CMN 568 - Unit 5 Verified Questions & ANSWERS

CMN 568 - Unit 5 Verified Questions & ANSWERS Diminution of headache in response to typical migraine therapies (e.g. seratonin receptor antagonists or ketorolac) does not rule out _________________ as underlying cause? Subarachnoid hemorrhage or meningitis Mcphee p 39 IMMEDIATE TREATMENT: Vascular events + Intracranial hemorrhage + Thrombosis + Cavernous sinus thrombosis + Vasculitis + Malignant hypertension + Arterial dissection + Aneurysm McPhee p 39 IMMEDIATE TREATMENT: Infections + Abscess + Encephalitis + Meningitis Mc Phee p 39 Causes of headache that require IMMEDIATE TREATMENT + Vascular events + Infections + Intracranial masses + Preeclampsia + Carbon monoxide poisioning McPhee p 39 "Thunderclap headache" is the classic presentation of what condition? Subarachnoid hemorrhage! Should precipitate IMMEDIATE workup! McPhee p 39 New headache in a patient > ________________ years or with ___________________ (condition) should warrant IMMEDIATE neuroimaging. + > 50years + HIV infection McPhee p 39 Headache patients with hx of hypertension (esp uncontrolled htn) should be examined for other features of WHAT? Malignant hypertension McPhee p 39 Headache associated with pregnancy? Preeclampsia McPhee p 39 Episodic headache associated with triad of hypertension, heart palpitations and sweats is suggestive of __________________. Pheochromocytoma 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)? 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? + Vital signs + Complete neuro exam + Vision testing (with funduscopic exam