Neurology Of Headache
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This lecture is given by Dr. Dubiski. It is on the neurology of headache
- 1.These headache have no identified organic cause. Just a reflection of intrinsic disturbance of the brain
- A.
Primary headache
- B.
Secondary headache
- 2.A patient who gets headaches from an underlying disorder has what kind of headaches
- A.
Primary headache
- B.
Secondary headache
- 3.If a patient comes in with a headache what test should you first consider doing?
- A.
CT
- B.
MRI
- C.
SPECT
- D.
PET
- 4.At what age do people generally incur their first migraine?
- A.
10-30
- B.
20-40
- C.
30-50
- D.
Over 40
- 5.Most migraine sufferers are
- A.
Men
- B.
Women
- 6.For women most experience their migraines
- A.
During periods of high anxiety
- B.
Premenstrually
- C.
Postmenstrally
- D.
During their menstral cycle
- 7.These migraines are associated with an aura
- A.
Common
- B.
Classic
- 8.Migraine without aura (85%) are referred to as
- A.
Classic
- B.
Common
- 9.What are the abortive therapies used for the treatment of migraines?
- A.
Antiemetics
- B.
Ergotamine
- C.
Triptans
- D.
NSAIDS
- 10.Antiemetics and Analgesics (rescue therapy) are part of what treatment?
- A.
Abortive
- B.
Symptomatic
- C.
Preventive
- 11.Beta blockers, Tricyclic antidepressant, Anticonvulsants and Ca channel blockers are part of what type of therapy
- A.
Preventive
- B.
Abortive
- C.
Symptomatic
- 12.Chronic daily headaches are usually a result of what?
- A.
Job stress
- B.
Allergic reactions
- C.
Overuse of pain meds
- D.
Hormones
- 13.Chronic Daily headaches can be characterizes as
- A.
Sharp and localized
- B.
Sharp and less localized
- C.
Dull and localized
- D.
Dull and less localized
- 14.Cluster headaches are usually seen in
- A.
Men
- B.
Women
- 15.Pt says headache is localized to the eye,temple, forehead or cheek. Usually accompanied by autonomic feature (tearing, nasal stuffiness, conjunctival injection,ptosis)
- A.
Classic
- B.
Chronic daily
- C.
Cluster
- D.
Common
- 16.Abortive therapy for cluster headaches include
- A.
Steroids
- B.
Oxygen
- C.
NSAIDS
- D.
Triptans
- E.
Analgesics
- 17.Do we use preventive medicine for cluster headaches?
- A.
Yes
- B.
No
- 18.This a usually squeezing, band-like headache
- A.
Cluster
- B.
Tension-type
- C.
Classic
- D.
Common
- 19.Pt over the age of 50 presents with headache pain that came on suddenly along with other symptoms such as weight loss, vision loss, jaw claudication,myalgias. You think...
- A.
Cluster headaches
- B.
Temporal Arteritis
- C.
Classic migraine
- D.
Tension headache
- 20.Benign Intracranial Hypertension is seen in whom?
- A.
Men past puberty
- B.
Obese women of child bearing age
- C.
Obese men
- D.
Children
- 21.Pt presents with chronic headache (better when laying down), visual disturbances, nausea,vomiting,diplopia,tinnitis,dizziness
- A.
Cluster headaches
- B.
Temporal Arteritis
- C.
Benign Intracranial Hypertension
- D.
Common migraine
- 22.If there is no evidence of a mass on the MRI for suspected Benign Intracranial Hypertension what should you do next?
- A.
Culture & Sensitivity
- B.
CBC
- C.
Spinal tap
- D.
CT
- 23.Acetazolamide (Diamox), diurectics and weight loss are treatments for what condition?
- A.
Temporal Arteritis
- B.
Benign Intracranial hypertension
- C.
Cluster headaches
- D.
Classic migraines
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