Headache

Question 1

If a patient presents with a thunderclap headache, be concerned for ____.

Answer 1

intracerebral aneurysmal leak

Question 2

dull, non pulsating, band-like headache that is holocephalic or bifrontal. N/V possible. What type of headache?

Answer 2

Tension-type

Question 3

dull, non pulsating, band-like headache that is holocephalic or bifrontal. N/V possible. Treatment?

Answer 3

NSAIDs, ibuprofen, aspirin

Question 4

Unilateral pulsating headache. Associated with N/V, photophobia, phonophobia, and preceding aura. What type of headache?

Answer 4

Migraine

Question 5

Unilateral pulsating headache. Associated with N/V, photophobia, phonophobia, and preceding aura. Treatment?

Answer 5

Treat N/V, depending on severity you can use NSAIDs, or triptans

Question 6

Usually cyclical pattern, short recurring attacks, pain localized to periorbital and temporal region, pts may also have conjunctival injection and/or lacrimation, rhinorrhea, nasal congestion, partial Horner syndrome. What type of headache?

Answer 6

Cluster

Question 7

Usually cyclical pattern, short recurring attacks, pain localized to periorbital and temporal region, pts may also have conjunctival injection and/or lacrimation, rhinorrhea, nasal congestion, partial Horner syndrome. Treatment?

Answer 7

O2, triptans

Question 8

Headache with papilledema, increased opening pressure on LP

Answer 8

Pseudotumor cerebri syndrome