Headache and pain Flashcards

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1
Q

What is the most prevalent type of primary headaches?
A) Tension-type headache
B) migraine without aura
C) cluster headache
D) migraine with aura

A

A) Tension-type headache

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2
Q

Characteristic features of migraine, except:
A) pulsating pain
B) mostly unilateral
C) physical activity increases the intensity
D) dizziness
E) duration is 4–72 hours

A

D) dizziness

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3
Q

The average duration of migraine attacks is:
A) less, than 4 hours
B) 0.5-1 day
C) 4 days
D) one week

A

B) 0.5-1 day

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4
Q

What is the prevalence of migraine in adults?
A) 1–2%
B) 5–7%
C) 8–12%
D) more, than 20%

A

C) 8–12%

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5
Q

Which accompanying sign is not a diagnostic feature of migraine?
A) nausea, vomiting
B) phonophobia
C) photophobia
D) osmophobia (hypersensitivity to odors)

A

D) osmophobia (hypersensitivity to odors)

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6
Q

Which primary headache is more prevalent in males than in females?
A) migraine with aura
B) migraine without aura
C) tension-type headache
D) cluster headache

A

D) cluster headache

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7
Q

The onset of primary headaches may be, except:
A) in childhood
B) at young age (in the 2–3. decades)
C) in the 4th decade
D) above 60. years

A

D) above 60. years

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8
Q

Accompanying signs of cluster headache, except:
A) miosis
B) ptosis
C) conjunctival injection
D) paraesthesia on the contralateral side of the headache
E) bradycardia

A

D) paraesthesia on the contralateral side of the headache

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9
Q

What is the menstrual migraine?
A) subtype of migraine with a specific condition where the timing of attacks is linked to the menstrual cycle
B) migraine, where at least one of the attacks occurs during menstrual period
C) the most severe headaches occur during menstrual period
D) headaches exclusively occur between the menarche and climax

A

A) subtype of migraine with a specific condition where the timing of attacks is linked to the menstrual cycle

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10
Q

What is the characteristic nerve conduction velocity of unmyelinitaed pain-transmitting C fibers?
A) 70–120 m/s
B) 70–100 m/s
C) 15–40 m/s
D) 0.2–2 m/s

A

D) 0.2–2 m/s

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11
Q

What is lateral cordotomy?
A) lesion in the ventral posterolateral nucleus of the thalamus
B) incision of the posterior funiculus in the spinal cord
C) a surgical procedure that injures the spinothalamic lateral tract in the spinal cord
D) electric stimulation of periaqueductal gray matter in the brainstem in order to alleviate severe pain

A

C) a surgical procedure that injures the spinothalamic lateral tract in the spinal cord

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12
Q

Abdominal lancinating pain is a characteristic sign of:
A) spinal cord disease
B) tabes dorsalis
C) trigeminal-neuralgia
D) multiple mononeuritis

A

B) tabes dorsalis

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13
Q

What can not be the cause of trigeminal neuralgia?
A) idiopathic origin
B) multiple sclerosis
C) somatoform disturbance
D) cancer

A

C) somatoform disturbance

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14
Q

What is the difference between neuralgic and radicular pain?
A) characteristics of the pain
B) intensity of the pain
C) the pain can not be well localized
D) duration of the pain

A

D) duration of the pain

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15
Q

What is the diagnosis of the case: The patient has paroxysmal attacks with lancinating pain, restricted always to one side of the throat, back of the tongue, tonsil and ear. The pain lasts for seconds and can be triggered by swallowing (drinking liquids).
A) trigeminal-neuralgia
B) glossopharyngeal-neuralgia
C) occipital-neuralgia
D) tonsillitis

A

B) glossopharyngeal-neuralgia

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16
Q

Which one is contraindicated for migraine prophylaxis?
A) antihistamine, antiserotonine drugs
B) anticonvulsants
C) calcium channel blockers
D) ergotamine, dihydroergotamine preparations

A

D) ergotamine, dihydroergotamine preparations

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17
Q

Useful in acute cluster headache, except for:
A) O2 inhalation
B) indometacine
C) sumatriptane
D) lithium

A

D) lithium

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18
Q

Which one is effective in prophylaxis of cluster headache?
A) beta blockers
B) minor analgesics
C) calcium channel blockers
D) tricyclic antidepressants

