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Neurology > Headache > Flashcards

Headache Flashcards

1
Q

Which headache is secondary?
a. Cluster
b. Migraine
c. Tension
d. temporal arteritis
e. none of the following

A

d. temporal arteritis

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2
Q

The patient has headaches, mainly at night, on one side of the face, with a runny
nose and red eyes. Which headache is most likely?
a. cluster headache
b. migraine
c. paroxysmal haemicrania

A

a. cluster headache

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3
Q

A 23-year-old female student suffering from optic neuritis had a lumbar puncture
three days ago. The day after the examination, she developed a headache, which
intensifies on standing up, and she is nauseous. It is:
a. meningitis after lumbar puncture
b. headache due to optic neuritis
c. headache due to multiple sclerosis
d. headache due to intracranial hypotension

A

d. headache due to intracranial hypotension

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4
Q

In the treatment of intracranial hypotension, you advise:
a. common analgesics
b. lying down and hydration
c. non-steroidal antirheumatic drugs
d. opiate

A

b. lying down and hydration

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5
Q

The most effective treatment for Horton’s headache is:
a. sumatriptan p.o.
b. sumatriptan nasal spray
c. sumatriptan s.c.
d. sumatriptan rectal

A

c. sumatriptan s.c.

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6
Q

Short-term prevention of Horton’s headache:
a. NSAID
b. corticosteroids
c. cytostatics
d. oxygen

A

b. corticosteroids

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7
Q

Primary headaches include:
a. MELAS
b. SUNCT
c. MERRF
d. CADASIL

A

b. SUNCT

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8
Q

Migraine prevention:
a. healthy diet
b. enough sleep
c. stop smoking
d. stop drinking alcohol
e. All

A

e. All

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9
Q

Therapy for tension headache:
a. ibuprofen
b. sumatriptan
c. ergotamine
d. metaclopramide

A

a. ibuprofen

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10
Q

Therapy of paroxysmal haemicrania:
a. ibuprofen
b. indomethacin
c. Codeine

A

b. indomethacin

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11
Q

Which medicine to prescribe for a 24-year-old female student with severe migraines,
usually accompanied by vomiting:
a. almotriptan per os
b. zolmitriptan per os
c. sumatriptan per os
d. sumatriptan nasal spray

A

d. sumatriptan nasal spray

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12
Q

Migraine prophylaxis uses medicines from the following groups:
a. antiepileptics
b. antidepressants
c. calcium antagonists
d. all of the above

A

d. all of the above

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13
Q

The most ‘unilateral’ of headaches is:
a. Horton’s headache
b. migraine
c. tension-type headache
d. headache due to an inflamed sinus

A

a. Horton’s headache

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14
Q

It is not specific to migraine:
a. often starts in the teenage years
b. it is more common in women
c. present in as much as 1% of the population
d. it often occurs in families

A

c. present in as much as 1% of the population

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15
Q

Triptans are:
a. Serotonergic receptor agonists
b. Serotonergic receptor antagonists
c. dopaminergic receptor agonists
d. dopaminergic receptor antagonists

A

a. Serotonergic receptor agonists

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16
Q

Eliminate the alien:
a. cluster headache
b. Horton’s headache
c. chronic paroxysmal haemicrania

A

c. chronic paroxysmal haemicrania

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17
Q

What kind of headache is a secretary who eats 25 tbl of Amigral in a month?
a. tension headache
b. chronic headache due to medication
c. headache in raphalas
d. paroxysmal haemicrania
What is her advice?
e. Phase out analgesics and introduce antidepressants

A

b. chronic headache due to medication

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18
Q

What would you recommend to a patient to relieve a tension headache?
a. relaxation, biofeedback, physiotherapy
b. sumatriptan
c. lidocaine patch
d. opiates

A

a. relaxation, biofeedback, physiotherapy

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19
Q

It does not apply to headache in raphalas:
a. is more common in women
b. onset around the age of 30
c. is more common in smokers
d. is more common in black people

A

a. is more common in women

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20
Q

A female cook, 32 years old, 165 cm, 115 kg, RR 135/90, takes contraceptives
and complains of headaches for several weeks. What is the diagnosis?
a. oestrogen headache
b. migraine
c. headache in raphalas
d. idiopathic intracranial hypertension

A

d. idiopathic intracranial hypertension

21
Q

A visually impaired art student with psychiatric comorbidity sees rainbows and has
a headache. It’s about:
a. migraine aura

A

a. migraine aura

22
Q

Headache after lumbar puncture is characterised by - 2 correct?
a. worse when you get up
b. worse when you lie down
c. associated autonomous signs
d. stiff neck may be present
e. usually unilateral

A

a. worse when you get up
d. stiff neck may be present

23
Q

Headache is not characteristic of a tumour:
a. worst in the morning
b. progressively worse
c. more severe with flatulence, sneezing, coughing
d. long periods of spontaneous remission
e. can pass without analgesics

A

d. long periods of spontaneous remission

24
Q

The most common headache of these:
a. in raffles
b. paroxysmal haemicrania
c. migraine
d. sinus headache

A

c. migraine

25
Q

Circle the correct sequence for the duration of the headaches:
a. migraine > trigeminal neuralgia > headache in the raphe
b. migraine > headache in the raphe > trigeminal neuralgia
c. headache in the raphe > migraine > trigeminal neuralgia
d. trigeminal neuralgia > migraine > headache in the raphe

A

b. migraine > headache in the raphe > trigeminal neuralgia

26
Q

A lady with a headache and a red eye. What kind of headache?
a. tension headache
b. paroxysmal haemicrania
c. migraine
What is the best cure for this headache?
d. Indomethacin.

