OSCE preparation

Question 1

Why Migraine?

Answer 1

Heredity
Hormonal activity
Onset of Menstruation
Stress
Skipping meals

Question 2

Trigger Migraine?

Answer 2

Missed, delay meals
Dehydration
Lack of sleep
Stress
Noise
Travelling

Question 3

Migrane symptoms with “Aura”?

Answer 3

Warning feeling before an hour “starting migraine”
Warning like flashing lights, zigling lines, feeling pins and needles in your hand.

Question 4

Migraine symptoms WITHOUT Aura?

Answer 4

Throbbing quite severe pain one side
Last 4 hours to 3 days
Nauseous,Vomiting
Dizziness
Irretated to lights and sounds

Question 5

Children symptoms for Migrine?

Answer 5

Nausea and Vomiting with diarrhoea
Increased urination sweating and thirst.

Question 6

Self Care for Migraine?

Answer 6

Eat regularly,rest
Avoid smoking
Exercise
Relax, meditation,Yoga

Question 7

Treatment of Migraine?
How to take Buccul teblet?

Answer 7

Treat with just pain relief
Sumatriptan (PO) but avoid during pregnancy
Prochlorperazine is used to treat nausea and vomiting (safe in pregnancy)
NSAIDs (after 30 Wks NO NO in pregnancy)
Paracetamol
With codeine

Dose: Prochlorperazine Buccal tablet BD. placed between gums to dissolve, Improvement would show in 60 mins

Question 8

Red Flags for Migraine?

Answer 8

Experiencing first time after 50 years of age
Severe headache, fever, Blood pressure, Seizure, Confusion
Pregnancy,
Age below 18 years

Question 9

Caution for migraine medicine Prochlorperazine?

Answer 9

Prochlorperazine make dizzi so avoid driving, or running heavy vehicle.

Do not drink alcohol.