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Unit 5-CMN 568; Questions with Complete Solutions
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Unit 5-CMN 568; Questions with Complete Solutions
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Unit 5-CMN 568; Questions with Complete SolutionsDiminution of headache in response to typical migraine therapies (e.g. seratonin receptor
antagonists or ketorolac) does not rule out _________________ as underlying cause?
CORRECT ANS-Subarachnoid hemorrhage or meningitis
Mcphee p 39
IMMEDIATE TREATMENT: Vascular events CORRECT ANS-+ Intracranial hemorrhage
+ Thrombosis
+ Cavernous sinus thrombosis
+ Vasculitis
+ Malignant hypertension
+ Arterial dissection
+ Aneurysm
McPhee p 39
IMMEDIATE TREATMENT: Infections CORRECT ANS-+ Abscess
, Unit 5-CMN 568; Questions with Complete Solutions
+ Encephalitis
+ Meningitis
Mc Phee p 39
Causes of headache that require IMMEDIATE TREATMENT CORRECT ANS-+ Vascular events
+ Infections
+ Intracranial masses
+ Preeclampsia
+ Carbon monoxide poisioning
McPhee p 39
"Thunderclap headache" is the classic presentation of what condition? CORRECT ANS-
Subarachnoid hemorrhage! Should precipitate IMMEDIATE workup!
McPhee p 39
, Unit 5-CMN 568; Questions with Complete Solutions
New headache in a patient > ________________ years or with ___________________
(condition) should warrant IMMEDIATE neuroimaging. CORRECT ANS-+ > 50years
+ HIV infection
McPhee p 39
Headache patients with hx of hypertension (esp uncontrolled htn) should be examined for
other features of WHAT? CORRECT ANS-Malignant hypertension
McPhee p 39
Headache associated with pregnancy? CORRECT ANS-Preeclampsia
McPhee p 39
Episodic headache associated with triad of hypertension, heart palpitations and sweats is
suggestive of __________________. CORRECT ANS-Pheochromocytoma
, Unit 5-CMN 568; Questions with Complete Solutions
McPhee p 39
Symptoms for diagnosis or ruling out migraine in the absence of "classic" presentation (e.g.
scintillating scotomoa, unilateral ha, photophobia and n/v)? CORRECT ANS-Symtoms:
Nausea, photophobia, phonophobia and exacerbation with physical activtiy
THREE OR MORE = MIGRAINE
< THREE = r/o MIGRAINE
McPhee p 39
Critical components of physical exam for complaint of HA? CORRECT ANS-+ Vital signs
+ Complete neuro exam
+ Vision testing (with funduscopic exam)
McPhee p 40
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