Headache

Question 1

Which headache is secondary?
a. Cluster
b. Migraine
c. Tension
d. temporal arteritis
e. none of the following

Answer 1

d. temporal arteritis

Question 2

The patient has headaches, mainly at night, on one side of the face, with a runny
nose and red eyes. Which headache is most likely?
a. cluster headache
b. migraine
c. paroxysmal haemicrania

Answer 2

a. cluster headache

Question 3

A 23-year-old female student suffering from optic neuritis had a lumbar puncture
three days ago. The day after the examination, she developed a headache, which
intensifies on standing up, and she is nauseous. It is:
a. meningitis after lumbar puncture
b. headache due to optic neuritis
c. headache due to multiple sclerosis
d. headache due to intracranial hypotension

Answer 3

d. headache due to intracranial hypotension

Question 4

In the treatment of intracranial hypotension, you advise:
a. common analgesics
b. lying down and hydration
c. non-steroidal antirheumatic drugs
d. opiate

Answer 4

b. lying down and hydration

Question 5

The most effective treatment for Horton’s headache is:
a. sumatriptan p.o.
b. sumatriptan nasal spray
c. sumatriptan s.c.
d. sumatriptan rectal

Answer 5

c. sumatriptan s.c.

Question 6

Short-term prevention of Horton’s headache:
a. NSAID
b. corticosteroids
c. cytostatics
d. oxygen

Answer 6

b. corticosteroids

Question 7

Primary headaches include:
a. MELAS
b. SUNCT
c. MERRF
d. CADASIL

Answer 7

b. SUNCT

Question 8

Migraine prevention:
a. healthy diet
b. enough sleep
c. stop smoking
d. stop drinking alcohol
e. All

Answer 8

e. All

Question 9

Therapy for tension headache:
a. ibuprofen
b. sumatriptan
c. ergotamine
d. metaclopramide

Answer 9

a. ibuprofen

Question 10

Therapy of paroxysmal haemicrania:
a. ibuprofen
b. indomethacin
c. Codeine

Answer 10

b. indomethacin

Question 11

Which medicine to prescribe for a 24-year-old female student with severe migraines,
usually accompanied by vomiting:
a. almotriptan per os
b. zolmitriptan per os
c. sumatriptan per os
d. sumatriptan nasal spray

Answer 11

d. sumatriptan nasal spray

Question 12

Migraine prophylaxis uses medicines from the following groups:
a. antiepileptics
b. antidepressants
c. calcium antagonists
d. all of the above

Answer 12

d. all of the above

Question 13

The most ‘unilateral’ of headaches is:
a. Horton’s headache
b. migraine
c. tension-type headache
d. headache due to an inflamed sinus

Answer 13

a. Horton’s headache

Question 14

It is not specific to migraine:
a. often starts in the teenage years
b. it is more common in women
c. present in as much as 1% of the population
d. it often occurs in families

Answer 14

c. present in as much as 1% of the population

Question 15

Triptans are:
a. Serotonergic receptor agonists
b. Serotonergic receptor antagonists
c. dopaminergic receptor agonists
d. dopaminergic receptor antagonists

Answer 15

a. Serotonergic receptor agonists

Question 16

Eliminate the alien:
a. cluster headache
b. Horton’s headache
c. chronic paroxysmal haemicrania

Answer 16

c. chronic paroxysmal haemicrania

Question 17

What kind of headache is a secretary who eats 25 tbl of Amigral in a month?
a. tension headache
b. chronic headache due to medication
c. headache in raphalas
d. paroxysmal haemicrania
What is her advice?
e. Phase out analgesics and introduce antidepressants

Answer 17

b. chronic headache due to medication

Question 18

What would you recommend to a patient to relieve a tension headache?
a. relaxation, biofeedback, physiotherapy
b. sumatriptan
c. lidocaine patch
d. opiates

Answer 18

a. relaxation, biofeedback, physiotherapy

Question 19

It does not apply to headache in raphalas:
a. is more common in women
b. onset around the age of 30
c. is more common in smokers
d. is more common in black people

Answer 19

a. is more common in women

Question 20

A female cook, 32 years old, 165 cm, 115 kg, RR 135/90, takes contraceptives
and complains of headaches for several weeks. What is the diagnosis?
a. oestrogen headache
b. migraine
c. headache in raphalas
d. idiopathic intracranial hypertension

Answer 20

d. idiopathic intracranial hypertension

Question 21

A visually impaired art student with psychiatric comorbidity sees rainbows and has
a headache. It’s about:
a. migraine aura

Answer 21

a. migraine aura

Question 22

Headache after lumbar puncture is characterised by - 2 correct?
a. worse when you get up
b. worse when you lie down
c. associated autonomous signs
d. stiff neck may be present
e. usually unilateral

Answer 22

a. worse when you get up
d. stiff neck may be present

Question 23

Headache is not characteristic of a tumour:
a. worst in the morning
b. progressively worse
c. more severe with flatulence, sneezing, coughing
d. long periods of spontaneous remission
e. can pass without analgesics

Answer 23

d. long periods of spontaneous remission

Question 24

The most common headache of these:
a. in raffles
b. paroxysmal haemicrania
c. migraine
d. sinus headache

Answer 24

c. migraine

Question 25

Circle the correct sequence for the duration of the headaches: a. migraine > trigeminal neuralgia > headache in the raphe b. migraine > headache in the raphe > trigeminal neuralgia c. headache in the raphe > migraine > trigeminal neuralgia d. trigeminal neuralgia > migraine > headache in the raphe

Answer 25

b. migraine > headache in the raphe > trigeminal neuralgia

Question 26

A lady with a headache and a red eye. What kind of headache? a. tension headache b. paroxysmal haemicrania c. migraine What is the best cure for this headache? d. Indomethacin.

