Final Exam -- Headaches--Part II Flashcards
True or false: tension-type headaches are the most common type of headache worldwide.
True.
Tension-type headaches are ___________ (bilateral/unilateral) and ___________ (throbbing/non-throbbing).
Bilateral*, non-throbbing
Comparing tension headaches to migraines, which does worsen with exercise?
Migraine
Comparing tension headaches to migraines, which does not worsen with exercise?
Tension
Comparing tension headaches to migraines, which is not typically associated with nausea or vomiting?
Tension
Comparing tension headaches to migraines, which is typically associated with nausea or vomiting?
Migraine
In order to diagnose a tension headache, there must be at least 10 episodes of headaches fulfilling four other criteria. One of those four criteria is that the headache must last how long?
30 minutes to seven days
In order to diagnose a tension headache, there must be at least 10 episodes of headaches fulfilling four other criteria. One of those four criteria is there must be at least two of which four characteristics?
Bilateral*
Pressing/tightning* (nonpulsating)
Mild/moderate intensity*
Not aggravated by routine physical activity*
In order to diagnose a tension headache, there must be at least 10 episodes of headaches fulfilling four other criteria. One of those four criteria is there must be no nausea or vomiting* AND no more than one of photophobia or phonophobia*.
Free card.
In order to diagnose a tension headache, there must be at least 10 episodes of headaches fulfilling four other criteria. The last of those four criteria is that the headache is not better accounted for by another diagnosis.
Free card.
What is the most common trigger for a tension headache?
Stress*
Tension headaches are divided into infrequent/episodic, frequent, and chronic. On average, how often do infrequent/episodic headaches occur?
Less than 1 day per month on average
Tension headaches are divided into infrequent/episodic, frequent, and chronic. On average, how often do frequent headaches occur?
Between 1-14 days per month on average
Tension headaches are divided into infrequent/episodic, frequent, and chronic. On average, how often do chronic headaches occur?
More than 15 days per month on average
Tension headaches are divided into infrequent/episodic, frequent, and chronic. Which is most common?
Infrequent/episodic*
Treatment for tension headaches can include analgesics (ibuprofen, naproxen, aspirin) and acetaminophen. Which of these (analgesics vs acetaminophen) is less effective and should be limited in use to 9 days/month and limited to 2 doses/day?
Acetaminophen
Treatment for tension headaches can include analgesics (ibuprofen, naproxen, aspirin) and acetaminophen. Which of these (analgesics vs acetaminophen) is more effective and should be limited to 15 days/month?
Analgesics
Prophylaxis of tension headaches is done through stress avoidance. Use of which antidepressant can also be considered?
Amitriptyline*
Chronic daily headaches (aka “chronic migraines”) are characterized by headaches occurring at least _____ days per month for at least _______ months.
At least 15 days/month for at least 3 months*
Which migraine subtype involves the brainstem or bilateral occipital hemispheres?
Migraine with brainstem aura (aka basilar migraine)
Basilar migraines need two or more of what symptoms for diagnosis? (FYI: these symptoms last 5-60 minutes)
Dysarthria Vertigo/difficulty walking Tinnitus and/or hearing impairment Diplopia Bilateral visual symptoms* Bilateral paresthesia Decreased consciousness
True or false: when asked to localize the pain, a patient with a basilar migraine will point to their entire forehead, just above the eyes.
False; they will more likely point to the back of their head (occipital area).
True or false: with basilar migraine, it is possible for a patient to have weakness
False; there should be no evidence of weakness.
Typically avoid beta blockers and triptans in basilar, hemiplegic, and retinal migraines.
Free card.
