NURS 6501: Final Exam Question 24 / NURS-6501N Advanced Pathophysiology
NURS 6501: Final Exam: Please contact Assignment Samurai for help with NURS 6501: Final Exam or any other assignment. Email: assignmentsamurai@gmail.com   In the context of acute severe headaches, what distinguishes the headache in temporal arteritis from other types? Group of answer choices
  • It occurs suddenly and is the worst headache of the patient's life.
  • It is associated with fever, stiff neck, and a decreased level of consciousness.
  • It is typically throbbing, initially unilateral in the temporal area, and may become bilateral.
  • It is often associated with neurological deficits and an altered level of consciousness.
  The correct answer is: It is typically throbbing, initially unilateral in the temporal area, and may become bilateral.   Explanation: Temporal arteritis (also known as giant cell arteritis) is a vasculitis that affects medium and large arteries, typically in older adults (usually over age 50). The classic presentation includes:
  • Throbbing headache localized to the temporal region
  • Unilateral onset, often becoming bilateral
  • Scalp tenderness (especially when combing hair)
  • Jaw claudication (pain while chewing)
  • Visual disturbances (e.g., transient or permanent vision loss)
  • Elevated ESR/CRP
  Why the other options are incorrect: "Suddenly and worst headache of life" → Suggests subarachnoid hemorrhage   "Associated with fever, stiff neck, decreased consciousness" → Suggests meningitis   "Neurological deficits and altered consciousness" → Suggests stroke or mass lesion   Would you like a quick comparison chart of headache types and their key distinguishing features?