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Author Question: A patient comes to the clinic and reports recurrent headaches. The patient has a headache diary, ... (Read 29 times)

nelaaney

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on: Jul 24, 2018
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

Question 2

A woman has a urinary tract infection (UTI) and has been taking TMP-SMX for 3 days along with increased fluids. She reports continued dysuria and urinary frequency and has a consistent, low-grade fever. The primary care NP should:
 
  a. prescribe ciprofloxacin twice daily for 3 days.
  b. order doxycycline twice daily for 7 to 14 days.
  c. prescribe amoxicillin-clavulanate twice daily for 7 days.
  d. order TMP-SMX DS twice daily for 7 days.


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Ahernandez18

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Reply #1 on: Jul 24, 2018
Answer to Question 1

A
These are symptoms of classic migraine. Hemiplegic migraine is characterized by motor and sensory symptoms. Basilar-type migraine includes vertigo, diplopia, dysarthria, tinnitus, and decreased hearing. Ophthalmoplegic migraine affects the third, fourth, or fifth cranial nerve, causing permanent damage.

Answer to Question 2

A
Initial treatment of uncomplicated UTI is a 3-day course of TMP-SMX. Ciprofloxacin is used if the patient is still symptomatic. Doxycycline is a second-line treatment. Amoxicillin-clavulanate is used to treat pyelonephritis.


nelaaney

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Reply #2 on: Jul 24, 2018
Thank you!


Ahernandez18

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Reply #3 on: Jul 24, 2018
Always glad to help...


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