The Migraine Headaches Classic Symptoms

The Migraine Headaches Classic Symptoms
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The Migraine Headaches Classic Symptoms
QUESTIONS
1. What are the classic symptoms associated with migraine headaches?
A. Anxiety
B. Numbness
C. Throbbing
D. None of the above
2. A 23-year-old female presents with onset of headache on one side, which
spreads to involve the whole side of her head. She describes it as pulsatile,
and it stays on one side. The headache is usually self-limiting lasting
30 minutes to a few hours. What is the most likely diagnosis?
A. Occipital migraine
B. Cluster headache
C. Classic migraine
D. Tension headache
E. None of the above
3. What is the most common headache type?
A. Tension headache
B. Classic headache
C. Vasospastic migraine
D. Low-pressure headache
The Migraine Headaches Classic Symptoms
4. What is the ratio of men to women affected by cluster headaches?
A. 1:1
B. 2:1
C. 5:1
D. 3:2
E. 1:4
35
CT
CHAPTER
2
Headache
5. What percentage of migraine sufferers are women?
A. 10%
B. 25%
C. 50%
D. 75%
E. None of the above
6. Which of the following is not a type of vascular headache?
A. Migraine
B. Toxic
C. Tension
D. Cluster
E. All of the above are vascular headaches.
7. A 34-year-old female presents with daily headache. She has been taking
ibuprofen 800 mg three to four times a day. She also drinks four cups of
coffee per day. She states she used to have headaches on the left side of her
head but now the pain is diffuse and bilateral. What is the best treatment
for this type of headache?
A. Triptan
B. Oxygen
C. Stop ibuprofen
D. Increase her caffeine intake
E. Get more sleep
The Migraine Headaches Classic Symptoms
8. A 40-year-old male presents to the emergency department (ED) with a
severe, stabbing, burning, and throbbing headache. He describes the pain
as piercing and unbearable. He also describes a runny nose on the same
side as his headache. This happened once about 6 months ago but went
away naturally. He was given oxygen and a sumatriptan, which provided
pain relief. What is the most likely neuropeptide involved?
A. Acetylcholine
B. Dopamine
C. Histamine
D. Aldosterone
E. Melatonin
36 Section I • Neurology
9. Which of the following is the most common aura associated with tension
headaches?
A. Zig-zag lines
B. Blurry vision
C. Taste change
D. Strange smell
E. None of the above
10. A 35-year-old female presents with chronic daily headache and depression. She reports severe tenderness on her scalp and neck. She also complains of pain with neck flexion. She denied any visual changes, and the
rest of her neurologic examination was normal. She works in an office and
sits in front of a computer all day. She does drink one cup of coffee per
day but does not associate her headaches with this. She also states her son
recently was evicted out of his apartment. She denies taking any over-thecounter medications for this pain. Which of the following is not a cause
of her headache?
A. Stress or anxiety
B. Depression
C. Poor posture
D. Caffeine
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