Deck 33: Headache

Question 1

In a cluster headache,which of the following arteries show vasodilation?

A) ophthalmic artery ipsilateral to the pain and internal carotid artery contralateral to the pain
B) ophthalmic artery contralateral to the pain and internal carotid artery ipsilateral to the pain
C) ophthalmic and internal carotid arteries contralateral to the pain
D) ophthalmic and internal carotid arteries ipsilateral to the pain

Answer 1

ophthalmic and internal carotid arteries ipsilateral to the pain

Question 2

Which of the following is a true statement regarding the hemodynamic response to cluster headache?

A) blood pressure and heart rate increase
B) blood pressure and heart rate decrease
C) blood pressure increases, heart rate decreases
D) blood pressure decreases, heart rate increases

Answer 2

blood pressure increases, heart rate decreases

Question 3

Blood levels of which electrolyte are decreased with migraine and tension headaches?

A) magnesium
B) calcium
C) sodium
D) potassium

Answer 3

magnesium

Question 4

Why does disk disease in the lower neck contribute to cervicogenic headaches?

A) This leads to disk displacement.
B) This leads to abnormal increased muscle tone.
C) There is compensatory increase in upper cervical spine movement.
D) There is nerve root irritation in the lower cervical spine.

Question 5

Which of the following is the most painful of the primary headaches?

A) migraine
B) tension
C) cluster
D) trauma-induced headache

Question 6

Which of the following medications would be used as a prophylactic treatment of migraine?

A) triptans
B) calcium channel antagonists
C) narcotics
D) antiemetics

Question 7

Chronically low levels of what neurotransmitter are found in individuals with migraine?

A) acetylcholine
B) epinephrine
C) serotonin
D) norepinephrine

Question 8

Which of the following foods is least likely to trigger a headache in migraineurs?

A) milk
B) eggs
C) red meat
D) wheat

Question 9

Which of the following is usually not reported in tension headaches?

A) anorexia
B) mild photophobia
C) nausea
D) phonophobia

Question 10

Which of the following medications is least likely to increase tension headache symptoms?

A) overuse of analgesics
B) overuse of nonsteroidal anti-inflammatory drugs (NSAIDs)
C) estrogenic hormones
D) β-blockers

Question 11

Which of the following would be classified as a primary headache?

A) headache associated with fever
B) headache associated with increased blood pressure
C) migraine headaches
D) headaches associated with trauma

Question 12

If a female is a migraine sufferer,when will migraine headaches decrease during pregnancy?

A) first trimester
B) second trimester
C) third trimester
D) delivery

Question 13

Cluster headaches are the most common at what time of year?

A) at Christmas when stress is high
B) summer solstice
C) during the spring
D) during the fall

Question 14

Which of the following is inappropriate treatment for a postdural puncture headache?

A) hydration
B) lying still
C) epidural blood patch
D) aspirin

Question 15

Which cranial nerve is not involved in ophthalmoplegic migraine?

A) cranial nerve II
B) cranial nerve III
C) cranial nerve IV
D) cranial nerve VI

Question 16

Which of the following cranial nerves is often associated with the distribution of pain during migraine headache?

A) cranial nerve V
B) cranial nerve VI
C) cranial nerve VII
D) cranial nerve VIII

Question 17

Which of the following is an abnormal symptom during the aura of a migraine?

A) depression
B) irritability
C) increased urination
D) loss of appetite

Question 18

An acutely ill patient with high fever complains of a severe headache with radiation into the neck.This patient also has a positive Kernig's sign.What is the most likely pathologic condition?

A) subdural hematoma
B) subarachnoid hemorrhage
C) increased cranial pressure
D) meningitis

Question 19

Which of the following locations is most common for complaints of migraine headaches?

A) nasal sinus
B) over the temple
C) over the top of the cranium
D) between the eyes

Question 20

In order for a headache to be classified as chronic,it must last how many days per year?

A) 60
B) 90
C) 120
D) 180