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Chapter 44: Migraine Medications Test Bank

Chapter 44: Migraine Medications Test Bank

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Chapter 44: Migraine Medications
Test Bank
MULTIPLE CHOICE
1.   A patient who has migraine headaches takes sumatriptan as abortive therapy. The patient tells the primary care nurse practitioner (NP) that the sumatriptan is effective for stopping symptoms but that the episodes are occurring three to four times per month. The NP should consider the addition of:
a.

aspirin.

b.

topiramate.

c.

ergotamine.

d.

opioid analgesics.

2.   A patient comes to the clinic concerned about possible migraine headaches. The primary care NP conducts a history and physical examination, and the patient describes vise-like pressure in the back of the head that occurs almost daily during the work week. The NP should recommend:
a.

acetaminophen.

b.

topiramate.

c.

sumatriptan.

d.

ergotamine.

3.   A patient comes to the clinic and reports recurrent headaches. The patient has a headache diary, which reveals irritability and food cravings followed the next day by visual disturbances and unilateral right-sided headache, nausea, and photophobia lasting 2 to 3 days. The NP should recognize these symptoms as _____ migraine.
a.

classic

b.

hemiplegic

c.

basilar-type

d.

ophthalmoplegic

4.   A patient who has migraine headaches tells the primary care NP that drinking coffee and taking nonsteroidal antiinflammatory drugs (NSAIDs) seems to help with discomfort. The NP should tell the patient that:
a.

this combination can lead to longer lasting headache pain.

b.

these substances are not indicated for migraine headaches.

c.

doing this can increase the risk of more chronic migraines.

d.

an opioid analgesic would be a better choice for migraine pain.

5.   A patient takes rizatriptan (Maxalt) to abort migraine headaches but tells the primary care NP that the headaches have become more frequent since a promotion at work. The NP’s initial response should be to:
a.

prescribe topiramate (Topamax).

b.

stress the importance of establishing new routines.

c.

help the patient identify stressors associated with the new role.

d.

add a combination NSAID, aspirin, and caffeine product to the regimen.


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