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


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

E) A) and B)
F) None of the above

Correct Answer

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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

E) A) and B)
F) C) and D)

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C

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

E) B) and C)
F) A) and C)

Correct Answer

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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

E) None of the above
F) A) and B)

Correct Answer

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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

E) B) and C)
F) A) and B)

Correct Answer

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


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

E) A) and C)
F) A) and B)

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


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

E) A) and C)
F) None of the above

Correct Answer

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


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

E) A) and C)
F) A) and B)

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A

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

E) A) and C)
F) A) and B)

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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

E) C) and D)
F) A) and B)

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A

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


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

E) A) and B)
F) A) and C)

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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

E) None of the above
F) A) and D)

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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

E) A) and D)
F) A) and C)

Correct Answer

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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

E) B) and C)
F) A) and C)

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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

E) C) and D)
F) None of the above

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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

E) A) and C)
F) B) and C)

Correct Answer

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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

E) None of the above
F) All of the above

Correct Answer

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


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

E) A) and B)
F) A) and C)

Correct Answer

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


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

E) A) and B)
F) None of the above

Correct Answer

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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.

E) A) and D)
F) A) and C)

Correct Answer

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