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DIT Recommended Course Order > Video 12 Headache > Flashcards

Video 12 Headache Flashcards

1
Q

Which are the three types of headache?

A

1) Cluster.
2) Tension.
3) Migraine.

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2
Q

In Which of the types of headache is characterized by constant >30 min. non-throbbing pain (last 4-6hours, up to 7 days), and occurs in the frontal or occipital regions or as a band around the headache?

A

Tension Headache.

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3
Q

Which is the treatment for tension headache?

A

Analgesics, NSAIDs, acetaminophen; amitriptyline for chronic pain.

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4
Q

How is the migraine classification?

A

1) Migraine with aura.

2) Migraine without aura.

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5
Q

Which is the headache that is most common in women than mens?

A

Migraine.

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6
Q

Which is the name of the unilateral headache that can be accompanied by photophobia or phonophobia, and pulsating pain?

A

Migraine.

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7
Q

How long is the duration of the migraine?

A

4-72hr.

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8
Q

Which drugs are used as a prophylactic in migraines?

A

Propranolol, Topiramate, Ca2+ channel blockers, amitriptyline.

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9
Q

POUND- Migraines

A

Pulsatile, One-day duration, Unilateral, Nausea, Disabling.

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10
Q

Which headache is more common in youngest males than women?

A

Cluster headache.

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11
Q

In what kind of patients can we see cluster headaches?

A

1) Youngest males (20-30yrs).

2) Smokers.

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12
Q

Which are the characteristics of the cluster headache?

A

1) Strictly unilateral.
2) Pain in the Retro-orbital/Periorbital.
3) Duration 15min - 3 hr; repetitive. Often at same time.
4) Maybe associated with: Partial Horner syndrome (without anhidriosis), Ipsilateral eye redness, tearing, rhinorrhea, or nasal congestion.

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13
Q

Which is the treatment for cluster headache?

A

100% O2, Sumatriptan.

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14
Q

What type of drugs are the -triptans?

A

Serotonin agonist, cause vasoconstriction, modulate neurotransmission in trigeminal nerve.

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15
Q

When are used the -triptans?

A

Acute migraines or headache.

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16
Q

In which patients are contraindicated the -triptans?

A

Patients with:

1) Coronary artery disease.
2) Avoid in prinzmetal angina.
3) Realtively contraindicated in pregnancy.

17
Q

More common in young men who smoke…

A

Cluster headaches.

18
Q

What is the most likely cause of headache based on made worse by foods containing tyramine?

A

Migraine.

19
Q

What is the most likely cause of headache based on obese female with Papilledema?

A

Pseudotumor cerebri.

20
Q

What is the most likely cause of headache based on Jaw muscle pain when chewing?

A

Temporal Arteritis.

21
Q

What is the most likely cause of headache based on Periorbital pain with ptosis and miosis?

A

Cluster headache.

22
Q

What is the most likely cause of headache based on photophobia and/or phonophobia?

A

Migraine.

23
Q

What is the most likely cause of headache based on bilateral frontal/occipital pressure?

A

Tensional headache.

24
Q

What is the most likely cause of headache based on patient using topical retinoic acid for acne?

A

Pseudotumor cerebri.

25
Q

What is the most likely cause of headache based on lacrimation and /or rhinorrhea?

A

Cluster headache.

26
Q

What is the most likely cause of headache based on elevated ESR?

A

Temporal Arteritis.

27
Q

What is the most likely cause of headache based on the “worst headache of my life”?

A

Subarachnoid hemorrhage.

28
Q

What is the most likely cause of headache based on headache plus extra ocular muscle palsies?

A

Cavernous sinus thrombosis.

29
Q

What is the most likely cause of headache based on scintillating scoot a prior to headache?

A

Migraine with aura.

30
Q

What is the most likely cause of headache based on headache occurring either before or after orgasm?

A

Postcoital cephalalgia.

31
Q

What is the most likely cause of headache based on responsive to an 100% oxygen supplementation?

A

Cluster

32
Q

What is the most likely cause of headache based on trauma to the head resulting in headache begins days after the event, persists for over a week and does not go away?

A

Subdural hematoma.

33
Q

What is the most likely cause of headache based on severe headache plus fever or neck stiffness ?

A

Meningitis.

34
Q

What are the characteristics of the headache in brain tumors?

A

Constant headache, focal neurological defects, and seizures.

35
Q

What is the mechanism of action of sumatriptan?

A

Serotonin 5-HT 1B, 1D receptor agonist.

36
Q

What are the contraindications to sumatriptan use?

A

1) Coronary artery disease.
2) Prinzmetal angina.
3) Pregnancy.

DIT Recommended Course Order (21 decks)

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