1|Page
APEA Neuro Pharmacology | Latest Update 2026
Revised Questions & Correct Detailed Answers
BrandNew !!!!
A 40-year-old man presents with a 5-week history of recurrent
headaches that awaken him during the night. The pain is severe, lasts
about 1 hour, and is located behind his left eye. Additional symptoms
include lacrimation and nasal discharge. His physical examination is
within normal limits. This clinical presentation is most consistent with:
A. migraine without aura.
B. migraine with aura.
C. cluster headache.
D. increased intracranial pressure (ICP). - CORRECT ANSWER = C
pg. 1
,2|Page
A 22-year-old woman presents with a 3-year history of recurrent,
unilateral, pulsating headaches with vomiting and photophobia. The
headaches, which generally last 3 hours, can be aborted by resting in a
dark room. She can usually tell that she is going to get a headache. She
explains, "I see little 'squiggles' before my eyes for about 15 minutes. "
Her physical examination is unremarkable. This presentation is most
consistent with:
A. tension-type headache.
B. migraine without aura.
C. migraine with aura.
D. cluster headache. - CORRECT ANSWER = C
Indicators that a headache can be the presenting symptom of a serious
illness and may require neuroimaging include all of the following
except:
A. headaches that occur periodically in clusters.
pg. 2
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B. increasing frequency and severity of headaches.
C. headache causing confusion, dizziness, and/or lack of coordination.
D. headache causing awakening from sleep. - CORRECT ANSWER = A
Prophylactic treatment for migraine headaches includes the use of:
A. amitriptyline.
B. ergot derivative.
C. naproxen sodium.
D. clonidine. - CORRECT ANSWER = A
pg. 3
, 4|Page
Among the following beta blockers, which is the least effective in
preventing migraine headache?
A. acebutolol
B. metoprolol
C. timolol
D. propranolol - CORRECT ANSWER = A
Antiepileptic drugs useful for preventing migraine headaches include all
of the following except:
A. divalproex.
B. valproate.
pg. 4
APEA Neuro Pharmacology | Latest Update 2026
Revised Questions & Correct Detailed Answers
BrandNew !!!!
A 40-year-old man presents with a 5-week history of recurrent
headaches that awaken him during the night. The pain is severe, lasts
about 1 hour, and is located behind his left eye. Additional symptoms
include lacrimation and nasal discharge. His physical examination is
within normal limits. This clinical presentation is most consistent with:
A. migraine without aura.
B. migraine with aura.
C. cluster headache.
D. increased intracranial pressure (ICP). - CORRECT ANSWER = C
pg. 1
,2|Page
A 22-year-old woman presents with a 3-year history of recurrent,
unilateral, pulsating headaches with vomiting and photophobia. The
headaches, which generally last 3 hours, can be aborted by resting in a
dark room. She can usually tell that she is going to get a headache. She
explains, "I see little 'squiggles' before my eyes for about 15 minutes. "
Her physical examination is unremarkable. This presentation is most
consistent with:
A. tension-type headache.
B. migraine without aura.
C. migraine with aura.
D. cluster headache. - CORRECT ANSWER = C
Indicators that a headache can be the presenting symptom of a serious
illness and may require neuroimaging include all of the following
except:
A. headaches that occur periodically in clusters.
pg. 2
,3|Page
B. increasing frequency and severity of headaches.
C. headache causing confusion, dizziness, and/or lack of coordination.
D. headache causing awakening from sleep. - CORRECT ANSWER = A
Prophylactic treatment for migraine headaches includes the use of:
A. amitriptyline.
B. ergot derivative.
C. naproxen sodium.
D. clonidine. - CORRECT ANSWER = A
pg. 3
, 4|Page
Among the following beta blockers, which is the least effective in
preventing migraine headache?
A. acebutolol
B. metoprolol
C. timolol
D. propranolol - CORRECT ANSWER = A
Antiepileptic drugs useful for preventing migraine headaches include all
of the following except:
A. divalproex.
B. valproate.
pg. 4
