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
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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
Question 2
Question
Are Migraines more common in Males or 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
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Bilateral location of migraine
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Pulsating quality
-
Tingling quality
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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)
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.
Question 10
Question
If a person is having more than [blank_start]3[blank_end] migraines per month then prophylaxis should be considered.
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]
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]
Question 13
Question
What are the four types of Trigeminal Autonomic Cephalgias (TACs)?
Question 14
Question
Which of the following patients is most likely to develop cluster headaches?
Answer
-
35 year old male
-
17 year old female
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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?
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]
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.
Question 21
Question
What is the first line treatment for trigeminal neuralgia?
Answer
-
Carbamazepine
-
Ibuprofen
-
Paracetamol
-
Co-codamol
-
Sumatriptan