Neurology Of Headache
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
Correct Answer
A. Primary headache -
- 2.
A patient who gets headaches from an underlying disorder has what kind of headaches
- A.
Primary headache
- B.
Secondary headache
Correct Answer
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
Correct Answer(s)
A. CT
B. MRI -
- 4.
At what age do people generally incur their first migraine?
- A.
10-30
- B.
20-40
- C.
30-50
- D.
Over 40
Correct Answer
A. 10-30 -
- 5.
Most migraine sufferers are
- A.
Men
- B.
Women
Correct Answer
B. Women -
- 6.
For women most experience their migraines
- A.
During periods of high anxiety
- B.
Premenstrually
- C.
Postmenstrally
- D.
During their menstral cycle
Correct Answer
B. Premenstrually -
- 7.
These migraines are associated with an aura
- A.
Common
- B.
Classic
Correct Answer
B. ClassicExplanation
classic accounts for 15%. Aura usually visual disturbanceRate this question:
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- 8.
Migraine without aura (85%) are referred to as
- A.
Classic
- B.
Common
Correct Answer
B. Common -
- 9.
What are the abortive therapies used for the treatment of migraines?
- A.
Antiemetics
- B.
Ergotamine
- C.
Triptans
- D.
NSAIDS
Correct Answer(s)
B. Ergotamine
C. Triptans
D. NSAIDS -
- 10.
Antiemetics and Analgesics (rescue therapy) are part of what treatment?
- A.
Abortive
- B.
Symptomatic
- C.
Preventive
Correct Answer
B. Symptomatic -
- 11.
Beta blockers, Tricyclic antidepressant, Anticonvulsants and Ca channel blockers are part of what type of therapy
- A.
Preventive
- B.
Abortive
- C.
Symptomatic
Correct Answer
A. Preventive -
- 12.
Chronic daily headaches are usually a result of what?
- A.
Job stress
- B.
Allergic reactions
- C.
Overuse of pain meds
- D.
Hormones
Correct Answer
C. Overuse of pain meds -
- 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
Correct Answer
D. Dull and less localized -
- 14.
Cluster headaches are usually seen in
- A.
Men
- B.
Women
Correct Answer
A. Men -
- 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
Correct Answer
C. Cluster -
- 16.
Abortive therapy for cluster headaches include
- A.
Steroids
- B.
Oxygen
- C.
NSAIDS
- D.
Triptans
- E.
Analgesics
Correct Answer(s)
A. Steroids
B. Oxygen
D. Triptans
E. Analgesics -
- 17.
Do we use preventive medicine for cluster headaches?
- A.
Yes
- B.
No
Correct Answer
A. YesExplanation
Lithium works wellRate this question:
-
- 18.
This a usually squeezing, band-like headache
- A.
Cluster
- B.
Tension-type
- C.
Classic
- D.
Common
Correct Answer
B. Tension-type -
- 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
Correct Answer
B. Temporal ArteritisExplanation
Pt will have tenderness to palpation of the temporal arteryRate this question:
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- 20.
Benign Intracranial Hypertension is seen in whom?
- A.
Men past puberty
- B.
Obese women of child bearing age
- C.
Obese men
- D.
Children
Correct Answer
B. Obese women of child bearing ageExplanation
Has been associated with those who took acne medicineRate this question:
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- 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
Correct Answer
C. Benign Intracranial Hypertension -
- 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
Correct Answer
C. Spinal tap -
- 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
Correct Answer
B. Benign Intracranial hypertension -
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Jan 10, 2013Quiz Edited by
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Mar 23, 2010Quiz Created by
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