Final Exam

Question 1

headaches occur MC in the ___

Answer 1

AM

Question 2

acute dental pain is often ___lateral

Answer 2

unilateral

Question 3

what are the 3 primary headache disorders

Answer 3

migraine
tension
TACs

Question 4

what are the 4 TACs

Answer 4

cluster
paroxysmal hemicrania
hemicrania continua
SUNCT

Question 5

CN that are pain carrying in the HN region

Answer 5

V
IX
X

Question 6

pathophys of migraines

Answer 6

trigeminovascular activation of neuropeptides
5-HT and CGRP

Question 7

___ is an effective migraine Tx

Answer 7

botox A

Question 8

chromosome ___ linked to migraines

Answer 8

19

Question 9

___ precedes migraine, ___ follows

Answer 9

anxiety
depression

Question 10

___% of migraines have aura

Answer 10

30%

Question 11

migraine abortives

Answer 11

triptans
(inhibit neurogenic inflammation)

Question 12

rimegepant MOA

Answer 12

CGRP antagonist

Question 13

preventative migraine meds

Answer 13

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

Question 14

MC headache

Answer 14

tension

Question 15

all TACs are ___lateral accompanied by autonomics

Answer 15

unilateral

Question 16

cluster MOA

Answer 16

hypothalamus dysfunction

Question 17

hemicrania continua subsides with ___

Answer 17

indomethacin

Question 18

SUNCT involves V___

Answer 18

V1

Question 19

cluster precipitated by ___

Answer 19

sleep

Question 20

paroxysmal hemicrania precipitated by what

Answer 20

neck flexion

Question 21

ceruleus

Answer 21

NE

Question 22

raphe

Answer 22

5HT

Question 23

depression MOA

Answer 23

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

Question 24

___% of depressed have anxiety

Answer 24

100

Question 25

apnea

Answer 25

cessation of oronasal flow for > 10 sec

Question 26

hypopnea

Answer 26

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

Question 27

respiratory disturbance index

Answer 27

AHI + RERAs

Question 28

treat AHI > ___

Answer 28

5

Question 29

normal PaO2

Answer 29

95-100

Question 30

normal SaO2

Answer 30

>93%

Question 31

low SaO2 can lead to ___

Answer 31

AFib

Question 32

sleep study

Answer 32

polysomnogram

Question 33

sleepy scale

Answer 33

epworth

Question 34

CPAP compliance

Answer 34

60-70%

Question 35

OSA

Answer 35

respiratory effort but no airflow

Question 36

central apnea

Answer 36

no airflow and no respiratory effort

Question 37

TN frequency

Answer 37

episodic

Question 38

pre-TN symptoms

Answer 38

continuous dull aching

Question 39

TN epidemiology

Answer 39

females elderly

Question 40

___ fibers most susceptible to demyelination

Answer 40

AB

Question 41

pre-TN vs TN

Answer 41

continuous dull aching paroxysms, shock/stab, masseteric spasms

Question 42

TN DDx

Answer 42

MS GCA SUNCT cluster tic syndrome

Question 43

neuropathic pain Rx of choice

Answer 43

CBZ

Question 44

PHN symptoms

Answer 44

continuous deep ache/burn

Question 45

migraines affect ___% of the world

Answer 45

10%