CH09: Headache and Craniofacial Pain

Question 1

Pain from distention of the middle meningeal artery (p. 183)

Answer 1

Back of eye and temporal area

Question 2

Pain from ICA, ACA and proximal areas radiated to (p. 183)

Answer 2

Eye and orbital regions

Question 3

Dental or TMJ pain carried by what nerves (p. 183)

Answer 3

Second and third divisions of trigeminal nerve

Question 4

Location of pain from ICP (p. 183)

Answer 4

Bifrontal and bioccipital

Question 5

Headache incresed by compression of the jugular vein but unaffected by digital obliteration of the carotid artery (p. 184)

Answer 5

LP hedache, spontaneous low CSF presure headache

Question 6

How many percent of migraines are bilateral (p. 185)

Answer 6

1/3

Question 7

Most characteristic feature of migraine (p. 185)

Answer 7

Hemicranial and throbbing

Question 8

Migraine tends to cease in how many percent of women during pregnancy (p. 186)

Answer 8

75% to 80% in second to third trimester

Question 9

component of food linked with incidence of migraine (p. 186)

Answer 9

Tyramine

Question 10

dazzling zigzag lines arranged like the battlements ofa castle

Answer 10

fortification spectra

Question 11

transient third- nerve palsy with ptosis with or without involvement of pupil in ophthalmoplegic migraine (p. 190)

Answer 11

TRUE

Question 12

most common gene locus in familial hemiplegic migraine (p. 190)

Answer 12

CACNA1A

Question 13

second locus of gene in familal hemiplegic migraine (p. 190)

Answer 13

ATP1A2

Question 14

rare locus of gene in familial hemiplegic migraine (p. 190)

Answer 14

SCNA1

Question 15

cut off time for status migranosus (p. 191)

Answer 15

72 hours

Question 16

pathogenesis of migraine (p. 193)

Answer 16

cortical spreading depression, trigeminal hyperexcitability

Question 17

CGRP haven been investigated as medication for migraine but removed due to this toxicity (p. 196)

Answer 17

liver toxicity

Question 18

Methysergide treatment rare but serious side effect/ complication (p. 197)

Answer 18

Retroperitoneal and pulmonary fibroses

Question 19

eponym histamine cephalalgia (p. 197)

Answer 19

Horton’s headache

Question 20

average length of cluster headache attack (p. 198)

Answer 20

45 minutes

Question 21

cluster type headache lasting for about 4 minutes; unilateral neuroalgia with conjunctival injection (p. 198)

Answer 21

SUNCT

Question 22

treatment of cluster type headache (p. 199)

Answer 22

Verapamil 80mg QID

Question 23

most common variety of headache(p. 199)

Answer 23

Tension- type headache

Question 24

peculiarity of tension type headache (p. 199)

Answer 24

Only headache to be present almost throughout the day

Question 25

Ergotamine and propanlol effective for tension type headache (p. 200)

Answer 25

FALSE

Question 26

treatment for hypnic headache (p. 200)

Answer 26

Lithium carbonate 300mg or Indamethacin 75mg

Question 27

deep seated, dull, steady, mainly unilateral and maybe accompanied by drowsiness or confusion (p. 201)

Answer 27

Headache from subdural headache

Question 28

Tentorial hematoma featuer: pain radiating to the (p. 201)

Answer 28

Eye

Question 29

demarcation of pain of supratentorial and infratentorial tumor headache (p. 201)

Answer 29

Interauricular conference

Question 30

most sensitive laboratyr indicator of temporal arteritis (p. 202)

Answer 30

CRP

Question 31

most sensitive imaging for temporal arteritis (p. 202)

Answer 31

Arteriography of external carotid artery

Question 32

treatment of temporal arteritis (p. 202)

Answer 32

Prednisone 45mg to 60mg/ day

Question 33

incidence of spinal puncure headache (p. 202)

Answer 33

5%

Question 34

treatment for catamenial headache (p. 203)

Answer 34

NSAID, sumatriptan, zomitriptan 3 days before menses

Question 35

Drop of estradiol in this period associated with catamenial headache (p. 203)

Answer 35

late luteal phase of ovulation

Question 36

Treatment fir exertional headache (p. 203)

Answer 36

Indomethacin

Question 37

headache with flushing of face and hands, numbeness of fingers (p. 204)

Answer 37

Erythrocyanotic headache

Question 38

Differentials for erythrocyanotic headache (p. 204)

Answer 38

Mastocytosis, carcinoid tumors, tumors w pancreatic islet, pheochromocytoma

Question 39

Value of BP when pheochromocytoma is most prominent (p. 205)

Answer 39

Pheochromocytoma correlates with rate of increase than absolute value

Question 40

physical examination to elicit trochlear headache (p. 207)

Answer 40

Look down and then up

Question 41

a hint to this disease is inability to feel food in the mouth (p. 209)

Answer 41

Sjogren disease