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PHCY320 (Neurology) Quiz am NE6 Headache, erstellt von Mer Scott am 10/10/2019.

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NE6 Headache

Frage 1 von 14

1

Headache epidemiology:
• Most common form of
• 1 in 10 people get , more common in women.
• Migraines usually first occur between the ages of 10-30, and may get in middle age.
• Estimated that almost half of the adult population have had a headache at least once within the last year.
• Associated with pain, disability, damaged quality of life, and financial cost. Global Burden of Disease – 3rd and 6th

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    pain
    migraines
    better

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Frage 2 von 14

1

Types of headache:
headache. Most common type
• Medication overuse headache. Also known as “
• Sinus headache
• Migraine (with or without aura). 70-90% experience migraine aura
migraine. Extremely disabling
• Others – including high altitude headache, menstrual migraine and
chronic migraine

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    Tension
    rebound
    without
    Cluster

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Frage 3 von 14

1

Menstrual migraine
• Tend to be particularly
• Self help tips:
1.Eat small, snacks to keep your blood sugar level up.
2.Have a sleep pattern.
3. Avoid .

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    severe
    frequent
    regular
    stress

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Frage 4 von 14

1

Which of these is not a migraine trigger?

Wähle eine der folgenden:

  • Stress/anxiety

  • Excitement

  • Fatigue

  • Poor posture

  • Low blood sugar

  • Bright lights

  • HRT, COC

  • Alcohol

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Frage 5 von 14

1

Location of pain:
Sinus -
Tension -
Migraine -
Cluster -

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    sinuses, face
    band around forehead
    one sided
    around one eye

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Frage 6 von 14

1

Which of these is not a differential diagnosis for headaches?

Wähle eine der folgenden:

  • Subarachnoid haemorrhage (SAH)

  • Systemic or central nervous system (CNS) infection

  • Ischaemic stroke

  • Premenstrual syndrome (PMS)

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Frage 7 von 14

1

Medication overuse (rebound):
It may feel like a tension-type headache or migraine-like attack.
Headaches often improve within of withdrawal of the
overused medicine but can feel before improvement is seen.
• To avoid this, limit the use of pain relief medication:
- Paracetamol and NSAIDs should not be taken for headache on more than days per month
- Triptans for migraine should not be used for more than days per month

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    2 to 4 weeks
    worse
    15
    10

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Frage 8 von 14

1

Migraine without aura can cause nausea and vomiting.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 9 von 14

1

Which of these is NOT a symptom of Migraine with aura?

Wähle eine der folgenden:

  • Repetitive yawning

  • Restless or irritability

  • Anxiety or dizziness

  • Food cravings, feeling hungry or thirsty

  • Problems with vision

  • Tingling or numbing feelings in your body

  • Frequent urination

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Frage 10 von 14

1

Cluster migraine
• A type of headache that affects about 1 to 2 people in every 1,000
• They can happen times a day for a period of time, then disappear for or years.
• Try to identify the triggers and avoid those things.

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    rare
    several
    months

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Frage 11 von 14

1

Pain relieving medicines (for immediate relief):
• Paracetamol (liquid or soluble)
• NSAIDs e.g. ibuprofen, diclofenac, naproxen
• Opioids – (pharmacist only)
- rizatriptan, sumatriptan, zolmitriptan

Medicines for nausea/ vomiting:

• Medicines to prevent migraines
• Beta blockers -
(TCAs)
• Sodium valproate, gabapentin, topiramate
• Verapamil, oxygen
• Botulinum toxin type A
• Pizotifen
(TMS)
• Acupuncture

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    codeine
    Triptans
    • Metoclopramide • Prochlorperazine
    propanolol
    Amitriptyline, nortriptyline
    Transcranial magnetic stimulation

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Frage 12 von 14

1

A pharmacist can sell OTC when sold in the pack, containing or less tablets (of or less per tablet) for relief of migraine aura.

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    sumatriptan
    original
    two
    50mg
    acute
    with or without

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Frage 13 von 14

1

Which of these is NOT a side effect of triptans?

Wähle eine der folgenden:

  • Heat

  • Sensations of tingling

  • Heaviness/pressure

  • Flushing

  • Tightness of any part of the body

  • Dizziness, feeling of weakness

  • Chills

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Frage 14 von 14

1

Red flags
• A really severe headache that comes on and gets within minutes (especially if over years old)
• Changes in your or eye sight or changes in consciousness
• feeling sick (nausea), a stiff , rash, fever, shakes or sensitivity to
eye, feeling sick (nausea) or being sick (vomiting)
• Headache following a .

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    suddenly
    worse
    50
    vision
    neck
    light
    Red
    head injury

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