Headache Flashcards

1
Q

What is the preferred imaging modality to rule out hemorrhage?

A

CT, then maybe a lumbar puncture

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2
Q

If you want to image the posterior fossa what imaging do you need?

A

MRI

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3
Q

Primary headaches effect what age group?

A

20-50

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4
Q

Onset of a headache after 70 is a red flag for what?

A

Temporal arteritis

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5
Q

What orthos do you use to look for meningitis ?

A

Kernigs, brudzinskis

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6
Q

One of the most common headache presentations is associated with what?

A

Whiplash

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7
Q

What is the most typical type of headache?

A

Chronic noprogressive

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8
Q

Most patients with a headache will come into the office with either which 2 kinds?

A

Tension or migraine

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9
Q

If someone comes in with nausea, photophobia, and exacerbation by physical activity and aura what are you thinking they have?

A

Migraine

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10
Q

If you think they have a hypertensive headache what number does it have to be?

A

Greater than 150 mm Mg diastolic

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11
Q

If a CT is Biconcave you know it’s what?

A

Epidural hematoma

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12
Q

If on a CT you see a crescent shape in the head you know its?

A

Subdrual hematoma

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13
Q

A epidural hematoma is between what two things?

A

Skull and dura

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14
Q

A Subaru hematoma is between what 2 things?

A

Dura and arachnoid

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15
Q

What kind of blood involvement is a epidural hematoma?

A

Arterial

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16
Q

What type of blood involvement is a subdural hematoma?

A

Venous

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17
Q

Migraine with aura is more common in who?

A

Females

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18
Q

Are migraines with aura bilateral or unilateral?

A

UNILATERAL

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19
Q

WHAT IS A a Scotoma??

A

Blind spot

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20
Q

How long do migraines with aura last>

A

30 min

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21
Q

What do patients with a migraine with aura skeek?

A

Dark quiet place

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22
Q

What is the most common headache?

A

Migraine without aura

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23
Q

Are migraines with out aura unilateral or bilateral ?

A

Unilateral

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24
Q

Which is more severe and last longer mirage without or with aura?

A

Without aura is less severe and will last longer

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25
Q

When do tension headaches get worse?

A

Afternoon or early evening

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26
Q

Are tension headaches bilateral or unilateral ?

A

Bilateral

27
Q

What type of headache is described as band around the head?

A

Tension

28
Q

How long do tension headaches last?

A

Days or weeks

29
Q

Do tension headaches have nausea and vomiting ?

A

No

30
Q

Can tension headaches have photophobia and phonophobia?

A

Not both, one or the other

31
Q

What headache is due to referral from soft tissues and articular structures?

A

Cervicogenic

32
Q

What headache is common in middle aged dudes ?

A

Cluster

33
Q

Where are cluster headaches most common?

A

Orbital in location and unilateral

34
Q

How long do cluster beaches last?

A

30 min

35
Q

What headaches are assoacited with lacrimation and a runny nose?

A

Cluster

36
Q

What type of headaches drives patients to attempt suicide?

A

Cluster

37
Q

Does chiropractic help with cluster headache?

A

No

38
Q

If you suspect temporal artieritis what should you do?

A

Referral immediacy

39
Q

What is the big worry with someone with temporal arteritis?

A

They could go blind

40
Q

What is elevated in someone with temporal arteritis?

A

ESR and C reactive protein

41
Q

How is temporal arteritis treated? >

A

Corticosteroids

42
Q

WHAT ARE the two forms of stroke?

A

Ischemic and hemorrhagic

43
Q

What goes FAST stand for/

A

Face drooping, arm weakness, slurred speech, time counts

44
Q

What is described as the worst headache of my life?

A

Hemorrhage stoke

45
Q

What specific type of headache is associated with a hemorrhage stroke?

A

Sentinel headache

46
Q

Are there reliable and safe tests that can rule out and VAD in progress ?

A

No

47
Q

What are the 5 D’s for stroke?

A

Dizziness, drop attacks, diplopia, dysarthria, dysplasia

48
Q

What are the A and 3 N’s for stoke?

A

Ataxia, nauseate, numbness, nystagmus

49
Q

If you cam raise both eyebrows does that mean you should be thinking stroke or Bell’s palsy?

A

Stoke

50
Q

What is optic disc swelling that is secondary to elevated intercranial pressure?

A

Papilledema

51
Q

Is papilledema usually bilateral or unilateral?

A

Bilateral

52
Q

What percent of patients with brain tumors experience headaches / ?

A

50

53
Q

Where would a tumor be if the patient has changes in. judgement including loss of initiative, sluggishness?

A

Frontal love of the cerebrum

54
Q

Where would a tumor be in their is partial or complete loss of vision ?

A

Occipital or temporal lobe

55
Q

Where would a tumor be if the patient has lost their balance and fine motor skills?

A

Cerebellum

56
Q

Inability to look upward could be a tumor where?

A

In the pineal gland

57
Q

What are the two most common brain tumors in adults?

A

Gliomas and meningiomas

58
Q

If you see a huge sella Turcica on x ray what are you thinking?

A

Pituitary macroadenoma

59
Q

What is the normal size of the sella turicia?

A

16x12

60
Q

What is the most common symptom of a chiari malformation?

A

Headache

61
Q

What is the normal measurement for a chiari measurement ?

A

Normal is less than 3 mm

62
Q

What lab do you do for pagets?

A

Alkaline phosphate

63
Q

Cotton wool/fluffy densities are assocaited with what?

A

Pagets

64
Q

What is the most common kind of skull fractures?

A

Linear