TX of HA

Question 1

Tension HA

Answer 1

NSAIDS or Acetaminophin

Question 2

Prophylaxis of Tension HA

Answer 2

Antidepressant or BB

Question 3

Cluster TX acutely

Answer 3

100% O2 or triptan

second line- dihydroergotamine

Question 4

Prophylaxis of Cluster

Answer 4

Verapamil lithium methysergide or ergotamine

Question 5

Migraine acutely

Answer 5

Triptan, NSAIDS

Second line dihydroergotamine or anti-emetics

Question 6

Prophylaxis for migraine

Answer 6

BB first line!

CCB

Question 7

Temporal Arteritis Starting tx

Answer 7

Corticosteroids to avoid Blindness

NEVER DELAY TX TO CONFIRM BX

Question 8

Trigeminal neuralgia Tx

1st line

Answer 8

Carbamazepine First line

Phenytoin, clonazepam or valproic acid

Question 9

withdrawal HA

Answer 9

NSAIDS

Question 10

Subarachnoid Hemorrhage

Answer 10

Immediate neurosx evaluation and nimodipine to reduce incidence of post-rupture vasospasm and ischemia

Question 11

TMJ

Answer 11

NSAIDS. Stress reduction, Muscle relaxants, refer to oral sx

Question 12

When are triptans contraindicated?

Answer 12

Known CAD or if pt took ergot drugs in last 24 hours