Headache

Question 1

What is the first-line option for pharmacologic management of migraines during pregnancy? x

Answer 1

Acetaminophen

Question 2

Prophylactic agent for:
- Cluster headaches
- Migraines
- Chronic tension headache

Answer 2

• Verapamil
• Propranolol, topiramate, or valproate
• Amitriptyline

Question 3

Are tension headaches associated with photo- and/or phonophobia?

Answer 3

Yes, however only one is present at a time

Question 4

The treatment of an acute migraine refractory to NSAIDs in a patient with coronary artery disease includes:

Answer 4

prochlorperazine or metoclopramide (D2 antagonist)

Question 5

What cranial nerve pathology causes repetitive, unilateral, shooting pain in a distribution of CN V lasting < 1 minute?

Answer 5

Trigeminal neuralgia (tic douloureux)

Question 5

What underlying neurological pathology should be suspected in a patient with bilateral trigeminal neuralgia?

Answer 5

Multiple sclerosis

Question 6

Brown-Sequard syndrome presents with _____upper motor neuron signs, ______loss of vibration, proprioception, and touch below the level of the lesion, and _____loss of pain and temperature below the level of the lesion

Answer 6

ipsilateral
ipsilateral
contralateral