Question 1

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

Accepted Answer

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

Question 2

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

Accepted Answer

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

Question 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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

Question 5

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

Accepted Answer

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 
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

Question 6

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

Accepted Answer

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

Question 7

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

Accepted Answer

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

Question 8

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

Accepted Answer

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

Question 9

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

Accepted Answer

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

Question 10

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

Accepted Answer

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 
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

Question 11

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

Accepted Answer

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

Question 12

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

Accepted Answer

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. 
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 13

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

Accepted Answer

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

Question 14

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

Accepted Answer

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

Question 15

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?

Accepted Answer

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

Question 16

Which cranial nerve is not involved in ophthalmoplegic migraine?

Accepted Answer

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

Question 17

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

Accepted Answer

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

Question 18

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

Accepted Answer

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

Question 19

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

Accepted Answer

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

Question 20

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

Accepted Answer

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

Exam 33: Headache

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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?

Which cranial nerve is not involved in ophthalmoplegic migraine?

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

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

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

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

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