Headache

Descripción

Headache lecture given by Dr O'Riordan on 10/9/2018
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace alrededor de 6 años
55
1

Resumen del Recurso

Pregunta 1

Pregunta
What are the five red flags for new onset headache patients?
Respuesta
  • 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

Pregunta 2

Pregunta
Are Migraines more common in Males or Females?
Respuesta
  • Males
  • Females

Pregunta 3

Pregunta
What is more common in the general population?
Respuesta
  • Migraine with Aura
  • Migraine without Aura

Pregunta 4

Pregunta
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
Respuesta
  • 5
  • 3
  • 4
  • 6
  • 4-72
  • 1-2
  • 2-24
  • 24-48

Pregunta 5

Pregunta
Migraine without Aura - Diagnostic Criteria (part II): The headache must have at least two of which of the four following qualities?
Respuesta
  • 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

Pregunta 6

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

Pregunta 7

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

Pregunta 8

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

Pregunta 9

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

Pregunta 10

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

Pregunta 11

Pregunta
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]
Respuesta
  • Beta Blocker
  • Carbonic Anhydrase Inhibitor
  • Anti-Depressant
  • Anti-Muscarinic
  • Dopamine Receptor Agonist

Pregunta 12

Pregunta
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]
Respuesta
  • Unilateral
  • Nausea & Vomiting Present
  • Photophobia Present
  • Bilateral
  • Nausea & Vomiting Absent
  • Photophobia Absent

Pregunta 13

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

Pregunta 14

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

Pregunta 15

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

Pregunta 16

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

Pregunta 17

Pregunta
[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.
Respuesta
  • Paroxysmal Hemicrania
  • Hemicrania Continua
  • Cluster Headache
  • SUNCT

Pregunta 18

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

Pregunta 19

Pregunta
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]
Respuesta
  • Papilloedema

Pregunta 20

Pregunta
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.
Respuesta
  • Trigeminal Neuralgia
  • Idiopathic Intracranial Hypertension
  • Paroxysmal Hemicrania
  • Facial Neuralgia

Pregunta 21

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