Block 13 Headache MCQ's

8 Questions | By Chachelly | Last updated: Mar 21, 2022 | Total Attempts: 3174

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1.

A patient is experiencing a pulsating pain that has gradually increased in intensity over the last 3 hours. The pain has started on the left forehead but is now present on both temples and whole forehead. This is highly suggestive of which of the followings?
- A.
  
  Headache coincidental with hemorrhage
- B.
  
  Migraine
- C.
  
  Tension headache
- D.
  
  Cluster headache
- E.
  
  Headache sentinel of aneurysm leak
- F.
  
  Brain tumor
2.

A 64 years old lady has the worst headache of her life. She was brought to the hospital with photophobia and vomiting as well. On examination she had neck stiffness and bilateral extension on plantar reflex. Lumbar puncture showed blood, thoroughly mixed with CSF. She had a contrast MRI which showed blood in the subarachnoid space and in the ventricles. She had an emergency neurosurgical treatment and she survived. What was the most probable diagnosis?
- A.
  
  Glioblastoma of parietal lobe
- B.
  
  Medulloblastoma
- C.
  
  Ruptured berry aneurysm
- D.
  
  Meningitis
3.

The patient in question 2 improved after her neurosurgical procedure and was discharged home. After about 6 months she again developed a severe headache, blurring of her vision and difficulty in walking. Her husband also complains that her memory has worsened and she is unable to concentrate. Her brain CT and fundoscopy are shown below. What statement regarding the disease is correct?
- A.
  
  She will have bulging of her fontanelle
- B.
  
  She has a non-communicating hydrocephalus
- C.
  
  Headache is due to stretching of dura
- D.
  
  She will have separation of suture lines
4.

A 62 year old patient complains of waking up in the middle of the night, sleep disturbances, and night-time headaches. He has tried over-the-counter sleep medications but they have not been effective in ameliorating his symptoms. He tells the attending physician that the headaches seem to be worse early in the morning, but at work he often feels much better. The neurologist suspects that the headaches are due to which of the following scenarios?
- A.
  
  Ruptured aneurysm
- B.
  
  Migraine headache
- C.
  
  Decreased glutamatergic neurotransmission
- D.
  
  Potential brain tumor
- E.
  
  Primary exertional headache
5.

You may observe sentinel headache before
- A.
  
  Migraine
- B.
  
  Ruptured aneurysm
- C.
  
  Ischemic stroke
- D.
  
  Absence seizure
- E.
  
  Simple patial seizure
6.

A student presents with complaints of migrane headaches associated with vertigo and dysarthia. Which blood vessel is most likely involved?
- A.
  
  Middle cerebral
- B.
  
  Circle of Willis
- C.
  
  Basilar artery
- D.
  
  Internal carotid
7.

Which of the following is rarely seen with migraine headaches?
- A.
  
  Fortification pattern
- B.
  
  Dysarthria
- C.
  
  Body dysmorphia
- D.
  
  Homonymous hemianopsia
8.

Which of the following is a classic presentation of CADASIL? (Cerebral autosomal dominant arteriopathy with subcortical infarcts and leucoencephalopathy)
- A.
  
  Dementia of the older patient
- B.
  
  More common in males
- C.
  
  Death within 1-2 years
- D.
  
  Presents with migraines and aura