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orofacial pain > Final Exam > Flashcards

Final Exam Flashcards

1
Q

headaches occur MC in the ___

A

AM

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2
Q

acute dental pain is often ___lateral

A

unilateral

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3
Q

what are the 3 primary headache disorders

A

migraine
tension
TACs

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4
Q

what are the 4 TACs

A

cluster
paroxysmal hemicrania
hemicrania continua
SUNCT

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5
Q

CN that are pain carrying in the HN region

A

V
IX
X

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6
Q

pathophys of migraines

A

trigeminovascular activation of neuropeptides
5-HT and CGRP

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7
Q

___ is an effective migraine Tx

A

botox A

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8
Q

chromosome ___ linked to migraines

A

19

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9
Q

___ precedes migraine, ___ follows

A

anxiety
depression

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10
Q

___% of migraines have aura

A

30%

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11
Q

migraine abortives

A

triptans
(inhibit neurogenic inflammation)

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12
Q

rimegepant MOA

A

CGRP antagonist

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13
Q

preventative migraine meds

A

5HT-2 and 5HT-1c antagonists
beta blocker

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14
Q

MC headache

A

tension

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15
Q

all TACs are ___lateral accompanied by autonomics

A

unilateral

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16
Q

cluster MOA

A

hypothalamus dysfunction

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17
Q

hemicrania continua subsides with ___

A

indomethacin

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18
Q

SUNCT involves V___

A

V1

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19
Q

cluster precipitated by ___

A

sleep

20
Q

paroxysmal hemicrania precipitated by what

A

neck flexion

21
Q

ceruleus

A

NE

22
Q

raphe

A

5HT

23
Q

depression MOA

A

less 5HT, more receptors
firing too fast
hypersensitivity and upregulation

24
Q

___% of depressed have anxiety

A

100

25
Q

apnea

A

cessation of oronasal flow for > 10 sec

26
Q

hypopnea

A

decrease flow of 50% for 10 sec (3% O2 sat decrease)

27
Q

respiratory disturbance index

A

AHI + RERAs

28
Q

treat AHI > ___

A

5

29
Q

normal PaO2

A

95-100

30
Q

normal SaO2

A

> 93%

31
Q

low SaO2 can lead to ___

A

AFib

32
Q

sleep study

A

polysomnogram

33
Q

sleepy scale

A

epworth

34
Q

CPAP compliance

A

60-70%

35
Q

OSA

A

respiratory effort but no airflow

36
Q

central apnea

A

no airflow and no respiratory effort

37
Q

TN frequency

A

episodic

38
Q

pre-TN symptoms

A

continuous dull aching

39
Q

TN epidemiology

A

females
elderly

40
Q

___ fibers most susceptible to demyelination

A

AB

41
Q

pre-TN vs TN

A

continuous dull aching

paroxysms, shock/stab, masseteric spasms

42
Q

TN DDx

A

MS
GCA
SUNCT
cluster tic syndrome

43
Q

neuropathic pain Rx of choice

A

CBZ

44
Q

PHN symptoms

A

continuous deep ache/burn

45
Q

migraines affect ___% of the world

A

10%

46
Q
A

orofacial pain (3 decks)

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