A

C) calcium channel blockers

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19
Q

It can be effective in the treatment of tension type headache:
A) antihistamines
B) antihypertensives
C) tricyclic antidepressants
D) MAO-inhibitors

A

C) tricyclic antidepressants

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20
Q

A 45-year-old men lifting a heavy object experienced a sudden low back pain. The pain irradiates to his right buttock, posterior thigh, popliteal region and little toe. Upon examination he had Lasegue sign on the right side, missing right Achilles reflex and hypaesthesia of the little toe. Which root is affected?
A) L2 root
B) L3 root
C) L4 root
D) L5 root
E) S1 root

A

E) S1 root

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21
Q

First choice of treatment for trigeminal neuralgia is:
A) clonazepam
B) alcoholic ganglion infiltration
C) carbamazepine
D) retroganglionar neurotomy
E) none of them

A

C) carbamazepine

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22
Q

Which symptom can be caused by unruptured intracranial aneurysm?
A) signs of oculomotor nerve lesion
B) visual field defect
C) ipsilateral recurring headache
D) ipsilateral facial pain
E) all of them

A

E) all of them

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23
Q

A 50-year-old man experienced a sudden-onset headache during physical exercise with stiff neck, seizures, oculomotor nerve palsy and quickly developed coma. The probable diagnosis is:
A) bacterial meningitis
B) spontaneous aneurysmal subarachnoid haemorrhage
C) ruptured brain abscess
D) haemorrhage in a glioma
E) brain metastasis

A

B) spontaneous aneurysmal subarachnoid haemorrhage

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24
Q

The least typical statement for temporal arteritis:
A) steroid treatment can only be administered if biopsy confirmed the diagnosis
B) occurs above 50 years of age
C) a subtype of giant cell arteritis
D) characterized by headache, elevated erythrocyte sedimentation rate

A

A) steroid treatment can only be administered if biopsy confirmed the diagnosis

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25
Q

Characteristic for alcoholic polyneuopathy:
A) persistent lancinating pain
B) sensory disturbance of the lower extremities, diminished reflexes
C) no vegetative symptoms
D) normal conduction velocity of the peroneal nerve
E) hyperthermia

A

B) sensory disturbance of the lower extremities, diminished reflexes

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26
Q

Typical in Wallenberg syndrome:
A) contralateral pain
B) ipsilateral hypalgesia
C) contralateral hemihypalgesia
D) ipsilateral facial hypalgesia and contralateral hypalgesia below C2

A

D) ipsilateral facial hypalgesia and contralateral hypalgesia below C2

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27
Q

What is dissociated sensory loss?
A) loss of pain sensation, but temperature sensation is intact
B) pain sensation is intact, but loss of temperature sensation
C) pain sensation is intact, but loss of temperature, vibration and joint position sense
D) loss of pain and temperature sensation, but vibration and joint position sense intact

A

D) loss of pain and temperature sensation, but vibration and joint position sense intact

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28
Q

Bending down the head worsens the headache, if it is caused by:
A) glaucoma
B) maxillary sinusitis
C) tension type headache
D) cluster headache

A

B) maxillary sinusitis

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29
Q

Symmetric burning, stabbing pain at the distal part of the extremities, especially on the legs typical for:
A) polyneuropathy
B) radiculitis
C) myositis
D) Lambert–Eaton syndrome

A

A) polyneuropathy

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30
Q

Typical in migraine, except for:
A) unilateral in more than half of the cases
B) frequently vegetative symptoms
C) EEG always negative
D) ocular symptom in ophtalmoplegic migraine may last for several days
E) frequently aspirin is effective

A

C) EEG always negative

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31
Q

80 years old alcoholic patient fell and had a head injury one moth ago, he has complained headache for 2-3 weeks, and has developed a progressing left sided hemiparesis and anisocoria. The most likely diagnosis is:
A) cerebral contusion
B) right sided frontal lobe glioblastoma
C) right sided subdural haematoma
D) occlusion of the right sided middle cerebral artery

A

C) right sided subdural haematoma

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32
Q

Shooting pain, dysuria, ataxia associated with pupil disorder, areflexia, and proprioceptiv sensory disturbance suggest the following disease:
A) Mixed connective tissue disease
B) Tabes dorsalis
C) Multiple sclerosis
D) Syringomyelia

A

B) Tabes dorsalis

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33
Q

Trigeminal-neuralgia is the least common in the following division of the trigeminal nerve:
A) V/2
B) V/3
C) V/1
D) V/2 + V/3

