Headaches

Question 1

Most common HA in general population?

Answer 1

Tension Headache

Question 2

Describe Tension Headache sx

Answer 2

Bilateral hand-like vise-like tight pressure from forehead around sides to occiput. Mild to moderate pain. No N/V.

Question 3

Frequent Tension Headache how many days/mo?

Answer 3

1-14d/mo

Question 4

Tx for all Tension Headache?

Answer 4

NSAIDs, ASA, APAP. +/- caffeine.

Question 5

PPX for Tension Headache?

Answer 5

Amitriptyline (TCA)

Question 6

Any N/V or focal neuro sx in Tension Headache?

Answer 6

No

Question 7

Chronic Tension Headache tx?

Answer 7

Topirmate and Gabapentin

Question 8

What is #1 MC complaint to neurologists?

Answer 8

Migraine HA

Question 9

Which nerve conducts Migraine HA?

Answer 9

Trigeminal

Question 10

When do Migraine HA begin and peak?

Answer 10

Begin in adolescents, peak at middle age

Question 11

Pain and neuro deficits in Migraine HA?

Answer 11

Yes. Severe HA, focal neuro sx (aura in 1/3)

Question 12

1st line tx Migraine HA without nausea of vomiting?

Answer 12

NSAIDs, APAP

Question 13

When Tripans used to ppx Migraine HA?

Answer 13

If no response to single or combo analgesics

Question 14

How many Migraine HA per month to warrant prevention therapy?

Answer 14

3-4/mo

Question 15

Which triptain good for Migraine HA abortive?

Answer 15

Frovatriptin

Question 16

Beta blocker and what age in Migraine HA?

Answer 16

> 60 don’t use

Question 17

PPX in Migraine HA?

Answer 17

Beta blockers, CCBs, TCAs, anticonvulsants

Question 18

Cluster HA etiology?

Answer 18

Trigeminal autonomic cephalagia

Question 19

When Cluster HA chronic?

Answer 19

≥15day/mo for 3+ mo

Question 20

Where pain in Cluster HA?

Answer 20

Unilateral Orbital/supraorbital or temporal sharp/lancinating pain

Question 21

Neuro sx in Cluster HA?

Answer 21

Ipsilateral ptosis, miosis, anhydrosis, nasal congestion/rhinorrhea, conjunctival injection, lacrimation

Question 22

Tx for Cluster HA?

Answer 22

NRB 100% O2 12-15LPM for 15-20min. Sumatriptan helps during attack.

Question 23

Cluster HA ppx?

Answer 23

Verapamil

Question 24

Define Secondary HA

Answer 24

Head pain d/t underlying neuro issue.

Question 25

When to suspect Secondary HA?

Answer 25

Abrupt, worst, or progression of severity

Question 26

Three types of Primary HA?

Answer 26

Migraine, tention, cluster/reoubt.

Question 27

Primary HA etiology?

Answer 27

Idiopathic.

Question 28

MC HA in women?

Answer 28

Tension/migraine.

Question 29

Pseudotumor Cerebri type of HA?

Answer 29

Secondary

Question 30

Sx of Pseudotumor Cerebri?

Answer 30

N/V, pulsatile tinnitus, visual changes

Question 31

Pappiledema with which HA?

Answer 31

Pseudotumor Cerebri

Question 32

LP shows what in Pseudotumor Cerebri?

Answer 32

CSF is normal, increased opening pressure.

Question 33

CN6 palsy in which HA?

Answer 33

Pseudotumor Cerebri