A

b. paroxysmal haemicrania
d. Indomethacin.

27
Q

If there is visual field loss in migraine aura, what is the problem?
a. in the occipital cortex
b. in the temporal cortex
c. in the frontal cortex
d. in the parietal cortex

A

a. in the occipital cortex

28
Q

A 16-year-old girl with a strange aura (motor, visual, consciousness disturbances)
subsides after 23-30 minutes, then a throbbing occipital headache appears:
a. basilar migraine
b. common migraine
c. complex partial epileptic seizure
d. TIA

A

a. basilar migraine

29
Q

For which headache do we give O2 (100%) as therapy?
a. paroxysmal haemicrania
b. headache in raphalas
c. SUNCT
d. migraine

A

b. headache in raphalas

30
Q

Which medicines cause headaches?
a. aspirin
b. Naklofen (NSAID)
c. triptani
d. all of the above

A

d. all of the above

31
Q

When do we give migraine prophylaxis?
a. for one headache per month
b. one headache every two months
c. more than two headaches per month

A

c. more than two headaches per month

32
Q

A 30-year-old right-wing teacher fell ill 10 days ago with the worst acute headache of
his life. On examination, positive meningeal signs are found, neurological
examination is normal. A head CT shows no pathological changes. What will be the
patient’s corpus luteum?
a. bloody
b. xantokromen
c. Colourless
d. moten

A

b. xantokromen

33
Q

What is not involved in the pathogenesis of migraine?
a. NMDA receptors
b. serotonin
c. substance P
d. trigeminocervical complex
e. CGRP

A

a. NMDA receptors

34
Q

A 21-year-old art student with a positive psychiatric history complains of
headaches. She sees a zigzag light lasting 30 min. What is the diagnosis?
a. migraine aura
b. hallucinations
c. Optic neuritis
d. occipital tumour

A

a. migraine aura

35
Q

The patient has severe headaches over the right eye, which wake him from sleep
after a few hours at night. They have been recurring for weeks or months for 5
years:
a. migraine
b. headaches in raphalas
c. SUNCT
d. tension headache

A

b. headaches in raphalas

36
Q

The visible aura in migraine is:
a. Anonymous
b. bitemporal
c. in the shape of a sickle

A

a. Anonymous

37
Q

He has unstable angina and migraine. What is he being treated with?
a. naproxen
b. sumatriptan
c. amitriptyline
d. valproate

A

a. naproxen

38
Q

What is not a characteristic of tension-type headache?
a. severely incapacitates a person
b. localised frontally
c. can take a very long time

A

a. severely incapacitates a person

39
Q

A man with a headache and increased sedimentation. What does he have?
a. temporal arteritis

A

a. temporal arteritis

40
Q

Are headaches genetic?
a. Rarely, they may be due to a monogenetic genetic predisposition

A

a. Rarely, they may be due to a monogenetic genetic predisposition

41
Q

The pattern of visual field loss in migraine with aura is due to a disturbance in:
a. occipital cortex
b. temporal cortex
c. frontal cortex
d. parietal cortex

A

a. occipital cortex

42
Q

A 37-year-old man with a throbbing headache in the right side of his head. It occurs
in waves lasting from 3 to 30 minutes. The right eye is red. Neurological status is OK.
What is wrong with him?
a. headache in raphalas
b. migraine
c. SUNCT
d. tension headache

A

a. headache in raphalas

43
Q

The lowest incidence is from diseases of the nervous system group:
a. trigeminal neuralgia

A

a. trigeminal neuralgia

44
Q

How long does an episode of headache last in raphalas?
a. 3-6 hours
b. 15 seconds to 3 minutes - primary stabbing headache
c. 3-15 minutes
d. 15 minutes to 3 hours

A

d. 15 minutes to 3 hours

45
Q

We took the young woman’s liquor. The liquor is not disturbed, it flows in drops
and there is one more piece of information - that it is normal. Then we measure a
pressure of 20 cmH2 O. What kind of headache is she having?
a. tension headache
b. migraine
c. it’s worse in the morning
d. it’s worse when he strains, or coughs
e. it is worse when it is standing and corrects itself when it is lying down

A

c. it’s worse in the morning

46
Q

A woman has 0.3 g/L protein, 3/μL cells and 4.5 mmol/L glucose in her lysate.
a. Borrelia
b. Tuberculosis
c. tick-borne meningoencephalitis
d. paraneopalstic meningitis
e. tension headache

A

e. tension headache

47
Q

Who do we worry about most when we have a headache?
a. persons aged between 14 and 24
b. person over 50 with a new headache
c. the gentleman who used to tingle on the fingers
d. someone who has been vomiting for years

A

b. person over 50 with a new headache

48
Q

Headaches and heredity:
a. All headaches are hereditary
b. Most headaches are hereditary
c. Headaches are not hereditary
d. It is a monogenic inheritance
e. They are caused by chromosomal abnormalities

A

d. It is a monogenic inheritance

Neurology (22 decks)

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