PC707 Module 5 Questions and Answers 100% Correct(GRADED A+)

Describe a migraine headache - ANSWER-Unilateral, throbbing, pulsatile, lasts 4-72 hours, includes nausea and vomiting, light sensitivity, may have auras, more common in women, and genetically linked. There are migraine variants that include focal neurologic findings Describe a tension headache - ANSWER-Most common headache; treated effectively with NSAIDs Describe a cluster headache - ANSWER-"Ice pick headache", unilateral, severe pain behind one eye, nasal congestion with rhinorrhea, occur in clusters over weeks to months, often at night, more common in men and blacks Describe a rebound headache - ANSWER-Occur due to overuse of medications to treat headache pain. The medication causes worsening of the pain. Treatment entails discontinuing all pain medications What medications are used for abortive treatment of migraines? - ANSWER-Triptans, Ergots, analgesics, NSAIDs, antiemetics, combination products What are the indications for prophylactic migraine treatment? - ANSWER-2 headaches per month, attacks last 24 hours, cause major disruption in ADLs for 3+ days a month, abortive therapies fail or are overused, use of abortive medications 2x+ per week What medications are used for prophylactic treatment of migraines? - ANSWER-TCAs, BBLs, triptans, AEDs (Divalproex) Describe Serotonin 1B/1D receptor agonists - ANSWER-- Sumatriptan (Imitrex) - causes intracerebral vasoconstriction -Used for abortive migraines - Can cause chest tightness - Teratogenic - Do not take with ergots or other triptans Describe ergot alkaloids - ANSWER-- Ergotamine - suppresses CHRP to block inflammation - can cause toxicity What is the purpose of adding epi to lido? - ANSWER-Causes vasoconstriction, allows lido effect