Frage 1
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What are the five red flags for new onset headache patients?
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New onset headache in a patient >55
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New onset headache in a patient <55
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Known or previous malignancy
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Immuno-suppressed
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Early morning headache
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Late night headache
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Exacerbation by sneezing/coughing/etc
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Fever
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Nasal stuffiness
Frage 2
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Are Migraines more common in Males or Females?
Frage 3
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What is more common in the general population?
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Migraine with Aura
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Migraine without Aura
Frage 4
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Migraine without Aura - Diagnostic Criteria (part I):
The patient must have experienced at least [blank_start]5[blank_end] attacks
The patient's migraines must last between [blank_start]4-72[blank_end] hours
Antworten
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5
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3
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4
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6
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4-72
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1-2
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2-24
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24-48
Frage 5
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Migraine without Aura - Diagnostic Criteria (part II):
The headache must have at least two of which of the four following qualities?
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Unilateral location of migraine
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Bilateral location of migraine
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Pulsating quality
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Tingling quality
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Moderate or Severe pain
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Aggravation by routine physical activity
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Numbness around the cranium
Frage 6
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Migraine without Aura - Diagnostic Criteria (part III):
During the headache at least one of which of the following two things must occur?
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Nausea and/or vomiting
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Photophobia
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Nasal stuffiness
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Fever
Frage 7
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What is the most common type of 'aura' that occurs prior to a migraine?
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Visual Distrubance
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Auditory Disturbance
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Dizziness
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Paraesthesia
Frage 8
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Which of the following drug types is given most commonly for migraines? (medication should be taken as early as possible)
Frage 9
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As well as NSAIDs, serotonin receptor agonists called '[blank_start]triptans[blank_end]' are also used to treat migraines with a similar efficacy.
Frage 10
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If a person is having more than [blank_start]3[blank_end] migraines per month then prophylaxis should be considered.
Frage 11
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The following drugs can be used for migraine prophylaxis, match them to their drug classes:
Propranolol: [blank_start]Beta Blocker[blank_end]
Topiramate: [blank_start]Carbonic Anhydrase Inhibitor[blank_end]
Amitriptyline: [blank_start]Anti-depressant[blank_end]
Frage 12
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Migraine vs Tension Type Headache:
Migraine:
Location = [blank_start]Unilateral[blank_end]
N&V? [blank_start]Nausea & Vomiting Present[blank_end]
Photophobia? [blank_start]Photophobia Present[blank_end]
Tension Type Headache:
Location = [blank_start]Bilateral[blank_end]
N&V? [blank_start]Nausea & Vomiting Absent[blank_end]
Photophobia? [blank_start]Photophobia Absent[blank_end]
Frage 13
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What are the four types of Trigeminal Autonomic Cephalgias (TACs)?
Frage 14
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Which of the following patients is most likely to develop cluster headaches?
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35 year old male
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17 year old female
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85 year old female
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79 year old male
Frage 15
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Cluster headaches tend to occur [blank_start]unilaterally[blank_end] around the [blank_start]eye[blank_end] typically lasting between [blank_start]20 mins and 3 hours[blank_end].
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unilaterally
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bilaterally
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eye
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ear
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teeth
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temple
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20 mins and 3 hours
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1 min and 10 mins
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5 hours and 10 hours
Frage 16
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Which drug should be given alongside high flow 100% oxygen (for 20 mins) to treat cluster headaches?
Frage 17
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[blank_start]Paroxysmal Hemicrania[blank_end] has an absolute response to Indomethacin. Therefore, if you give Indomethacin for this condition and it does not work, you have mis-diagnosed the patient.
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Paroxysmal Hemicrania
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Hemicrania Continua
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Cluster Headache
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SUNCT
Frage 18
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Idiopathic Intracranial Hypertension is a growing epidemic purely because it occurs in many people who are ...
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Obese
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Diabetic
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Anaemic
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Vegan
Frage 19
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The fundoscopy shown here pictures one of the main consequences of Idiopathic Intracranial Hypertension.
This clinical finding on fundoscopy is called [blank_start]Papilloedema[blank_end]
Frage 20
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Diagnose the following patient.
An 87 year old woman presents complaining of unilateral severe, stabbing jolts when she does every day activities such as brushing her teeth or putting on her makeup. She says she can have multiple of these per day although the pain only tends to last around 2-3 seconds.
Frage 21
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What is the first line treatment for trigeminal neuralgia?
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Carbamazepine
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Ibuprofen
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Paracetamol
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Co-codamol
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Sumatriptan