A

C) V/1

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34
Q

A 54-year-old hypertonic male patient presented with sudden onset of vertigo, headache and vomiting. At the examination the patient was alert, he had nystagmus and one sided limb ataxia without paresis. Which diagnosis is the most likely?
A) pons bleeding
B) bleeding in the internal capsule
C) cerebellar bleeding
D) subarachnoideal haemorrhage
E) basilar artery aneurysm

A

C) cerebellar bleeding

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35
Q

What is the order of the appearance of herpes zoster symptoms:
A) pain-vesicles-pigmentation
B) vesicles–pigmentation–pain
C) pain–pigmentation–vesicles
D) pigmentation– vesicles–pain
E) vesicles–pain–pigmentation

A

A) pain-vesicles-pigmentation

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36
Q

Herpes zoster most often affects the:
A) ganglion geniculi
B) the maxillary division of the trigeminal nerve
C) the cervical region
D) the thoracic region
E) the lumbar region

A

D) the thoracic region

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37
Q

Childhood head injury is frequently associated with the following symptom(s):
A) vertigo
B) epileptic seizure
C) headache
D) all of them
E) none of them

A

D) all of them

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38
Q

The first symptom(s) of the brain tumor in childhood:
A) seizure and coma
B) change of behavior
C) headache and vomiting
D) hemiparesis and hyperreflexia
E) none of them

A

C) headache and vomiting

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39
Q

In a 31-year-old man constant bifrontal headache and blurred vision has been present for 2 weeks. In the last 1 week he became somnolent, sometimes he slept 20 hours. In a previous history, there was an accident 3 months ago, when he fell down from a moving vehicle and he hit his head, the skin of the skull was lacerated. During the examination bilateral papilla edema, dilated right pupil and left hemiparesis were observed. The most probable diagnosis is:
A) dementia paralytica
B) chronic subdural haematoma
C) bromine intoxication
D) brain haemorrhage

A

B) chronic subdural haematoma

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40
Q

Which disease is associated with the following signs and symptoms: headache, anemia, polymyalgia rheumatica, increased erythrocyte sedimentation rate (ESR), jaw claudication, low fever and leukocytosis?
A) meningitis tubercolosa
B) lupus erythematosus
C) arteritis temporalis

A

C) arteritis temporalis

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41
Q

Which is true for cerebral venous thrombosis:
A) epileptic seizure occurs rarely
B) there is a septic focus or inflammation in the background
C) headache and delirium are common, disturbance of consciousness and seizure are rare
D) there is no headache or vomiting
E) focal neurological symptoms are rare

A

B) there is a septic focus or inflammation in the background

42
Q

The most typical feature(s) in cerebral aneurysm rupture is/are:
A) sudden onset of headache, vomiting and sometimes disturbance of consciousness
B) typically occurs in the morning
C) the liquor is not diagnostic
D) hemiparesis
E) the liqour is xanthochrome immediately after the rupture of the aneurysm

A

A) sudden onset of headache, vomiting and sometimes disturbance of consciousness

43
Q

Characteristics for brain tumors:
A) the symptoms are usually progressive and are associated with headache and signs of increased intracranial pressure
B) liquor is always abnormal
C) at least 2/3 of the brain tumors are metastases
D) although the glioblastoma multiforme is malignant but circumscribed
E) the brain tumors make up nearly one-third of all tumors

A

A) the symptoms are usually progressive and are associated with headache and signs of increased intracranial pressure

44
Q

Which of the following diseases does not cause chronic progressive headache:
A) thrombosis of superior sagittal sinus
B) migraine
C) hydrocephalus non-communicans
D) intracranial space occupying lesion

A

B) migraine

45
Q

The following types of headaches are associated with vegetative signs, except:
A) cluster headache
B) migraine
C) occipital neuralgia
D) subarachnoid haemorrhage

A

C) occipital neuralgia

46
Q

Which of the following diseases causes pain?
A) myasthenia gravis
B) myositis
C) dystrophia musculorum progressiva
D) Brown–Sequard-syndroma

A

B) myositis

47
Q

In which localisation can disc herniation cause pain radiating into the thumb?
A) CII–CIII
B) CIV–CV
C) CV–CVI
D) CVI–CVII

