Headaches

1. A 7yo boy is brought with acute severe headache by his parents. Which of following are important causes in the given context?
A. Migraine
B. Meningitis
C. Hypertension
D. Subarachnoid hemorrhage
E. Sinus venous thrombosis
F. Tension headache

2. Which of following symptoms are unusual for a diagnosis of migraine?
A. Vomiting
B. Double vision
C. Vertigo
D. Lack of family history of migraine
E. Reversible focal neurological symptoms
F. Persistent headache

3. TRUE/FALSE?
A. Normal examination rules out serious causes of headache.

3. TRUE/FALSE?
B. CSF studies are done when meningitis or subarachnoid hemorrhage is suspected.

3. TRUE/FALSE?
C. EEG provides useful information.

3. TRUE/FALSE?
D. Routine CT is indicated to rule out tumour/bleed.

3. TRUE/FALSE?
E. MRI is the imaging of choice in headache.

4. A father brings his 10yo daughter with headache and asks for MRI. When is neuroimaging indicated in the context of headache?
A. Unilateral headache with vomiting
B. Daily headaches
C. Early morning progressive headache
D. Presence of seizures
E. Focal neurological signs

5. TRUE/FALSE?
A. IIH is most likely cause in an overweight adolescent with papilledema on acne treatment.

5. TRUE/FALSE?
B. Triptans are contraindicated in familial hemiplegic migraine.

5. TRUE/FALSE?
C. Migraine prophylactic agents needs 4-6 weeks to show efficacy.

5. TRUE/FALSE?
D. Opioids are useful in the treatment of migraine.

5. TRUE/FALSE?
E. Life style modification is important in migraine.