Quiz 1 headache part 2

Question 1

causes of SAH

Answer 1

-traumatic or spontaneous from berry aneurysm or arteriorvenous malformation

Question 2

what normally has not onsent

Answer 2

berry aneurysm

Question 3

symptoms of SAH

Answer 3

thunderclap, impaired consciousness and meningismus (neck pain)

Question 4

what identifies the hemorrhage source?

Answer 4

cerebral arteriography

Question 5

what finds the bleed

Answer 5

dye from the ct, this is the first step
-may not be on ct within first 24 hours then you would follow up in 2 weeks
-ct may also show midline shift

Question 6

concerns of SAh

Answer 6

-rebleed and development of hydrocephalus
-sentinal bleed can rebleed which can be fatal
-cardiac arrythmia and pulmonary edema

Question 7

hydrocephalus

Answer 7

csf in the ventricles builds up

Question 8

sentinal bleed

Answer 8

minor bleed before a major episode

Question 9

risk of giant cell arteritis

Answer 9

going blind due to the inflammation in the temporal artery

Question 10

symptoms of temporal arteritis

Answer 10

-temporal artery pain, swelling, tender, red
-vision changes, fever, weight loss, anorexia, polymalgia rheumatica

Question 11

diagnostics of temporal arteritis

Answer 11

ESR > 50 *not a definitive test just tells us there is inflammation
-tempral arterial biopsy to look for multinucleated cells and inflammation

Question 12

temproal arteritis treatment

Answer 12

-steroids
-take biopsy within 2 weeks of steroids

Question 13

temporal arteritis demographics

Answer 13

-rare before 50

Question 14

bacteria acute meningitis is?

Answer 14

severe with purulent CSF, fast progression and fatal

Question 15

aseptic meningitis

Answer 15

milder, self-limited, viral, fungal, bacterial

Question 16

what meningitis needs immediate isolation?

Answer 16

Neiserria meningitis

Question 17

symtoms of meningitis?

Answer 17

fever, headache, nuchal ridgidity, chills, lethargy, co ma, photophobia, rash, seizure, hyptothermia, gray skin

Question 18

what is NOT painful with meningitis?

Answer 18

rotation and extension of the neck

Question 19

meningitis tests?

Answer 19

-meningismus (flex forward)
-kerning (cant straighten legs)
-brudzinski sign
-tripod position

Question 20

bacterial meningitis has?

Answer 20

rash/ petechiae

Question 21

how to identify meningisits bacteria

Answer 21

-LP then gram stain, differential count, measure glucose/ protein etc to find correct antibiotic

Question 22

pt has a histopry of using antibiotics to treat infection they could have?

Answer 22

aseptic meningitis because it was subdued by the antibiotic use

Question 23

postraumatic headache onset?

Answer 23

within days of injury typically one day but will gradually subside normally

Question 24

type of pain for postraumatic?

Answer 24

constant dull ache with localized, lateralized or general throbbing

Question 25

t or f postraumatic headache has nausea/ vom

Answer 25

true

Question 26

covid headache symptoms:

Answer 26

throbbing, pressure whole head -worsens with activity -fever body ache etc (covid symptoms)

Question 27

what meds cause med overuse headahce?

Answer 27

NSAIDS or Opiods

Question 28

criteria for med overuse?

Answer 28

15 days of headache in last 3 months with regular medication overuse> than 3 months

Question 29

vom before pain means?

Answer 29

intracranial lession headache

Question 30

what causes increase ICP

Answer 30

intracranial lession headache

Question 31

deep dull ache, worse with activity, nausea vom, sleep disturbance, seizure

Answer 31

intracranial lession headache

Question 32

key symptom of itnracranial lession headache?

Answer 32

personality change and worsens with recumbancy

Question 33

what may make activity triggered headache better?

Answer 33

LP

Question 34

demographic of trigeminal nerve/ facial pain

Answer 34

women, MS, neoplasia, mid/late life

Question 35

what is episodic pain with burning and stabbing

Answer 35

trigeminal nerve

Question 36

t or f exams are negative with trigeminal nerve pain

Answer 36

typically true

Question 37

oxcarbazepine and carbamazepine and NSAIDS treat?

Answer 37

trigeminal nerve

Question 38

what causes glaucomma

Answer 38

schlemm canal narrows for fluid cant enter back to vascular circulation

Question 39

what glaucomma is medical emergency

Answer 39

acute angle glaucomma

Question 40

severe pain, face pain, halo lights, nausea/ vom. abdominal pain, what am I?

Answer 40

glaucomma

Question 41

glaucomma treatment?

Answer 41

timolol (beta blocker), pilocarpine, and acetazolamide (carbonic anhydrase inhibitor)

Question 42

glaucomma eye apperance

Answer 42

red, cloudy, pupil not moving/ changing and slightly dialtes with high intraocular pressure

Question 43

postherpetic neuralgia

Answer 43

shingles and treat with acyclovir

Question 44

TMJ can be cause by

Answer 44

teeth grinding send to dentist