Neurology - Headaches Flashcards
an acute headache severe and maximal pain at onset is known as
a.tension
b.migraine
c.thunderclap
d.hormonal
c.thunderclap
red flag headache symptoms
thunderclap
fever
focal
new persistent
progressing
provoked
what should be done first in cases of thunderclap headache
a.CT
b.MRI
c.X ray
d.Lumbar puncture
e.CT angiogram
a.CT
lumbar puncture advised
CT angio if clinical signs of venous thrombosis
fever, headache and recent upper Respiratory tract infection / dental pain indicates what
a.paranasal sinusitis
b.viral meningitis
c.bacterial meningitis
d.encephalitis
a.paranasal sinusitis
headache, fever seizures, confusion and change in behaviour indicates what
a.paranasal sinusitis
b.viral meningitis
c.bacterial meningitis
d.encephalitis
d.encephalitis
aura that evolves and resolves is associated with what
a.paranasal sinusitis
b.viral meningitis
c.bacterial meningitis
d.encephalitis
e.migraine
e.migraine
new onset persisting headache tender to touch indicates what
a.temporal arteritis
b.intracranial hypertension
c.hemicrania
d.paranasal sinusitis
e.migraine
a.temporal arteritis
what is the risk of untreated temporal arteritis
a.death
b.blindness
c.pain
b.blindness
which of these is a major risk factor for intracranial hypertension
a.low BMI
b.high BMI
c.old age
d.alcohol
b.high BMI
an NSAID responsive unilateral headache indicates what
a.temporal arteritis
b.intracranial hypertension
c.cervicogenic hemicrania
d.paranasal sinusitis
e.migraine
c.cervicogenic hemicrania
what should be done for a patient with cervicogenic hemicranial
a. NSAIDs
b. urgent referral
c.CT
d. pain clinic
d. pain clinic
a headache that occurs on standing up indicates what
a.temporal arteritis
b.CSF leak
c.cervicogenic hemicrania
d.paranasal sinusitis
e.migraine
b.CSF leak
How is CSF leak treated
a. O2/verapamil/imigran
b.Tegretol
c.CT
d. pain clinic
e.epidural patch
e.epidural patch
which of these drugs is used to prevent cluster headaches
a.ramipril
b.verapamil
c.propanolol
d. imigran
b.verapamil
which of these drugs is used for acute relief in cluster headaches
a.ramipril
b.verapamil
c.propanolol
d. imigran
d. imigran
shooting facial pain like electric shock in gums indicates what
shooting facial pain like electric shock in gums indicates what
a.temporal arteritis
b.CSF leak
c.cervicogenic hemicrania
d.trigeminal neuralgia
e.migraine
d.trigeminal neuralgia
which drug is used to treat trigeminal neuralgia
a.ramipril
b.verapamil
c.propanolol
d. imigran
e.tegretol
e.tegretol
what is a headache that only wakes the patient from sleep known as
a.temporal arteritis
b.hypnic headache
c.cervicogenic hemicrania
d.trigeminal neuralgia
e.migraine
b.hypnic headache
what is the treatment for hyping headache
a.
b.verapamil
c.lithium
d. imigran
e.tegretol
c.lithium
patient presents with tension type headache blurred vision and double vision lasting seconds and epileptic seizures what does this indicate
a.temporal arteritis
b.hypnic headache
c.brain tumour
d.trigeminal neuralgia
e.migraine
c.brain tumour
patient with recurrent sickening headaches that make them want to lie down
a.temporal arteritis
b.hypnic headache
c.brain tumour
d.trigeminal neuralgia
e.migraine
e.migraine
what is first treatment for chronic migraines
a. lifestyle changes
b.medication
c.surgery
a. lifestyle changes
address the risk factors eg life stress, medication overuse
what anticonvulsant drug is used for prophylaxis of migraines
a.topirmate
b.verapamil
c.lithium
d. imigran
e.tegretol
a.topirmate
what is given for acute migraines
a.topirmate
b.verapamil
c.NSAIDs
d. imigran
e.tegretol
c.NSAIDs
when should people with aura migraines take triptans?
a. at the start of the aura
b.at the start of the headache
c.as prophylaxis between headaches
b.at the start of the headache
what is the first line migraine prophylaxis for chronic migraines
a.metoprolol
b.verapamil
c.propanolol
d.NSAIDs
c.propanolol