A

C) CV–CVI

48
Q

Which of the following headaches is characterized by circadian/circannual rhythm?
A) tension type headache
B) migraine without aura
C) cluster headache
D) migraine with aura

A

C) cluster headache

49
Q

Which of the following headaches is often associated with depression:
A) migraine with aura
B) migraine without aura
C) cluster headache
D) tension headache

A

D) tension headache

50
Q

Headache caused by occlusive hydrocephalus is:
A) chronic progressive
B) intermittent
C) radiating into the nose bridge
D) hemicranial

A

A) chronic progressive

51
Q

The following diseases can cause hemifacial pain, except:
A) temporomandibular dyskinesia
B) trigeminal neuralgia
C) tension type headache
D) pulpitis (toothache)

A

C) tension type headache

52
Q

The following diseases may be nocturnal (and thus disturbs the sleep), except:
A) trigeminal neuralgia
B) cluster headache
C) migraine without aura
D) headache caused by hydrocephalus

A

A) trigeminal neuralgia

53
Q

The following diseases may cause unilateral ocular pain, except:
A) migraine
B) cluster headache
C) meningeoma of the tentorium
D) sinus cavernosus syndroma
E) increased intracranial pressure

A

E) increased intracranial pressure

54
Q

What is the prevalance of headache as a primary or associated symptom in brain tumors:
A) 5–10%
B) 20–30%
C) 90–95%
D) 60–70%

A

D) 60–70%

55
Q

Which of the following symptoms does not occur in migraine with aura?
A) hearing loss
B) speech disturbance
C) hemiparaesthesia
D) weakness of one of the the upper extremities

A

A) hearing loss

56
Q

The following aura signs may occur in migraine, except:
A) hemiparesis
B) hemiparaesthesia
C) numbness in both hands
D) aphasia

A

C) numbness in both hands

57
Q

The following diseases cause headache with vomiting, except:
A) migraine
B) cervicogenic headache
C) increased intracranial pressure
D) hypertonic crisis

A

B) cervicogenic headache

58
Q

Characteristics for subarachnoid haemorrhage:
A) thunderclap headache at the nuchal region
B) the most common neurological finding is spastic hemiplegia or hemiparesis with Babinski sign
C) the most common sign is papilloedema
D) there are no meningeal signs
E) CT scan has no diagnostic value

A

A) thunderclap headache at the nuchal region

59
Q

Characteristics for pseudotumor cerebri:
A) It is rare during pregnancy
B) It is rarely associated with endocrinopathy or treatment with medication
C) Vventricules and subarachnoid space are wider than normal
D) Visual accuity can be severely affected
E) Headache is rare

A

D) Visual accuity can be severely affected

60
Q

Meralgia paraesthetica:
A) its treatment is usually the incision of the fascia lata
B) characterised by burning pain on the surface of the inner part of the thigh
C) often caused by compression of the inguinal ligament
D) more common in women than in men
E) none of them

A

C) often caused by compression of the inguinal ligament

61
Q

What is characteristic for spondylotic headache?
A) usually unilateral
B) nuchal pain
C) pathological cervical X-ray
D) provocated by abnormal head posture
E) all of them
F) none of them

A

E) all of them

62
Q

The treatment of migraine attacks:
A) sumatriptan
B) aspirin
C) dihydroergotamin
D) all of them

A

D) all of them

63
Q

Excitation of the sensory cortex causes:
A) paraesthesia
B) hyperaesthesia
C) hyperalgesia

A

A) paraesthesia

64
Q

Presence of headache requires urgent care, if:
1) it is a thunderclap headache (sudden onset, very severe) at the nuchal region
2) headache is associated with disturbance of consciousness
3) headache is accompanied by neurological signs
4) headache is associated with general symptoms, like fever, or joint pain

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

65
Q

Subjective sensory disturbances in polyneuropathy:
1) paraesthesia
2) cramping pain
3) burning pain
4) throbbing pain

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

B) 1st and 3rd answers are correct

66
Q

Diagnostic criteria of tension type headache:
1) band-like localisation
2) dull and pressing pain
3) mild to moderate intensity
4) physical activity does not aggravate the headache

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

67
Q

Characterisctics for cluster headache:
1) always unilateral
2) extremely intense, shooting pain
3) partial Horner-symptom in the ipsilateral side of the headache
4) visual aura

