trigger - headache

Question 1

HA present with cancer, lyme disease, or HIV means you should do what

Answer 1

get imaging (MRI preferred, CT is ok)

Question 2

attributed to cortical spreading depression

Answer 2

cause of aura symptoms in migraine

Question 3

look at itttt

Question 4

works on trigeminal nerve receptors in cranial blood vessels

Answer 4

triptans

Question 5

ischemic heart disease stuff is CI

IHD, prinzmetals, CAD, PVD, stroke

Answer 5

triptans

also avoid in pts >65, ergot meds, and familial hemiplegic migraine

Question 6

caution in pts with HR lowering meds, SSRI/SNRI, CYP3A4 inhibs and breastfeeding

Answer 6

triptans

Question 7

how long after taking a triptan can you take a second one

Answer 7

2 hours

Question 8

BBW of peripheral ischemia when mixed w a CYP3A4

Answer 8

ergots

Question 9

CI in renal/hepatic impairment, sepsis, breastfeeding and preg

Answer 9

ergots.

also CAD, PVD, HTN

Question 10

what can be taken instead of triptans in pts w CVD risk factors

Answer 10

ditans
5 - HT1F receptor agonist

Question 11

blocks CGRP protein that carry pain signal

Answer 11

gepant

Question 12

botox and acupuncture

Answer 12

prophylaxis for migraine

Question 14

riboflavin, venlafaxine, BBs, valproic acid

Answer 14

prophylaxis for migrains

Topiramate
Valproic acid
BBs (timolol or propranolol)
Amitriptyline
Venlafaxine
Botox A
Riboflavin
CGRP MABs (injectable and takes months to be eliminated)

Question 15

MC HA disorder

Answer 15

tension

Question 16

bilateral band/vise like

Answer 16

tension

Question 17

dont use these for tension unless you gotta

Answer 17

triptans
ergots

Question 18

Activation of cells in the ipsilateral hypothalamus with secondary triggering of trigeminal autonomic vascular system.

Answer 18

cluster headaches

Question 19

risks include tobacco, ETOH, middle aged man

Answer 19

cluster HA

Question 20

asssocaited with Horner syndrome, lacrimation, rhinorrhea, conjunctival injection and nasal congestion

Answer 20

ipsilateral autonomic s/s for cluster HA

Question 21

100% O2 at 7-12L/min over 15 min via NRB
Contralateral admin of nasal sumatriptan
DHE (ergot derivative)
Preventative stuff

Answer 21

cluster HA tx

Question 22

Syndrome of increased ICP without space occupying lesion

Answer 22

benign intracranial hypertension

Question 23

MC in Obese, postpubertal, white, non-hispanic women

Answer 23

BIH

Question 24

tinnitus

Answer 24

BIH

Question 25

> 250mmHg CSF pressure

Answer 25

BIH