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OPTO MED > MIDTERM > Flashcards

MIDTERM Flashcards

1
Q

Origin of pain in extra cranial

A

Sinuses
Eyes/orbit
Teeth
TMJ
Blood vessels
CN 5, 7,9,10

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2
Q

Classification of headaches

A

Primary headache
Secondary headache

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3
Q

Classification of headache where there is no structural or metabolic abnormality

A

Primary headache

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4
Q

Classification of headache where there is a structural or metabolic abnormality

A

Secondary headache

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5
Q

2 tools we have in headache diagnosis

A

History:
Headache onset
Duration
Location
Severity and quality
Associated features
Aggravating factors

Exam:
General exam
Neurologic exam

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6
Q

Causes of headaches

A

Vascular
Neoplastic
Infectious
Corticomedullary lesions
Intracranial hypertension
CSF Leak

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7
Q

Pain description: pressure, tightness, waxes and wanes

A

Tension headache

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8
Q

Pain description: throbbing, moderate to severe, worse with exertion

A

Migraine

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9
Q

Pain description: abrupt onset, deep, continuous, excruciating, explosive

A

Cluster headache

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10
Q

Associated symptoms: photo/phonophobia, nausea and vomiting, aura

A

Migraine

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11
Q

Associated symptoms: None

A

Tension

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12
Q

Associated symptoms: tearing, congestion, rhinorrhea, pallor, sweating

A

Cluster headache

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13
Q

Location: 60-70% unilateral

A

Migraine

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14
Q

Location: bilateral

A

Tension headache

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15
Q

Location: unilateral

A

Cluster headache

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16
Q

Duration: 4-72 hours

A

Migraine

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17
Q

Duration: variable

A

Tension headache

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18
Q

Duration: 0.5-3 hr. Many per day

A

Cluster headache

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19
Q

Patient appearance: resting in quiet dark room; young female

A

Migraine

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20
Q

Patient appearance: remains active or prefers rest

A

Tension headache

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21
Q

Patient appearance: remains active, prefers hot showers, male smoker

A

Cluster headache

22
Q

Cause is unknown but strongly inherited

23
Q

Frequency is 1-2 year-2/3 week

A

Migraine (half-head)

24
Q

Duration is 4hrs-3 days

A

Migraine (half-head)

25
Location is usually one sided but can swap between attacks
Migraine (half-head)
26
Symptoms are nausea, aura, vomiting, and sensitive to light, sound, smell
Migraine (half-head)
27
2-3x more common in women than men
Migraine
28
Onset often as child/teenager/young adult
Migraine
29
Migraine comes from the greek word
Hemicrania
30
Refers to pain occurring on one side of the head
Hemicrania
31
Has been consistently most prevalent disease in the world
Headache
32
T/F Among people aged less than 50 y/o, migraine is the most common cause of disability
True
33
T/F Among people aged less than 50 y/o, migraine is the most common cause of disability
True
34
T/F Among people aged less than 50 y/o, migraine is the most common cause of disability
True
35
Burden of migraine
Energy and drive Emotional functioning Pain Employment General physical and mental health Social functioning Global disability
36
Fatigue, reduced vitality, difficulties with sleep
Energy and drive
37
Depressive symptoms, anxiety, stress, anger
Emotional functioning
38
General pain, and the sensation of pain
Pain
39
Reduced efficiency at work, restriction in time given to work, partial absence
Employment
40
General mobility, carrying out daily routine
General physical and mental health
41
Relationships with others, family relationships, leisure activities
Social functioning
42
Global functioning, quality of life, self-efficacy
Global disability
43
A chronic neurological disease with episodic attacks of head pain
Migraine
44
Extreme sensitivity to light
Photophobia
45
Extreme sensitivity to sound
Phonophobia
46
Pain resulting from a stimulus that would not normally provoke pain
Allodynia
47
Triggers of migraine
Food: spices, wine, chocolate, citrus Food additives: monosodium glutamate Sleep: both too much and too little Stress: mainly offset Female hormones: fluctuating or falling estrogen
48
Migraine with aura
2 migraine attacks
49
Migraine without aura
5 migraine attacks
50
Aura symptoms
Visual Sensory Speech and/or language Motor Brainstem Retinal

OPTO MED (3 decks)

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