Headache Flashcards
- Which of the following triptans would be appropriate for prevention of menstrual
migraines?
A. Sumatriptan
B. Almotriptan
C. Frovatriptan
D. Elmotriptan
C
- Why should NSAIDs be avoided for headache in the third trimester of pregnancy?
A. Potential for teratogenicity
B. Premature closure of the ductus arteriosus
C. Induction of labor
D. All of the above
B
- Which of the following herbal medications might be effective at decreasing incidence of migraines?
A. Ginkgo biloba
B. Ginseng
C. Butterbur
D. Chromium
C
- Which of the following would be associated with an increased prevalence of migraine headache?
A. Low income
B. Female sex
C. Age > 30
D. All of the above
D
- Which of the following types of headache is least common?
A. Migraine
B. Tension
C. Cluster
D. Medication overuse headache
C
- Which of the following triptans should be recommended for patients who have
nausea/vomiting associated with migraine headaches?
A. Zolmitriptan
B. Eletriptan
C. Almotriptan
D. Naratriptan
A
- How many headache days in a 1-month period must occur in order for a patient to be classified as having a chronic tension-type headache (TTH)?
A. 15
B. 4
C. 10
D. 7
A
- The pathogenesis of TTH is related to which of the following presumed mechanisms?
A. Muscle contraction
B. Hypoxemia
C. Hereditary factors
D. CNS pain sensitization
D
- Which of the following is a characteristic of a cluster headache?
A. Chronic daily pain
B. More common in men
C. Onset after age 50
D. Dull, band-like frontal pain
B
- A 20-year-old college sophomore presents to the student health department with the “worst headache of my life.” She provides a history of migraine headache treated with triptans. On physical examination, she is running a fever, her neck is stiffened, and a rash is noted. This type of headache disorder is classified as which of the following?
A. Treatment emergent
B. Primary
C. Secondary
D. Uncomplicated
C
- Which of the following is the most appropriate pharmacologic recommendation to treat severe nausea and vomiting in a headache patient?
A. High flow oxygen therapy
B. Oral opioid analgesics
C. Intramuscular chlorpromazine
D. Intravenous dihydroergotamine (DHE)
C
- Which of the following prophylactic treatments could potentially lead to the development of the “serotonin syndrome” in a patient prescribed naratriptan for migraine headache?
A. Timolol
B. Valproic acid
C. Topiramate
D. None of the above
D
- Serotonin receptor agonists (triptans) are available in all of the following dosage forms except:
A. Intranasal spray
B. Orally disintegrating tablet
C. Rectal suppository
D. Subcutaneous injection
C
- Which of the following therapeutic interventions would be most appropriate for the acute management of migraine without aura in a 54-year-old woman recently discharged from the coronary care unit (CCU) after an acute myocardial infarction (AMI)?
A. Intranasal sumatriptan
B. Oral acetaminophen and hydrocodone
C. Oral rizatriptan
D. Subcutaneous DHE
B
- Which of the following nonpharmacologic therapies is/are appropriate recommendation(s) for prevention of migraine headache?
A. Consistent sleep-wake cycle
B. Caffeine avoidance
C. Daily physical activity
D. All of the above
D
- Tension-type headache (TTH) are defined as _____ headaches in a 1-month period for
_____ months.
A. 15 headaches; 6 months
B. 4 headaches; 3 months
C. 15 headaches; 2 months
D. 7 headaches; 9 months
A
- A 20-year-old college sophomore presents to the student health department with the “worst headache of my life.” She provides a history of migraine headache treated with triptans. On physical examination, she is running a fever, her neck is stiffened, and a rash is noted. This type of headache disorder is classified as which of the following?
A. Treatment emergent
B. Primary
C. Secondary
D. Uncomplicated
C
- Which of the following triptans would be appropriate for the prevention of menstrual migraines?
A. Sumatriptan
B. Almotriptan
C. Eletriptan
D. Frovatriptan
D
- Which of the following herbal medications might be effective at decreasing frequency of migraines?
A. Ginkgo biloba
B. Ginseng
C. Butterbur
D. Chromium
C
- The pathogenesis of TTH is related to which of the following presumed mechanisms?
A. Hypoxemia
B. Hereditary factors
C. CNS pain sensitization
D. Hormonal fluctuation
C
- Which of the following is only available in a quarterly dosing option for migraine
prevention?
A. Eptinezumab-jjmr
B. Erenumab-aooe
C. galcanezumab-gnlm
D. fremanezumab-vfrm
A
- Triptans, like sumatriptan, should not be used concurrently with which of the following medications?
A. Ibuprofen
B. Ergotamine tartrate
C. Hydrocodone–acetaminophen
D. Aspirin
B
- A 34-year-old patient presents to the family medicine clinic with a severe headache pain that is associated with an aura. She presents a medication list containing the following: cimetidine, fexofenadine, alprazolam, and lisinopril.
Which of her medications could be triggering her migraine?
A. Cimetidine
B. Fexofenadine
C. Alprazolam
D. Lisinopril
A
- Which of the following therapeutic interventions would be most appropriate for the acute management of migraine without aura in a 54-year-old woman recently discharged from the coronary care unit (CCU) after an acute myocardial infarction (AMI)?
A. Intranasal sumatriptan
B. Oral acetaminophen and hydrocodone
C. Oral rizatriptan
D. Subcutaneous DHE
B
- Which of the following would not be an appropriate treatment option for a 25-year-old pregnant patient with acute migraine?
A. Rizatriptan
B. Sumatriptan
C. Almotriptan
D. Naratriptan
C
- A concerned parent calls the pharmacy with questions about her son. She explains that her son is 7 years old and has been complaining of his head hurting for 2 hours. She has a history of migraine headaches and asks if it would be acceptable to give him a dose of
sumatriptan. She also has ibuprofen, aspirin, and acetaminophen at home. Which medication would be the best option for this woman’s 7-year-old son?
A. Sumatriptan
B. Ibuprofen
C. Aspirin
D. Acetaminophen
B
- A 54-year-old man presents to the outpatient neurology clinic due to chronic daily headaches. The patient explains the pain steadily grows over hours until it is a 7/10 on the pain scale. He explains that, if left untreated, it lasts all day. He has a PMH of seasonal allergic rhinitis and asthma. Which of the following would not be an appropriate prophylactic treatment for this patient?
A. Propranolol IR 40 mg PO BID
B. Topiramate IR 50 mg PO BID
C. Amitriptyline 25 mg PO QDay
D. Metoprolol tartrate 50 mg PO QDay
A
- A 48-year-old man presents to the clinic complaining of “headaches so bad he would rather be dead.” He wants treatment but is worried about gaining weight. He has diabetes and dyslipidemia, and his doctor told him that losing weight would help him be better controlled. Which of the following medications would be the best choice for this patient?
A. Valproic acid
B. Divalproex sodium
C. Amitriptyline
D. Topiramate
D
- What is a key characteristic(s) that must be present to play a role in diagnosing a
migraine headache? Select all that apply.
A. An aura must be present.
B. Pain worsens with physical activity.
C. There is bilateral pain.
D. Photophobia and phonophobia last 4 to 72 hours.
B, D
- A 62-year-old man with a history of migraine headaches is being discharged from the hospital following treatment for ischemic stroke. Which of the following medications would be least appropriate for abortive treatment of the patient’s migraines?
A. Hydrocodone–acetaminophen
B. Rimegepant
C. Sumatriptan
D. Acetaminophen
C
