is the name and function of Cranial Nerve VI - ANSWERS-Abducens,
Responsible for Lateral movement of eye
What is the name and function of Cranial Nerve VII - ANSWERS-Facial- activates
muscle of facial expression and lacrimal and salivary glands; carries sensory impulses
from the taste buds of anterior tongue
What is the name and function of Cranial Nerve VIII - ANSWERS-vestibulocochlear,
Responsible for transmitting auditory signals
What is the name and function of Cranial Nerve IX - ANSWERS-Glossopharyngeal-
supplies motor fibers to the pharynx(throat) that promote swallowing and saliva
production; carries sensory impulses from taste buds of the posterior tongue and from
pressure receptors of the carotid artery
What is the name and function of Cranial Nerve X - ANSWERS-Vagus- fibers carry
sensory impulses from and motor impulses to the pharynx, larynx, and the abdominal
,and thoracic viscera; most motor fibers are parasympathetic fibers that promote
digestive activity and help regulate heart activity
Bell's palsy is an acute paralysis of which cranial nerve ? - ANSWERS-Cranial Nerve VII
Bell's palsy is often linked to what 7 viral illnesses? - ANSWERS-1. herpes simplex
virus,
2. herpes zoster,
3. Epstein-Barr,
4. cytomegalovirus,
5. adenovirus,
6. rubella, and
7. mumps virus
Bell's palsy is a rare finding during the secondary stage of what disease? - ANSWERS-
Lyme disease
How long might it take for Bell's Palsy to resolve? - ANSWERS-Symptoms start to
resolve within a few weeks with complete resolve up to 6 months
Treatment options for Bell's Palsy may include: (Name 3) - ANSWERS-1.
Corticosteroids
2. Artificial Tears (Lubricants)
3. Eye protection may be needed
There is little evidence for using antivirals to treat Bell's Palsy.
Name this headache type:
Lasts 30 minutes to 7 days (usually 1-24 hours) with two or more of the following
characteristics:
Pressing,
Non pulsatile pain
Mild to moderate in intensity
Usually bilateral location
Female to male ratio is 5:4 - ANSWERS-Tension Type
This type of headache Lasts 4-72 hours with two or more of the following
characteristics:
Usually unilateral location, but occasionally bilateral
Pulsating quality,
moderate to severe
Aggravation by normal activity such as walking, or causes avoidance of these activities
One or more of the following: Nausea/vomiting, photophobia, phonophobia
Female:male ratio 3:1
Positive family history in 70%-90% - ANSWERS-Migraine without Aura
, This headache occurs with or after aura
Focal dysfunction of cerebral cortex or brainstem causes one or more aura symptoms to
develop over 4 minutes, or two or more symptoms occur in succession
Symptoms include feeling of dread or anxiety, unusual fatigue, nervousness or
excitement, GI upset, visual or olfactory alteration Positive family history in 70%-90% -
ANSWERS-Migraine with Aura
No aura symptom should last >1 hour. If this occurs, an alternative diagnosis should be
considered
This headache has one to eight episodes per day, at the same time of day. Common
time is ~1 hour into sleep; the pain awakens the person (hence the term "alarm clock"
headache) - ANSWERS-Cluster headache
This headache is often located behind one eye with a steady, intense ("hot poker in the
eye" sensation), severe pain in a crescendo pattern lasting 15 minutes to 3 hours, with
most in the range of 30-45 minutes. Pain intensity has helped earn the condition the
name "suicide headache." - ANSWERS-Cluster headache
This headache most often occurs with ipsilateral autonomic sign such as lacrimation,
conjunctival injection, ptosis, and nasal stuffiness - ANSWERS-Cluster headache
Name the 3 primary headaches - ANSWERS-1. Migraine
2. Tension
3. Cluster
Abortive treatment options to relieve headache pain include the use of (Name 3) -
ANSWERS-1. Acetaminophen;
2. NSAIDs; and
3. Combination products such as butalbital with acetaminophen and acetaminophen,
aspirin, and caffeine
Name the rapid imaging (~5-10 min; important if intracranial hemorrhage is suspected) -
ANSWERS-CT Scan
This imaging is better at detecting acute hemorrhage and bone abnormalities -
ANSWERS-CT Scan
This imaging is better at detecting small and subtle lesions but cannot be used in
patients with implantable devices - ANSWERS-MRI
This type of headache is also known as migrainous neuralgia, are most common in
middle-aged men, particularly men with heavy alcohol and tobacco use. - ANSWERS-
Cluster headache
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