Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 3 - Neuro > Headaches - sangita Mcq Teaching > Flashcards

Headaches - sangita Mcq Teaching Flashcards

1
Q

Treatment for migraine in acute phase

A

Aspirin 900mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does sumitriptan work?

A

It vasoconstricts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Side effects of sumitriptan

A

Chest pain and stroke like symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Chronic treatment for migraine

A

First line treatment - ToPiramate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is contraindicated if someone has migraines and why?

A

Combined oral contraceptive pill due to increase in risk of stroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

60yo man with sudden unilateral vision loss,
Contra lateral headache
Pain worse on eating
Shoulder ache

What is the one investigation you’d do to confirm diagnosis?

A

Temporal artery biopsy to confirm polymyalgia rheumatica and GCA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Severe headache, photophobia, vomiting, reduced GCS + non blanching Pete hail rash - what’s the organism causing the headache?

A

Meningococcal meningitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How would you differentiate between bacteria, viral, fungal and TB on CSF?

A

Viral if over the mm
Lymphocytes
Normal glucose
Normal to elevated protein

Bacterial if Ober 1000 mainly neutrophils
Mild to marked elevation of proteins
Normal to marked decrease in Csf To glucose ratio

Fungal and tubercular - lymphocytes and high protein and low csf to glucose ratio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Headache with lacrimation + rhinorrhiea but no change to vision + restless/moving around fuming

A

Cluster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tension vs cluster vs migraine

A

Tension - band around back of head
Cluster headache - mainly around eye + lacrimation
Migraine diffuse unilateral, behind eye, photo phobia, pounding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Vision change after cinema
Sudden pain
Conjunctival injections
Dilated pupil

What’s the diagnosis?

A

Glaucoma -

Acute angle glaucoma - precipitated by darkness as dilation of pupil causes opening up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Key red flag for headaches raised ICP

A

Bilateral papilaoedema

Relief of symptoms when standing up / early morning headache

Confusion
Worse on straining / coughing / leaning forward
Focal neurology e.g. stroke like symptoms or bilateral papilloedema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Two key signs of meningitis and explain

A

Kernig - extending knee causes pain

Brudzinski— lifting head causes knee to flex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Bilateral papillodema but no mri findings

A

Benign intracranial hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Who do you see benign intracranial HTN in?

A

Young obese people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What do you connect the LP tube to?

A

Manometer

Csf goes up the tube then stops

17
Q

Normal Csf opening pressure

A

10

18
Q

What test is done to confirm acromegaly causing headache?

A

Prolonged glucose tolerance test

19
Q

Rash when getting out of hot bath plus headache - diagnosis and complications

A

Polycythemia rubravera

Pain on eye movement
Cerebral venous sinus thrombosis

20
Q

What kind of headache presents with delayed confusion? Why? What’s the presentation

A

Extradural haemorrhage - middle meningeal artery hit

Trauma

21
Q

Extradural haemorrhage on CT SIGNS

A

Lens shaped on CT
Loss of ventricles
Defacement of sulcus and gyri
Midline shift

22
Q

PKD is associated with?

A

Berry aneurysms in circle of Willis - intracranial therefore can lead to Subarachnoid haemmorhage

23
Q

How does the

A

Stops csf flow
Increase in intracranial pressure
Confusion

24
Q

Another name for haemmoragic stroke

A

Intraparenchymal haemmorhage

25
Q

Delayed onset confusion in elderly

A

Subdural haemmorhage

26
Q

What is a subdural haemmorhage?

A

Venous bleed from bridging veins between skull and brain

Blood pools outside brain slowly hence delayed presentation

(Whereas arterial bleed)

27
Q

Subdural haemmorhage sign on CT

A

Crescent shaped bleeding alongside outside of brain

28
Q

Headache after c section
better when lying down

Diagnosis

A

Dural puncture headache due to leakage of CSF post epidural

29
Q

In an elderly patient:

Recurrent Falls
Urinary incontinence
Ataxic gait

What is the diagnosis?

A

Normal pressure hydrocephalus

30
Q

Lewy body dementia symptoms

A

Parkinsonism

Hallucinations

Year 3 - Neuro (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions