HY Headache types

Question 1

Trigeminal neuralgia ?

Answer 1

1. Knife like pain
2. Lating <1minute
3. Part of brain affected?=PONS
4. PONS=CN 5 originate from PONS
5. Prophylaxis = Carbamazepine
6. NO Tx as short duration ?
7. Confused with cluster headache if occuring in the V1 =Opthalmic branch of trigeminal nerve distribution

Question 2

what part of the brain is fucked up in Trigeminal neuralgia ?

Answer 2

PONS

Question 3

Prophylaxis of trigeminal neuralgia ?

Answer 3

Carbamazepine

Question 4

TN is confused with which type of headache ?

Answer 4

Often confused with cluster headache if occurring in the V1 (ophthalmic branch of
trigeminal nerve) distribution.

Question 5

Cluster headache ?

Answer 5

1. Lancinating=Piercing sensation
2. Knife like headache
3. Ipsilateral lacrimation
4. Rhinorrhea=Runny nose
5. Pupillary changes
6. NBME=====Ipsilateral mitotic Pupil
7. Min—Half hour
8. Longer than trigeminal neuralgia
9. Prophylaxis=Verapamil
10. Tx=O2

where the Q
will say the guy wakes up from sleep + paces around his room until pain eventually
goes away.

Question 6

Prophylaxis of cluster headache ?

Answer 6

Verapamil

Question 7

Ipsilateral miotic pupil in which headache ?

Answer 7

Cluster headache

Question 8

the guy wakes up from sleep + paces around his room until pain eventually
goes away== which headache ??

Answer 8

Cluster headache

Question 9

Migraine ?

Answer 9

1. Unilateral throbbing /Pounding headache
2. Last hour
3. Prophylaxis=Propanolol
4. Tx=NSAID -Triptans
5. Triptan=Serotonin 5HT receptor agonists
6. Prodromal visual aura or sound =Warning sign of headache
7. USMLE will give 30s female with hypertension who has migraine Hx, and the treatment is “beta blockade” for her HTN management.

Estrogen-containing contraceptives are contraindicated

Question 10

Pregnant women + HTN + migraine?

Answer 10

Beta blokade

Propanolol

Question 11

Prophylaxis of migraine ?

Answer 11

Propanolol

Question 12

Migraine association ?

Answer 12

prodromal visual aura or sounds

Question 13

Migraine + Aura what is contraindicated ?

Answer 13

Estrogen containing contraceptives

Question 14

Tx of migraine ?

Answer 14

NSAID + Triptans

Triptan = Serotonin 5HT receptor agonists `

Question 15

Tension headache ?

Answer 15

1. Bilateral
2. Dull
3. Band like
4. Sleep
5. Acetaminophen

Question 16

Tx of tension headache ?

Answer 16

1. Sleep
2. Acetaminophen

Question 17

Temporal arteritis ?

Giant cell arteritis

Answer 17

1.9/10 Qs will be painful unilateral headache in patient over 50.
2. Low grade fever
3. High ESR
4. Flares
5. Proximal Muscle pain + Stiffness =Polymyalgia rheumatica (PMR)
6. Pain with chewing=Jaw claudication
7. To prevent blindness= Give STEROIDS before biopsy
8. Or else complication = Ischemic Optic Neuropathy
9. Which steroid = Methylprednisolone
10.Day time line = 3 Days
11.Diagnostic step= Biopsy now Steroid is not included

Question 18

To prevent blindness in temporal arteritis which step ?

Answer 18

Steroids before biopsy

Question 19

If steroid is not given which complications will happen ?

Answer 19

Ischemic optic neuropathy

Question 20

Association of temporal arteritis ?

Answer 20

1. Polymyalgia rheumatica
2. Jaw claudication
3. Low ESR
4. Low grade fever
5. Flares

Question 21

Which steroid is given before biopsy ?

Answer 21

Methylprednisolone

Question 22

Tension type Headache ?

FA

Answer 22

1. Bilateral Both sided
2. Female common
3. Band like pain
4. > 30minute
5. Most common primary headache
6. No nausea No vomiting
7. No aura
8. Tx-NSAID , Acetaminophen

532

Question 23

Migraine

FA

Answer 23

POUND
P=Pulsatile
O=One day
U=Unilateral
N=Nausea
D=Disabling

532

Question 24

Cluster headache ?

FA

Answer 24

1. Unilateral
2. Horners syndrome
3. Common in male
4. Lacrimation
5. Rhinorrhea
6. Conjunctival infection

532

Question 25

Trigeminal neuralgia which CN ?

Answer 25

CN-5