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

A) 1st, 2nd and 3rd answers are correct

68
Q

Which of the following points indicate that hormonal changes may have influence on migraine?
1) migraine develops mainly in women
2) migraine is less intense during pregnancy
3) the prevalence of migraine is decreasing after climax
4) use of oral contraceptives increases the intensity and frequency of migrainous headaches

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

69
Q

Treatment of migraine attacks:
1) minor analgetics
2) ergotamines, dihydroergotamines
3) sumatriptan
4) major analgetics (opioids)

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

A) 1st, 2nd and 3rd answers are correct

70
Q

What are the characteristics of chronic progressive headache?
1) the intensity of headache is increasing
2) the headache is accompanied by scintillating scotoma
3) the headache is associated with nausea and vomitus
4) episodes of headache are separated by pain-free intervals

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

B) 1st and 3rd answers are correct

71
Q

Headache caused by brain tumor may develop due to:
1) traction or stretch of intracranial vessels
2) increased intracranial pressure
3) dural involvment
4) trigeminal nerve compression

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

72
Q

Characteristics of headache caused by tentorial meningioma:
1) ipsilateral headache in the frontal region
2) the pain radiates to the ipsilateral eye
3) chronic and progressive headache
4) the pain radiates to the ipsilateral shoulder and arm

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

A) 1st, 2nd and 3rd answers are correct

73
Q

Acoustic-neurinoma can cause:
1) trismus
2) ear pain
3) trigeminal-neuralgia on the contralateral side
4) trigeminal-neuralgia on the ipsilateral side

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

D) only 4th answer is correct

74
Q

Which of the following headaches can predict/anticipate rupture of cerebral aneurysm:
1) migraine with aura
2) tension type of headache
3) short-lasting, extremely intense „predictive, anticipating” headache episodes (sentinel headache)
4) cluster headache

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

B) 1st and 3rd answers are correct

75
Q

Migraine can be provoked by:
1) too much sleeping
2) sleep deficit
3) stress, anxiety
4) relaxation

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

76
Q

Provoking factor(s) is/are in tension type headache:
1) stress
2) weather fronts
3) menstruation
4) chocolate

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

A) 1st, 2nd and 3rd answers are correct

77
Q

Provoking factor(s) is/are in cluster headache:
1) yellow cheese
2) bending down
3) citrus fruits
4) beer

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

D) only 4th answer is correct

78
Q

Which of the following may cause painful polyneuropathy?
1) Lead intoxication
2) Diabetes mellitus
3) Chronic alcoholism
4) Multiple Sclerosis

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

A) 1st, 2nd and 3rd answers are correct

79
Q

Which of the following may cause prosopalgia?
1) Glaucoma
2) Temporomandibular dyskinesia
3) Somatoform disorder
4) Allergic rhinitis

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

B) 1st and 3rd answers are correct

80
Q

Which of the following may cause epileptic seizure and headache?
1) Superior sagittal sinus thrombosis.
2) Convexity meningioma
3) Meningoencephalitis
4) Arteriovenous malformation

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

81
Q

Which of the following may cause headache?
1) Increased CSF (cerebrospinal fluid) pressure
2) Decreased CSF (cerebrospinal fluid) pressure
3) Central nervous system infection
4) Non-central nervous system infection

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

82
Q

Characteristics of radicular pain:
1) precisely localised
2) can be provoked
3) sharp, shooting
4) very severe

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

83
Q

Characteristics of thalamic pain:
1) occurs contralateral to the side of the lesion
2) occurs ipsilateral to the side of the lesion
3) severe, intolerable pain
4) mild, dull pain

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

B) 1st and 3rd answers are correct

84
Q

What are the characteristics of causalgia?
1) It is associated with severe vegetative disorders
2) It is associated with throphic disorders
3) It can be provoked by external stimuli (sound, light, touch)
4) It is a severe, burning pain

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

E) all of the answers are correct

85
Q

Characteristics of phantom pain:
1) may be caused by amputation neuroma
2) occurs after amputation
3) the pain is projected into the missing limb
4) can easily be treated by NSAIDs

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

A) 1st, 2nd and 3rd answers are correct

86
Q

Radicular pain can be caused by:
1) extramedullary tumor
2) herpes Zoster
3) disc herniation
4) intramedullary tumor

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

A) 1st, 2nd and 3rd answers are correct

87
Q

Risk factor(s) for cerebral venous thrombosis:
1) oral contraceptives
2) puerperium
3) septic focus
4) thrombocyopenia

