Unit 2: Headache Flashcards Preview

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Flashcards in Unit 2: Headache Deck (21):
1

L1: What agent is used for migraine prophylaxis for patients with chronic migraine?

Botox

2

L1: What is the treatment for termination of mild-moderate migraines?

NSAIDs

3

L1: Which cause of headache? Associated with fever, neck stiffness, and other constitutional symptoms

Meningitis

4

L1: Which cause of headache? Worst headache of life with diffuse pain

Subarachnoid hemorrhage

5

L2: What agent is used for migraine prophylaxis in other countries by 5-HT2 antagonism?

Methysergide

6

L2: What agents are used for short-term migraine prophylaxis?

NSAIDs

7

L2: What are two drugs classified as ergot alkaloids?

Ergotamine, dihydroergotamine

8

L2: What are two drugs classified as triptans?

Sumatriptan, Zolmitriptan

9

L2: What is the mechanism of action for triptans and ergot alkaloids?

5-HT1 receptor agonists

10

L2: What is the treatment for termiantion of migraines that do not adequately respond to 5-HT agonists?

Opioids (Tramadol)

11

L2: Which cause of headache? Secondary headache associated with jaw claudication, temproal artery region scalp tenderness, blindness, and constitutional symptoms

Giant Cell Arteritis

12

L2: Which type of headache? Intense, sharp, superficial, or stabbing pain lasting up to two minutes

Trigeminal Neuralgia

13

L2: Which type of headache? Periorbital or temporal pain

Cluster Headache

14

L3: Name 4 characteristic features of migraines.

Unilateral, pulsating, moderate-severe intensity, pain increases with physical activity

15

L3: Name associated features of migraines.

Nausea/vomiting, photophobia/phonophobia

16

L3: What are first line agents for migraine prophylaxis? (2)

Beta-Blockers, anticonvulsants (valproate, topiramate)

17

L3: What are second line agents for migraine prophylaxis? (2)

Antidepressants, ACEIs

18

L3: What are the most serious side effects of ergot alkaloids not present with triptans

Vascular occlusion, gangrene

19

L3: What are third line agents for migraine prophylaxis? (2)

Calcium channel blockers, anticonvulsant Gabapentin

20

L3: What is the treatment for termination of migraines that are refractory to first line treatment? (3)

Triptans, dihydroergotamine, ergotamine

21

L4: What are contraindications for triptans?

Coronary artery disease, cerebrovascular disease, arterial disease, or uncontrolled hypertension