Headache

Descrição

Headache lecture given by Dr O'Riordan on 10/9/2018
Matthew Coulson
Quiz por Matthew Coulson, atualizado more than 1 year ago
Matthew Coulson
Criado por Matthew Coulson quase 6 anos atrás
55
1

Resumo de Recurso

Questão 1

Questão
What are the five red flags for new onset headache patients?
Responda
  • 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

Questão 2

Questão
Are Migraines more common in Males or Females?
Responda
  • Males
  • Females

Questão 3

Questão
What is more common in the general population?
Responda
  • Migraine with Aura
  • Migraine without Aura

Questão 4

Questão
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
Responda
  • 5
  • 3
  • 4
  • 6
  • 4-72
  • 1-2
  • 2-24
  • 24-48

Questão 5

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

Questão 6

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

Questão 7

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

Questão 8

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

Questão 9

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

Questão 10

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

Questão 11

Questão
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]
Responda
  • Beta Blocker
  • Carbonic Anhydrase Inhibitor
  • Anti-Depressant
  • Anti-Muscarinic
  • Dopamine Receptor Agonist

Questão 12

Questão
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]
Responda
  • Unilateral
  • Nausea & Vomiting Present
  • Photophobia Present
  • Bilateral
  • Nausea & Vomiting Absent
  • Photophobia Absent

Questão 13

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

Questão 14

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

Questão 15

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

Questão 16

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

Questão 17

Questão
[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.
Responda
  • Paroxysmal Hemicrania
  • Hemicrania Continua
  • Cluster Headache
  • SUNCT

Questão 18

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

Questão 19

Questão
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]
Responda
  • Papilloedema

Questão 20

Questão
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.
Responda
  • Trigeminal Neuralgia
  • Idiopathic Intracranial Hypertension
  • Paroxysmal Hemicrania
  • Facial Neuralgia

Questão 21

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

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