Quiz 1 Headache part 1

Question 1

what criteria must be met to diagnose tension?

Answer 1

at least one of the following: photophobia, nausea, phonophobia

Question 2

What are the types of primary headaches?

Answer 2

tension, migraine, cluster, idiopathic intracranial headache and htunderclap

Question 3

What criteria must be met to diagnose migraine?

Answer 3

-At least 2 of the following: nausea, disabling pain, photophobia
-at least 2 of the following: pain iwht movement, one spot of pain and severe/ moderate pain
-at least 1 of the following: nausea/ vomiting or phonophobia/photophobia

Question 4

How long does a tension headache last?

Answer 4

30 minutes to 7 days
-worsens with glare, eating, stress, noise etc

Question 5

what symptoms will tension headache pt feel?

Answer 5

band of tightness, bilateral pain, low concentration, pericranial tenderness, nausea or photophobia or phonophobia

Question 6

treatment options for tension headache?

Answer 6

NSAIDS or TCA as prophylaxis

Question 7

what differentiates tension headache4?

Answer 7

there is NO pain with movement/ worsening of pain with activity

Question 8

risks of TCA

Answer 8

-when used as a prophylaxis they can cause addiction, diahrrea or medication dependent headache

Question 9

what is worse migrain with aura or wihtout

Answer 9

migraine without aura
-mostly affects women and kids

Question 10

sympomts of migraine no aura

Answer 10

-pain with activity, vomiting, nausea, increase intensity, pulsation, POUND

Question 11

pound

Answer 11

-pulsation
-one day duration no more than 72hrs
-unilateral location
-nausea/ vom
-disabling intensity

Question 12

migrain treatments?

Answer 12

-TCA
-NSAIDS
-ergotamines
-seratonine agonists
-triptans that target 5-HT
-sumatriptan
-ubrogepant, lasmiditran, rimegepant, prochlorperazine and chlorpromazine
-antihystamines
-antiseizure meds

Question 13

antizeizure meds

Answer 13

topiramate, valproate and gabapentin

Question 14

analgesiac limits for treatment

Answer 14

-single NSAID no more than 15 days
-combo no more than 10 days

Question 15

what do triptans not treat?

Answer 15

basilar migraine or hemiplegic migraine

Question 16

criteria for migraine with aura symptoms

Answer 16

-aura symptom is reverisble, the onset is over 4 minutes or there are 2 aura symptoms back to back
-pound

Question 17

t or f pain is worse with activity in migraine

Answer 17

t

Question 18

what is a status migrainosus

Answer 18

longer than 72 hours with or without aura with vom and dehydration

Question 19

what is a basilar migraine

Answer 19

-with aura
-comes from the brainstem
-lose consciousness, ataxia, vertigo, tinnitus etc

Question 20

what affects more men than women?

Answer 20

cluster

Question 21

how are cluster headaches timed?

Answer 21

episodic every o0her day for up to 8 days for 1-3 months
-may go into remission for years may not

Question 22

unilateral pain, temporal pain, nasal congestion, conjuntival symptoms, swollen face and eyelids, ptosis are part of?

Answer 22

cluster headache

Question 23

cluster headache treatment?

Answer 23

-triptans, oxygen, ergotamine, lidocaine, nsaids,
-verapamil and lithium as prophylaxis

Question 24

ergotamine is?

Answer 24

cafergot
-ergotamine tartrate + caffeine

Question 25

onset of thunderclap?

Answer 25

under one min increases intensity and lasts more than 5 min

Question 26

diagnostic steps for thunderclap?

Answer 26

must do LP with CT to rule out SAH
-some pt have have papilledema

Question 27

t or f thunderclap has papilledema

Answer 27

t in some cases not always present
-can be a hint that you NEED CT bc the brain will herniate with LP if the papilledema is from a mass or SAH

Question 28

what am I? wake up with pain that improves as the day progresses

Answer 28

idiopathic intracranial headache

Question 29

t or f idiopathic headache has papilledema?

Answer 29

true in some cases not always

Question 30

idiopathic treatment?

Answer 30

LP may decrease CSF pressure leading to releif
-shunt may need to be placed
-acetazolamide or topiramate

Question 31

population getting idiopathic headaches?

Answer 31

obese ppl and females pregnant