Headaches

Question 1

A sharp pain indicates what type of headache?

Answer 1

Neurological

Question 2

Throbbing pain indicates what type of headache?

Answer 2

More vascular in pain

Question 3

Inside pressure pushing outward indicates what type of headache?

Answer 3

Vascular and possibly life threatening

Question 4

Outside Inward pressure indicates which type of headache?

Answer 4

Tension headache

-may have hat band type pain

Question 5

Aura type headache indicates what?

Answer 5

Migraine

Question 6

A dull pain is characteristic of?

Answer 6

Tooth-ache

Question 7

Positive Valsalva’s maneuver indicates a possible space occupying lesion such as?

Answer 7

Tumor
Aneurysm
Hematoma

Question 8

Quiet, dark room will remiss what type of headache?

Answer 8

Migraine type headache

Question 9

What type of headache will get worse as the day progresses?

Answer 9

Tension headaches

Question 10

What are the mechanisms that produce headaches?

Answer 10

• Tension on veins and/or displacement of the Dural venous sinus
• Tension/distention of meningeal arteries or large arteries at base of skull
• Inflammation/pressure by masses upon pain sensitive structures within cranium or outer surface of cranium
• Spasms of cervical musculature

Question 11

Migraine, cluster, exercise or diet related, post concussion or hypertension are related to what type of recurrent headaches?

Answer 11

Vascular recurrent headaches

Question 12

Tension, inflammatory disorders of the cervical musculature are related to what type of recurrent headaches?

Answer 12

Muscular recurrent headaches

Question 13

What thins are related to non-recurrent headaches?

Answer 13

Meningitis
Encephalitis
Subarachnoid hemorrhage: acute head trauma

Question 14

A positive brudzinski or Kernig’s test and a fever present indicate what type of headache?

Answer 14

Meningitis

-life threatening

Question 15

A life threatening headache presenting an internal pressure pushing outward indicates?

Answer 15

Brain abscess

Question 16

What are four causes of a life threatening headache?

Answer 16

Brain abscess
Meningitis
Subdural hematoma
Tumor

Question 17

Short onset, acute/sever pain, positive Valsalva’s and Triad of Dejerine and exacerbation during recumbency, while being more sever upon waking but may be more tolerable during the day is characteristic of what type of headache?

Answer 17

Life threatening

Question 18

Hat band distribution or localized to occiput with onset during the day and increase in severity as day progresses, presenting for “awhile” and may display anxiety or may be chronically depressed characterizes what type of headache?

Answer 18

Tension headache

Question 19

What type of tension headache has a general short duration, aching may begin in neck and become generalized throughout cranium and stretching or gentle massage may relieve it?

Answer 19

Acute tension headache

Question 20

What type of tension headache would occur for days, often disabling enough to disrupt daily activities, pain in generalized throughout the cranium, nausea and vomiting?

Answer 20

Sub-acute muscle contraction headache

Question 21

What type of tension headache is related to physical or emotional trauma, pain is usually present when going to sleep and may be there upon waking, generalized in the head and may include shoulders, Dull ache in an outward to inward direction?

Answer 21

Chronic muscle contraction headache

Question 22

What are the three types of migraines?

Answer 22

1. Classical
2. Atypical
3. Cluster

Question 23

What are the basic characteristics of migraines?

Answer 23

Nausea or vomiting
Vascular throbbing/pounding type pain
Retro-orbital and/or temporal location
Can be familial 
Onset usually begins in childhood
Mainly unilateral
Possible warning (AURA)

Question 24

What type of migraine is bilateral with one side being more severe, relentless dull ache or stabbing pain in or behind eye area, occur upon waking hours or may occur later in the day, exacerbated by bright lights, noise, tension and remission from rest and a darkened room?

Answer 24

Atypical migraine

Question 25

What type of migraine is located in the frontal or temporal region unilaterally, throbbing or pounding nature, begins upon waking and experiences AURA, exacerbated by alcohol, bright lights, and positional stress. Relieving factors rest, sleep and a darkened room, may have visual disturbances, nausea and vomiting?

Answer 25

Classical migraine

Question 26

What type of migraine is unilateral with sudden pain onset, in the orbital area radiating to the temple, nose, upper jaw or neck. With a brief stabbing/knife like pain occurring in clusters frequently during sleep causing patient to wake, more prevalent in males 6:1 and affects middle aged people?

Answer 26

Cluster migraine

Question 27

Redness of the eye on the affected eye, increase in lacrimation, rhinorrhea, or stuffiness of nostril and swelling of the temporal vessels on the affected side are associated with which type of migraine?

Answer 27

Cluster migraines

Question 28

What headache occurs occurs in individuals in 55 or older, pain located in temporal artery unilaterally, knife-like, shooting, stabbing and may prevent sleep. Tenderness in scalp area and exacerbated by combing hair, pain might shoot down cervical spine and touching area of pain?

Answer 28

Temporal arteritis

Question 29

What are the associated signs and symptoms of temporal arteritis?

Answer 29

Cachexia Malaise/fatigue Muscle ache of affected area

Question 30

Head injury, local pain with tenderness at the site of impact, and pain lasting a few hours to several days and then symptom free indicates what type of headache?

Answer 30

Post concussion

Question 31

What are the signs or symptoms of a post concussion headache?

Answer 31

Headache Vertigo Impairment of memory and concentration Possible skull fracture

Question 32

What type post concussion syndrome is the most common, with dull, aching, pressure like sensation, location is entire scalp, and patient might be anxious?

Answer 32

Type 1 post concussion

Question 33

What type post concussion has pain local to injury site and tender zone at point of pain?

Answer 33

Type 2 post concussion

Question 34

What are the general characterizations of headache pain?

Answer 34

``` Sharp pain Throbbing Dull Pressure Aura type ```