Update ) Advanced
Clinical Pharmacology | Questions
with Verified Answers | Grade A |
100% Correct - Regis
Question:
Headache History
Answer:
1. How often?
2. How severe?
3. How often is pain medication being taken?
4. Headache diary
5. Family history
6. Social history-use of ETOH
,Question:
Types of Headaches
Answer:
-Primary: Headaches with unidentifiable cause
-Tension
-Cluster
-Migraine
-Secondary: Headaches with identifiable causes
Question:
causes of secondary headache
Answer:
-HTN
-Hyperthyroidism
-Tumors
-Infection
-HEENT disorders
,Question:
SNOOP; Red flag symptoms associated with serious headaches
Answer:
-S: systemic symptoms (fever, weight loss) or Secondary risk factors (HIV,
malignancy)
-N: neurologic symptoms or abnormal signs (eye pain, visual loss, confusion,
impaired alertness or consciousness)
-O: onset: sudden (thunderclap)
-O: older: new onset and progressive headache, especially in patients >
greater 50 years old (giant cell arteritis).
-P: previous headache history; first or worst headache or different (change in
severity or clinical features)
Question:
Tension Headaches Characteristics
Answer:
-Bilateral
-Non-throbbing, "headband" distribution
-Mild to moderate pain
-Daytime occurrence
-Minimal impact on daily life
-Precipitated by eye strain, aggravation
, Question:
treatment tension headaches
Answer:
-Non-opioid, NSAID or acetaminophen
-Amitriptyline (Elavil) for prophylaxis - is a TCA
Question:
Cluster Headaches
Answer:
-Neuronal disorder originating in the hypothalamus that alters the biologic
"clock"
-Unilateral, behind the right or left eye
-Throbbing, piercing pain severe pain
-Lasts 15 min - 2 hours every day for 2-3 months
-Occurs during the night
-Lacrimation, conjunctival redness, nasal congestion, rhinorrhea, ptosis,
miosis
-Unidentifiable triggers, no aura or nausea
-More common in males