A patient with cluster head aches: - ANSWER should eliminate triggers like nicotine and alcohol
An elderly patient has an audible carotid bruit. He has
... [Show More] a history of hypertension Hyperlipidemia and and MI 5 years ago. The finding of a bruit indicates that the patient: - ANSWER is more likely to die from cardiovascular disease than cerebrovascular disease
Mini mental status exam helps identify patients who have symptoms of - ANSWER cognitive impairment
A 26 year old patient with a long history of chronic sinusitis presents today with temperature of 103.2F, headache and stiff neck. Which finding below should make the NP suspect meningitis? - ANSWER Positive Kerning and Brudinski
fever nucal rigidity headaches and altered mental status characterize acute bacterial meningitis.
84 year old with advanced dementia symptoms. What is NOT in the differential?
Tumor
Cerebral Hemorrhage
Cerebral Infarct
Normal aging process - ANSWER Changes in cognition are NOT associated with the aging process although 50% of patients over 90 have some form of dementia. All patients should have some type of imaging done to rule out tumor infection hemorrhage infarct, ect. Experts are unable to agree on which studies are the most valuable.
A family member of a newly diagnosed Alzheimer's disease patient asks how long the patient will have to take Donepezil, and acetylcholinesterase inhibitor, before learning weather it is beneficial or not. You reply: - ANSWER 6-12 months
The evaluation should include caregiver feedback, repeat mental status assessments ability to perform ado healthcare provider assessment side effects and cost. If stopped it can be restarted at a later date.
An elderly patient with organic brain syndrome is at increased risk for elder abuse because: - ANSWER has declining cognitive function
A 68 year old smoker with a history of well controlled hypertension, describes a syncopal episode which occurred yesterday while mowing his lawn. Today he has no complaints. Initially the NP should: - ANSWER perform a complete neurological and cardiac exam with auscultation of carotid arteries.
a referral to speciality care is indicated after workup by nP.
Syncope is a significant finding especially in a smoker with HTN
Which cranial nerve is assessed by administering the Snellen Test? - ANSWER cranial nerve 2 [Show Less]