HA

Question 1

Most common type of HA

Answer 1

Tension

Question 2

B/L Band like or dull in quality made worse with?

Answer 2

Tension
Made worse with stress! Activity does not affect it.
Chronic HA associated w/ depression.

Question 3

tension HA common in what group

Answer 3

> 20 Y/O very rare though in groups older than 50 y.o

Question 4

U/L stabbing peri/retro-orbital pain Lasts 15 mins to 3 hours
Seasonal attacks occur in series (6x/day) last for weeks with months of remission
Occurs within 90-mins of sleep onset

Answer 4

Clusters

Question 5

What s/s are associated with Cluster HA

Answer 5

ipsilateral lacrimation in 85%, ptosis, Nasal congestion, and Rhinorrhea.

Question 6

6 M : 1F with a mean age of 30

Answer 6

Clusters

Question 7

U/L, nausea and photophobia

Answer 7

Migraines

Question 8

Scotoma

Answer 8

blind spots associated with Migraines

Question 9

Teichopsia

Answer 9

visual aura of Jagged zigzag lines associated w Migraines

Question 10

photopsias

Answer 10

Visual aura of shimmering lights associated w migraines

Question 11

rhodopsias

Answer 11

visual aura of colors associated with Migraines

Question 12

S/S of Migraines

Answer 12

U/L in 60%
Aura-15%
trigger stress odors, certain foods, etoh, menstruation or sleep deprivation

Question 13

Migraines Epidiemiology

Answer 13

80% FHX and females 3:1

Question 14

U/L temporal HA, ESR>50%, Temporal artery tenderness w/ palpation

Answer 14

Temporal arteritis or Giant cell.

Question 15

Temporal Arteritis associated with

Answer 15

Jaw claudicationn, Temp A tenderness, ESR >50%

50% have polymyalgia rheumatica-

Question 16

Consequences of not treating Temporal Arteritis

Answer 16

Optic neuritis and blidness

Question 17

screen vs diagnosis of Temporal arteritis

Answer 17

Screen- ESR

DIagnosis- TA Bx

Question 18

Episodic, severe pain shooting from side of mouth to ipsilateral Ear, Eye, or nose

Answer 18

Trigeminal neuralgia-

Question 19

Trigeminal neuralgia peaks @

Answer 19

Age 60

Question 20

Worst HA of life

Answer 20

Subarachnoid hemorrhage

Question 21

Subarachnoid hemorrhage cause

Answer 21

Trauma or rupture berry aneurysm

Question 22

Chronic ear pain, HA, jawstiffness, facial pain, bruxism

Answer 22

TMJ d/o

Bruxism- grinding teeth.