Headaches

Question 1

Pain sensitive structures intracranially

Answer 1

Large arteries, Venous sinuses,

Trigeminal nerve

Question 2

Pain insensitive structures

Answer 2

Choroid plexuses, Brain parenchyma, Ventricles (ependymal lining )

Question 3

Which nerve conveys painful stimuli arising above the tentorium cerebri

Answer 3

CN5 trigeminal

Question 4

Primary H/A

Answer 4

Tension, Cluster, Migraine

Question 5

Secondary Headaches

Answer 5

Stroke, Trauma, Brain lesion,

Cocaine, Sinus Disease

Question 6

Migraine diagnosis

Answer 6

episodic h/a w/ 1 of the 3:

phono-phobia, osmo-phobia, photo-phobia

Question 7

Migraines most common

Answer 7

adolescent and younger women

Question 8

Associated symptoms of migraine

Answer 8

GI changes

Question 9

Most common type of primary headache

Answer 9

Tension

Question 10

Sumatriptan action

Answer 10

Sumatriptan stimulates serotonin receptors resulting in the contraction of the muscles surrounding the blood vessels in the brain

Question 11

Prophylactic treatment of recurrent HA

Answer 11

Valproic acid 
Propranolol
Timolol 
Verapamil
Amitriptyline 
Botulinum toxin A
Acupuncture

Question 12

Worst headache of life
Age over 50
Progressive
Awakens patient 
Neurologic dysfunction 
=

Answer 12

SAH, stroke

Question 13

Fever 
Nuchal rigidity
Reflex asymmetry
Altered mental status 
Papilledema
=

Answer 13

Meningitis, increased ICP