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MS II > Headaches > Flashcards

Headaches Flashcards

1
Q

What is the most disabling disorder in women?

A

headaches

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2
Q

What causes a headache?

A

sensory input into the nucleus from 3 nerve upper roots and trigeminal overflows

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3
Q

Characteristics of tension type: headaches lasting from _ to _

A

30 minutes

7 days

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4
Q

Characteristics of TTH with at least 2 of:
_ location
_ quality
_ intensity
(aggravated/not aggravated) by physical activity

A

bilateral location
pressing/tightening
mild or mod
not aggravated

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5
Q

Characteristics of TTH both of the following

A

no nausea or vomiting

no more than 1 or photophobia or phonophobia

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6
Q

A patient presents with headaches lasting 3 days, tightening feeling, mild intensity and is not irritated by physical activity. Which type of headache do you suspect?

a. cervicogenic
b. migraine
c. TTH
d. other headache

A

TTH

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7
Q

A patient presents with headaches lasting 5 days, on both sides of the head, is of moderate intensity and is not experiencing nausea. What type of headache do you suspect?

a. cervicogenic
b. migraine
c. TTH
d. other headache

A

TTH

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8
Q

A patient has around 12 episodes of TTH over a year. What is the frequency of this headache?

a. frequent
b. chronic
c. none of the above
d. infrequent

A

infrequent

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9
Q

at least 10 episodes on <1 day per month on average (<12 days/year)

a. frequent TTH
b. infrequent TTH
c. chronic TTH

A

infrequent TTH

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10
Q

at least 10 episodes occurring >1 but <15 days per month for at least 3 months (>12 but <180 days/year)

a. frequent TTH
b. infrequent TTH
c. chronic TTH

A

frequent TTH

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11
Q

A patient has about 13 headaches within a month. What severity of TTH?

a. frequent TTH
b. infrequent TTH
c. chronic TTH

A

frequent

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12
Q

headaches occurring on >15 days per month on average for >3 months (>180 days/year)

a. frequent TTH
b. infrequent TTH
c. chronic TTH

A

chronic TTH

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13
Q

TTH are due to

a. vascular
b. myofascial input
c. joints

A

myofascial input

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14
Q

patients with TTH have central sensitization (true/false)

A

true headache causes central sensitization

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15
Q

What is the major cause of TTH?

A

trigger points

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16
Q

A tender spot in a taut band, positive with a twitch response, referred pain describes a

A

trigger point

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17
Q

TP _ intensity and frequency of HA

A

increase

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18
Q

What areas typically have TP causing TTH?

A

sub-occipitals, temporalis, SCM, upper trap

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19
Q

Treatment options for TTH

A 
ischemic compression
stretches
soft tissue massage
dry needling
spinal manipulation
contract relax
spray and stretch
20
Q

Cervicogenic headaches are primarily caused by

a. trigger points
b. vascular input
c. joints

A

joints

21
Q

Patient has signs of neck involvement, awkward head posture, a restriction of ROM and same side pain in their arm, pain only on one side and headache pain fluctuates. What type of headache would you suspect?

a. TTH
b. migraine
c. none of the above
d. cervicogenic

A

cervicogenic

22
Q

Headache symptoms are non-throbbing, mod-severe, varying duration and fluctuating continuous pain

a. TTH
b. migraine
c. none of the above
d. cervicogenic

A

cervicogenic

23
Q

Cervicogenic headaches are (unilateral/bilateral)

A

unilateral

24
Q

Patient complains of headache with seated slump and feels a pull, which type of headache would you suspect?

a. TTH
b. migraine
c. none of the above
d. cervicogenic

A

cervicogenic

25
Q

A patient who has a forward head and experiences cervicogenic headaches could be due to

A

rectus capitis posterior minor and dura mater

26
Q 
Facet joints 
atlanto-occipital joints and ligaments 
ligaments of c-spine 
annulus of IVD
periosteum of VB
cervical muscles 
sub-occipital muscles 
dura mater 
can cause _ headaches
A

cervicogenic

27
Q

What are treatment options for cervicogenic headaches?

A 
spinal mobs/manips
motor control ROM 
soft tissue mobs
traction
neurodynamics
GMI
densentization 
modalities
28
Q

A migraine has a presence of

A 
photophobia 
vomiting 
nausea
throbbing 
pounding
29
Q

a migraine has at least _ attacks fulfilling criteria

A

5

30
Q

headache attacks lasting 4-72 hours, unilateral location, pulsating and aggravated by physical activity, this type of headache can suggest

a. TTH
b. migraine
c. none of the above
d. cervicogenic

A

migraine

31
Q

Nausea and/or vomitinig, photophobia and phonophobia during headaches suggest _

A

migraine

32
Q

This type of headache is unilateral and they avoid physical activity, experience vomiting

a. TTH
b. migraine
c. none of the above
d. cervicogenic

A

migraine

33
Q

A migraine with an aura there is _ in blood flow

A

increase

34
Q

A migraine without an aura there is a _ in blood flow

A

decrease

35
Q

_ headaches experience allodynia

A

migraine

36
Q

the only headache that is related to genetics

A

migraine

37
Q

Treatment options for migraines

A 
soft tissue
spinal mobs/manips
neurodynamics
aerobic 
ROM 
relaxation
mediation
sleep hygiene
38
Q

an exertional headache that may be caused by valsalva-type maneuvers

a. TTH
b. migraine
c. cervicogenic
d. exercise-related

A

exercise-related

39
Q

What is the most common type of HA in athletes?

a. TTH
b. migraine
c. effort headache
d. exercise-related

A

effort headache

40
Q

with persistent input there is _ CNS sensitivity and development of allodynia

A

increased

41
Q

100% of TTH pjs have trigger points in _ muscles

a. temporalis
b. upper trap
c. SCM
d. sub-occipital

A

sub-occipital

42
Q

How can trigger points influence a TTH?

A

increased intensity and frequency

43
Q

Symptoms of a cervicogenic headache are (ipsilateral/contralateral) neck, shoulder or arm pain

A

ipsilateral

44
Q

ROM exercises, motor control, traction, neurodynamics, GMI and desensitization are good treatments for which type of headache?

a. TTH
b. cervicogenic
c. migraine

A

cervicogenic

45
Q

Dry needling, soft tissue, stretches, ischemic compression are good for which type of headache?

a. cervicogenic
b. TTH
c. migraine

A

TTH

46
Q

Neurodynamics, aerobic, relaxation, ROM and sleep hygiene are good treatments for which type of headache?

a. TTH
b. migraine
c. cervicogenic

A

migraine

MS II (17 decks)

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