Headache

Question 1

MRI findings of low pressure headache/spinal puncture headache

Answer 1

MRI with gadolinium: enhancement of the pachymeninges (dura)

Question 2

Most sensitive indicator of the inflammatory condition when considering temporal arteritis

Answer 2

CRP

also particularly helpful when the sedimentation rate is only mildly elevated

Question 3

The following statements are true of Short lasting unilateral neuralgiform attacks with conjunctival injection and tearing, EXCEPT

a. attacks are brief lasting 1-600 seconds, occurring as single stabs or series of stabs
b. may be associated with conjunctival injection or lacrimation, nasal congestion, eyelid edema and miosis occurring ipsilateral to the pain
c. pain may be located in the trigeminal distribution
d. has good response to indomethacin and oxygen

Answer 3

d.

it is not responsive to indomethacin or oxygen

Question 4

The following are indomethacin responsive headaches, EXCEPT:

a. primary cough headache
b. short-lasting unilateral neuralgiform headache attacks with cranial autonomic symptoms (SUNA)
c. idiopathic stabbing (ice-pick) headache
d. chromic paroxysmal hemicrania
e. hemicrania continua

Answer 4

b. SUNA

Question 5

which of the following of the following is a gene locus associated with hemiplegic migraine:

a. CACNA1A
b. SCNA1
c. ATP1A2
d. all of the above

Answer 5

d. all of the above

Question 6

By definition, status migranosus, the unilateral, throbbing headache should last for more than:

a. 12 hours
b. 24 hours
c. 36 hours
d. 72 hours

Answer 6

d. 72 hours

Question 7

familial migraine is seen in how many percent of cases?

Answer 7

60-80% of cases

Question 8

Give a type of headache/etiology with the following characteristics:

1. usually occurs nocturnal, 1-2 hours after falling asleep -
2. lasts minutes to hours; worse in early AM, increasing severity -
3. occurs 4-24 hours in most cases, upon awakening or later in the day -

Answer 8

Give a type of headache/etiology with the following characteristics:

1. usually occurs nocturnal, 1-2 hours after falling asleep - CLUSTER
2. lasts minutes to hours; worse in early AM, increasing severity - BRAIN TUMOR
3. occurs 4-24 hours in most cases, upon awakening or later in the day - MIGRAINE

Question 9

A disturbance of vision consisting usually of unformed flashes of white, or silver or rarely multicolored lights in migraine with aura

a. photopsia
b. scintillating scotoma
c. techopsia
d. fortification spectra

Answer 9

a. photopsia

Question 10

A disturbance of vision characterized by an enlarging blind spot with a shimmering edge seen in migraine with aura

a. photopsia
b. scintillating scotoma
c. techopsia
d. fortification spectra

Answer 10

b. scintillating scotoma

Question 11

Which of the following type of headache is aggravated by lying down or lying on one side

a. acute or chronic subdural hematoma
b. posterior fossa tumor
c. idiopathic intracranial hypertension
d. all of the above

Answer 11

d. all of the above

Question 12

The following structures lack sensitivity to pain, except:

a. ependyma
b. choroid plexus
c. pia-arachnoid
d. arteries within the dura

Answer 12

d. arteries within the dura

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