Headache

Description

Headache lecture given by Dr O'Riordan on 10/9/2018
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson about 6 years ago
55
1

Resource summary

Question 1

Question
What are the five red flags for new onset headache patients?
Answer
  • New onset headache in a patient >55
  • New onset headache in a patient <55
  • Known or previous malignancy
  • Immuno-suppressed
  • Early morning headache
  • Late night headache
  • Exacerbation by sneezing/coughing/etc
  • Fever
  • Nasal stuffiness

Question 2

Question
Are Migraines more common in Males or Females?
Answer
  • Males
  • Females

Question 3

Question
What is more common in the general population?
Answer
  • Migraine with Aura
  • Migraine without Aura

Question 4

Question
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
Answer
  • 5
  • 3
  • 4
  • 6
  • 4-72
  • 1-2
  • 2-24
  • 24-48

Question 5

Question
Migraine without Aura - Diagnostic Criteria (part II): The headache must have at least two of which of the four following qualities?
Answer
  • Unilateral location of migraine
  • Bilateral location of migraine
  • Pulsating quality
  • Tingling quality
  • Moderate or Severe pain
  • Aggravation by routine physical activity
  • Numbness around the cranium

Question 6

Question
Migraine without Aura - Diagnostic Criteria (part III): During the headache at least one of which of the following two things must occur?
Answer
  • Nausea and/or vomiting
  • Photophobia
  • Nasal stuffiness
  • Fever

Question 7

Question
What is the most common type of 'aura' that occurs prior to a migraine?
Answer
  • Visual Distrubance
  • Auditory Disturbance
  • Dizziness
  • Paraesthesia

Question 8

Question
Which of the following drug types is given most commonly for migraines? (medication should be taken as early as possible)
Answer
  • NSAID (e.g. Ibuprofen)
  • Beta Blocker (Propranolol)
  • Analgesic (e.g. Paracetamol)

Question 9

Question
As well as NSAIDs, serotonin receptor agonists called '[blank_start]triptans[blank_end]' are also used to treat migraines with a similar efficacy.
Answer
  • triptans

Question 10

Question
If a person is having more than [blank_start]3[blank_end] migraines per month then prophylaxis should be considered.
Answer
  • 3
  • 4
  • 5

Question 11

Question
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]
Answer
  • Beta Blocker
  • Carbonic Anhydrase Inhibitor
  • Anti-Depressant
  • Anti-Muscarinic
  • Dopamine Receptor Agonist

Question 12

Question
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]
Answer
  • Unilateral
  • Nausea & Vomiting Present
  • Photophobia Present
  • Bilateral
  • Nausea & Vomiting Absent
  • Photophobia Absent

Question 13

Question
What are the four types of Trigeminal Autonomic Cephalgias (TACs)?
Answer
  • Cluster Headache
  • Paroxysmal Hemicrania
  • Hemicrania Continua
  • Hemicrania Parietum
  • Short-Lasting Unilateral Neuralgiform headache with Conjunctival Injection and Tearing (SUNCT)
  • Paroxysmal Autocrania
  • Temporal Neuralgiform Cephalgia

Question 14

Question
Which of the following patients is most likely to develop cluster headaches?
Answer
  • 35 year old male
  • 17 year old female
  • 85 year old female
  • 79 year old male

Question 15

Question
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].
Answer
  • unilaterally
  • bilaterally
  • eye
  • ear
  • teeth
  • temple
  • 20 mins and 3 hours
  • 1 min and 10 mins
  • 5 hours and 10 hours

Question 16

Question
Which drug should be given alongside high flow 100% oxygen (for 20 mins) to treat cluster headaches?
Answer
  • Sumatriptan subcutaneously
  • Crushed Aspirin orally
  • Propranolol Hydrochloride IV

Question 17

Question
[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.
Answer
  • Paroxysmal Hemicrania
  • Hemicrania Continua
  • Cluster Headache
  • SUNCT

Question 18

Question
Idiopathic Intracranial Hypertension is a growing epidemic purely because it occurs in many people who are ...
Answer
  • Obese
  • Diabetic
  • Anaemic
  • Vegan

Question 19

Question
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]
Answer
  • Papilloedema

Question 20

Question
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.
Answer
  • Trigeminal Neuralgia
  • Idiopathic Intracranial Hypertension
  • Paroxysmal Hemicrania
  • Facial Neuralgia

Question 21

Question
What is the first line treatment for trigeminal neuralgia?
Answer
  • Carbamazepine
  • Ibuprofen
  • Paracetamol
  • Co-codamol
  • Sumatriptan
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