Headache

Question 1

Migraine presents in relationship to ___, association with food (like ____, __, ___). May be precipitated by ___

Answer 1

menses

chocolate, red wine, cheese
emotions

Question 2

Migraine has as cxfx

Answer 2

visual disturbance (flashes, sparks, stars, luminous hallucinations)
photophobia
aura

Question 3

Cluster headache: symptoms. Epidemiology: men vs women

Answer 3

frequent, short duration, high intensity headaches, with men affected 10 times more than women

Question 4

Giant cell (temporal) arteritis: cxfx

Answer 4

visual disturbance, systemic symptoms such as muscle pain, fatigue, and weakness. Jaw claudication

Question 5

Pseudotumor cerebri is associated with these risk factors

Answer 5

obesity
venous sinus thrombosis
oral contraceptives
vitamin A toxicity

Question 6

Pseudotumor cerebri cxfx

Answer 6

Mimics a brain tumor with

nausea, vomiting, and visual disturbance

Question 7

Tension headache Physical Examination reveals

Answer 7

no physical findings

Question 8

Migraine Physical Examination reveals

Answer 8

no physical findings usually, but rare cases have aphasia, numbness, dysarthria, or weakness

Question 9

Cluster headache Physical Examination reveals

Answer 9

red, tearing eye with rhinorrhea; Horner syndrome occasionally

Question 10

Horner syndrome signs

Answer 10

miosis
ptosis
anhidrosis
enophthalmos

Question 11

Giant cell (temporal) arteritis Physical Examination reveals

Answer 11

visual loss, tenderness of the temporal area

Question 12

Pseudotumor cerebri Physical Examination reveals

Answer 12

papilledema with diplopia from sixth cranial nerve

(abducens) palsy

Question 13

Evaluate for ___with

headache and a red eye.

Answer 13

glaucoma

Question 14

Tension headache dx

Answer 14

no specific diagnostic

tests.

Question 15

migraine dx

Answer 15

no specific diagnostic

tests.

Question 16

cluster headache dx

Answer 16

no specific diagnostic

tests.

Question 17

when NOT to use imaging

Answer 17

if there is a clear history of headache of a particular type

Question 18

when to use imaging

Answer 18

if the diagnosis is unclear or the syndrome has recently started (to exclude intracranial mass)

Question 19

Pseudotumor cerebri: Dx

Answer 19

CT or MRI to exclude an intracranial mass
lumbar puncture (LP) showing ONLY increased pressure.

Question 20

Giant cell arteritis Dx and initial steps

Answer 20

ESR: markedly elevated
most accurate test: biopsy

It is critical to start steroids without waiting for biopsy!!