Headache - Part 1

Question 1

A common, recurrent, primary headache
of moderate to severe intensity that
interferes with normal functioning and is
associated with GI, neurologic and
autonomic symptoms.

Answer 1

MIGRAINE

Question 2

In migraine with aura, focal neurologic
symptoms precede or accompany the
attack. T/F

Answer 2

True

Question 3

Mechanism of migraine: External trigger evokes activation of trigerminovascular afferents which terminate in the lower brainstem

Answer 3

Peripheral Mechanism

Question 4

Mechanism of Migraine: Increase/decrease of tone in ascending pathways

Answer 4

Central mechanism

Question 5

Increase tone ascending pathways inhibited leads to

Answer 5

No migraine

Question 6

Decrease tone ascending pathways excited leads to

Answer 6

migraine

Question 7

Food Triggers of Migraine

Answer 7

Alcohol
Chocolate
Caffeine/caffeine withdrawal
Fermented and pickled foods
Monosodium glutamate

Question 8

Environmental triggers of migraine

Answer 8

Glare or flickering lights
High altitude
Loud Noises
Strong smell and fumes
tobacco smoke
Weather changes

Question 9

Behavioral-physiologic triggers

Answer 9

Excess or insufficient sleep
Fatigue
Menstruation, menopause
Sexual activity
Skipped meals

Question 10

Migraine is characterized by

Answer 10

recurring episodes of throbbing head pain,
frequently unilateral

Question 11

percentage of migraineurs that have premonitory symptoms

Answer 11

12% to 79%

Question 12

Neurological symptoms of migraine (most common)

Answer 12

phonophobia,
photophobia
hyperosmia
difficulty concentrating

Question 13

Pyschological symptoms of migraine

Answer 13

Anxiety,
Depression
Euphoria
Irritability
Drowsiness
Hyperactivity,
Restlessness

Question 14

Autonomic symptoms of migraine

Answer 14

Polyuria
Diarrhea
Constipation

Question 15

Constitutional symptoms of migraine

Answer 15

Stiff neck
Yawning
Thirst
Food cravings
Anorexia