013 Headache

Question 1

Vomiting that precedes headache by weeks is highly characteristic of tumors in this area of the brain (H20 C13 P86)

Answer 1

Posterior fossa brain tumors

Question 2

The major cause of rapidly developing blindness in patients >60 years (H20 C13 P86)

Answer 2

Giant cell arteritis

Question 3

Initial dose and duration of prednisone therapy for temporal arteritis (H20 C13 P87)

Answer 3

Prednisone 80 mg daily for the first 4-6 weeks

Question 4

Antihypertensives that are also useful in migraine [2] (H20 C13 P87)

Answer 4

Propranolol, candesartan

Question 5

Drug used for opioid withdrawal symptoms in the inpatient management of medication overuse (H20 C13 P88)

Answer 5

Clonidine

Question 6

Most common cause of headache due to persistently low CSF volume (H20 C13 P88)

Answer 6

CSF leak following LP

Question 7

Initial study of choice for low CSF volume headache (H20 C13 P88)

Answer 7

MRI with gadolinium

Question 8

MRI finding in low CSF volume headache (H20 C13 P88)

Answer 8

Diffuse meningeal enhancement

Question 9

Nuclear study that may reveal CSF leak (H20 C13 P88)

Answer 9

111In-DTPA CSF studies

Question 10

Initial treatment for raised CSF pressure headache (H20 C13 P89)

Answer 10

Acetazolamide 250-500 mg BID

Question 11

Monoamide oxidase inhibitor that may also be useful in the treatment of raised CSF pressure headache (H20 C13 P89)

Answer 11

Phenelzine

Question 12

> 90% of patients who present to primary care with a complaint of headache will be diagnosed with: (H20 C13 P89)

Answer 12

Migraine