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

A

A) 1st, 2nd and 3rd answers are correct

88
Q

Match the headache types with the most typical symptoms:
A) Migraine
B) Cluster headache
C) Tension type headache

NEU - 2.89 - Nausea, vomitus
NEU - 2.90 - Photophobia, Phonophobia
NEU - 2.91 - Partial Horner’s syndrome
NEU - 2.92 - Pressure-like pain with diffuse localization

A

89- A
90- A
91- B
92- C

89
Q

Please match the headaches with their proper course/temporal prifile!
A) migraine
B) cluster headache
C) tumorous headache
D) chronic tension headache

NEU - 2.93 - Paroxysmal
NEU - 2.94 - Progressive
NEU - 2.95 - Everyday headache, the number of the days with headache is more than 15 days/month for 6 months
NEU - 2.96 - Occurs in „packages” (1-2 attacks per day for weeks, months)

A

93- A
94- C
95- D
96- B

90
Q

Match the followings:
A) median nerve
B) common peroneal nerve
C) facial nerve
D) ulnar nerve

NEU - 2.97 - Its lesion causes foot drop (steppage gait)
NEU - 2.98 - Its lesion often causes causalgia
NEU - 2.99 - Its injury causes the „Froment’s sign”
NEU - 2.100 - In case of Ramsay-Hunt syndrome this nerve is affected

A

97- B
98- A
99- D
100- C

91
Q

Please match the following:
A) radial nerve
B) median nerve
C) ischiadic/sciatic nerve
D) femoral nerve
E) axillary nerve

NEU - 2.101 - Rarely injured upper limb nerve
NEU - 2.102 - Rarely injured lower limb nerve
NEU - 2.103 - Its lesion causes „Saturday night” palsy
NEU - 2.104 - This nerve can be injured during giving im. injection
NEU - 2.105 - This nerve is affected in carpal tunnel syndrome

A

101- E
102-D
103- A
104- C
105- B

92
Q

Match the different headaches and the usual durations and frequencies of the headache syndromes.
A) migraine
B) cluster headache
C) chronic tension type of headache
D) neuralgia

NEU - 2.106 - duration: half-one day; frequency: once-twice a month
NEU - 2.107 - duration: half-one day; frequency: every day for weeks
NEU - 2.108 - duration: seconds; frequency: short leasting pain episodes repeat many times a day
NEU - 2.109 - duration: half-one hour; frequency: once-twice a day for weeks

A

106- A
107- C
108- D
109- B

93
Q

Match the different pain syndromes with the potential causes.
A) polyneuropathy
B) radicular pain
C) trigeminal neuralgia
D) thalamic pain

NEU - 2.110 - extramedullary tumor
NEU - 2.111 - hemispheric stroke
NEU - 2.112 - chronic alcohol consumption
NEU - 2.113 - multiple sclerosis

A

110- B
111- D
112- A
113- C

94
Q

Most patients with cluster headache are heavy smokers, because cluster headache is caused by smoking
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

C) the statement is true, but the explanation is false;

95
Q

Allergic rhinitis is quite common in migraineurs, therefore antihistamins are effective in prophylactic treatment of migraine.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

B) both the statement and the explanation are true but there is no causal relationship between them;

96
Q

Relaxation training and autogen training are accepted methods in the treatment of chronic tension type of headache, because role of physical (muscle) and psychical stress are assumed to play a role in the development of this type of headache.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

A) both the statement and the explanation are true and a causal relationship exists between them;

97
Q

Diagnosis of the so called special headaches provoked by coughing, physical exercise or sexual activity requires imaging techniques (cerebral CT or MRI), because these special headaches might be caused by intracranial space occupying lesions.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

A) both the statement and the explanation are true and a causal relationship exists between them;

98
Q

In a cluster headache attack the pain intensity reaches its maximum slowly, therefore oral medications are effective in the attack treatment of cluster headache.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

E) both the statement and the explanation are false

99
Q

Migraine usually occurs daily for weeks or months, therefore one type of treatment in migraine is the prophylactic treatment.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

D) the statement is false, but the explanation itself is true

100
Q

Cluster headache attacks occur with clockwise regularity, therefore disturbance of hypothalamic function is supposed in the cluster period.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

A

A) both the statement and the explanation are true and a causal relationship exists between them;