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Neurology 1 > Neurology - Headaches > Flashcards

Neurology - Headaches Flashcards

1
Q

an acute headache severe and maximal pain at onset is known as

a.tension
b.migraine
c.thunderclap
d.hormonal

A

c.thunderclap

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2
Q

red flag headache symptoms

A

thunderclap
fever
focal
new persistent
progressing
provoked

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3
Q

what should be done first in cases of thunderclap headache

a.CT
b.MRI
c.X ray
d.Lumbar puncture
e.CT angiogram

A

a.CT

lumbar puncture advised
CT angio if clinical signs of venous thrombosis

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4
Q

fever, headache and recent upper Respiratory tract infection / dental pain indicates what

a.paranasal sinusitis
b.viral meningitis
c.bacterial meningitis
d.encephalitis

A

a.paranasal sinusitis

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5
Q

headache, fever seizures, confusion and change in behaviour indicates what

a.paranasal sinusitis
b.viral meningitis
c.bacterial meningitis
d.encephalitis

A

d.encephalitis

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6
Q

aura that evolves and resolves is associated with what

a.paranasal sinusitis
b.viral meningitis
c.bacterial meningitis
d.encephalitis
e.migraine

A

e.migraine

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7
Q

new onset persisting headache tender to touch indicates what

a.temporal arteritis
b.intracranial hypertension
c.hemicrania
d.paranasal sinusitis
e.migraine

A

a.temporal arteritis

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8
Q

what is the risk of untreated temporal arteritis

a.death
b.blindness
c.pain

A

b.blindness

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9
Q

which of these is a major risk factor for intracranial hypertension

a.low BMI
b.high BMI
c.old age
d.alcohol

A

b.high BMI

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10
Q

an NSAID responsive unilateral headache indicates what

a.temporal arteritis
b.intracranial hypertension
c.cervicogenic hemicrania
d.paranasal sinusitis
e.migraine

A

c.cervicogenic hemicrania

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11
Q

what should be done for a patient with cervicogenic hemicranial

a. NSAIDs
b. urgent referral
c.CT
d. pain clinic

A

d. pain clinic

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12
Q

a headache that occurs on standing up indicates what

a.temporal arteritis
b.CSF leak
c.cervicogenic hemicrania
d.paranasal sinusitis
e.migraine

A

b.CSF leak

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13
Q

How is CSF leak treated

a. O2/verapamil/imigran
b.Tegretol
c.CT
d. pain clinic
e.epidural patch

A

e.epidural patch

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14
Q

which of these drugs is used to prevent cluster headaches

a.ramipril
b.verapamil
c.propanolol
d. imigran

A

b.verapamil

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15
Q

which of these drugs is used for acute relief in cluster headaches

a.ramipril
b.verapamil
c.propanolol
d. imigran

A

d. imigran

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16
Q

shooting facial pain like electric shock in gums indicates what

A
17
Q

shooting facial pain like electric shock in gums indicates what

a.temporal arteritis
b.CSF leak
c.cervicogenic hemicrania
d.trigeminal neuralgia
e.migraine

A

d.trigeminal neuralgia

18
Q

which drug is used to treat trigeminal neuralgia

a.ramipril
b.verapamil
c.propanolol
d. imigran
e.tegretol

A

e.tegretol

19
Q

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

A

b.hypnic headache

20
Q

what is the treatment for hyping headache

a.
b.verapamil
c.lithium
d. imigran
e.tegretol

A

c.lithium

21
Q

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

A

c.brain tumour

22
Q

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

A

e.migraine

23
Q

what is first treatment for chronic migraines

a. lifestyle changes
b.medication
c.surgery

A

a. lifestyle changes

address the risk factors eg life stress, medication overuse

24
Q

what anticonvulsant drug is used for prophylaxis of migraines

a.topirmate
b.verapamil
c.lithium
d. imigran
e.tegretol

A

a.topirmate

25
Q

what is given for acute migraines

a.topirmate
b.verapamil
c.NSAIDs
d. imigran
e.tegretol

A

c.NSAIDs

26
Q

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

A

b.at the start of the headache

27
Q

what is the first line migraine prophylaxis for chronic migraines

a.metoprolol
b.verapamil
c.propanolol
d.NSAIDs

A

c.propanolol

Neurology 1 (44 decks)

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