Answer 26

b. paroxysmal haemicrania d. Indomethacin.

Question 27

If there is visual field loss in migraine aura, what is the problem? a. in the occipital cortex b. in the temporal cortex c. in the frontal cortex d. in the parietal cortex

Answer 27

a. in the occipital cortex

Question 28

A 16-year-old girl with a strange aura (motor, visual, consciousness disturbances) subsides after 23-30 minutes, then a throbbing occipital headache appears: a. basilar migraine b. common migraine c. complex partial epileptic seizure d. TIA

Answer 28

a. basilar migraine

Question 29

For which headache do we give O2 (100%) as therapy? a. paroxysmal haemicrania b. headache in raphalas c. SUNCT d. migraine

Answer 29

b. headache in raphalas

Question 30

Which medicines cause headaches? a. aspirin b. Naklofen (NSAID) c. triptani d. all of the above

Answer 30

d. all of the above

Question 31

When do we give migraine prophylaxis? a. for one headache per month b. one headache every two months c. more than two headaches per month

Answer 31

c. more than two headaches per month

Question 32

A 30-year-old right-wing teacher fell ill 10 days ago with the worst acute headache of his life. On examination, positive meningeal signs are found, neurological examination is normal. A head CT shows no pathological changes. What will be the patient's corpus luteum? a. bloody b. xantokromen c. Colourless d. moten

Answer 32

b. xantokromen

Question 33

What is not involved in the pathogenesis of migraine? a. NMDA receptors b. serotonin c. substance P d. trigeminocervical complex e. CGRP

Answer 33

a. NMDA receptors

Question 34

A 21-year-old art student with a positive psychiatric history complains of headaches. She sees a zigzag light lasting 30 min. What is the diagnosis? a. migraine aura b. hallucinations c. Optic neuritis d. occipital tumour

Answer 34

a. migraine aura

Question 35

The patient has severe headaches over the right eye, which wake him from sleep after a few hours at night. They have been recurring for weeks or months for 5 years: a. migraine b. headaches in raphalas c. SUNCT d. tension headache

Answer 35

b. headaches in raphalas

Question 36

The visible aura in migraine is: a. Anonymous b. bitemporal c. in the shape of a sickle

Answer 36

a. Anonymous

Question 37

He has unstable angina and migraine. What is he being treated with? a. naproxen b. sumatriptan c. amitriptyline d. valproate

Answer 37

a. naproxen

Question 38

What is not a characteristic of tension-type headache? a. severely incapacitates a person b. localised frontally c. can take a very long time

Answer 38

a. severely incapacitates a person

Question 39

A man with a headache and increased sedimentation. What does he have? a. temporal arteritis

Answer 39

a. temporal arteritis

Question 40

Are headaches genetic? a. Rarely, they may be due to a monogenetic genetic predisposition

Answer 40

a. Rarely, they may be due to a monogenetic genetic predisposition

Question 41

The pattern of visual field loss in migraine with aura is due to a disturbance in: a. occipital cortex b. temporal cortex c. frontal cortex d. parietal cortex

Answer 41

a. occipital cortex

Question 42

A 37-year-old man with a throbbing headache in the right side of his head. It occurs in waves lasting from 3 to 30 minutes. The right eye is red. Neurological status is OK. What is wrong with him? a. headache in raphalas b. migraine c. SUNCT d. tension headache

Answer 42

a. headache in raphalas

Question 43

The lowest incidence is from diseases of the nervous system group: a. trigeminal neuralgia

Answer 43

a. trigeminal neuralgia

Question 44

How long does an episode of headache last in raphalas? a. 3-6 hours b. 15 seconds to 3 minutes - primary stabbing headache c. 3-15 minutes d. 15 minutes to 3 hours

Answer 44

d. 15 minutes to 3 hours

Question 45

We took the young woman's liquor. The liquor is not disturbed, it flows in drops and there is one more piece of information - that it is normal. Then we measure a pressure of 20 cmH2 O. What kind of headache is she having? a. tension headache b. migraine c. it's worse in the morning d. it's worse when he strains, or coughs e. it is worse when it is standing and corrects itself when it is lying down

Answer 45

c. it's worse in the morning

Question 46

A woman has 0.3 g/L protein, 3/μL cells and 4.5 mmol/L glucose in her lysate. a. Borrelia b. Tuberculosis c. tick-borne meningoencephalitis d. paraneopalstic meningitis e. tension headache

Answer 46

e. tension headache

Question 47

Who do we worry about most when we have a headache? a. persons aged between 14 and 24 b. person over 50 with a new headache c. the gentleman who used to tingle on the fingers d. someone who has been vomiting for years

Answer 47

b. person over 50 with a new headache

Question 48

Headaches and heredity: a. All headaches are hereditary b. Most headaches are hereditary c. Headaches are not hereditary d. It is a monogenic inheritance e. They are caused by chromosomal abnormalities

Answer 48

d. It is a monogenic inheritance