Headaches & Stroke - Clark

Question 1

Unilateral, throbbing, photophobia, phonobia, nausea

Answer 1

Migraine

Question 2

Mild-moderate, bilateral, no photophobia

Answer 2

Tension

Question 3

Unilateral, red eye, tearing, swelling, restlessness

Answer 3

Cluster

Question 4

Meds used 2-3 days/week for >3 months

Answer 4

Medication overuse headache

Question 5

Young healthy pt comes in w/HA after day at Six Flags

Answer 5

Cervical artery dissection

Question 6

65 yo female comes in w/new HA that is B/L and achy. Also has night sweats, weight loss and jaw pain.

Answer 6

Temporal (giant cell) arteritis

Question 7

Obese 35 yo female presents w/dull HA that is worse when she lays down and states that she can hear her heartbeat in her ear.

Answer 7

Pseudotumor cerebri

Question 8

Pt presents to ER w/HA that began 1 hour ago and states that it is “the worst headache of my life.”

Answer 8

Subarachnoid hemorrhage

Question 9

Pt presents w/aphasia, right sided weakness, right sided sensory loss, visual gaze defect and gaze preference.

Answer 9

Left MCA ischemic stroke

Question 10

Pt presents w/left hemifield spatial neglect, left sided weakness, left sided sensory loss, visual gaze defect and gaze preference.

Answer 10

Right MCA ischemic stroke

Question 11

Pt presents w/contralateral leg weak & numbness.

Answer 11

Anterior cerebral artery infarct

Question 12

Pt presents w/left superior quadrant of vision lost and alexia w/o agraphia.

Answer 12

Posterior cerebral artery infarct

Question 13

Pt presents with left sided numbness & right sided clumsiness.

Answer 13

Posterior circulation infarct

Question 14

Infarct in deep gray nuclei, pons or cerebellum.

Answer 14

Hypertensive hemorrhage