2025 QUESTIONS AND ANSWERS
This headache is NOT associated with any other disease process? - ANS Primary Headache
This type of headache IS due to an underlying disease process. - ANS Secondary headache
Name the 3 primary headaches? - ANS 1. Tension
2. Migraine
3. Cluster
What should the NP suspect in an adult patient with an isolated seizure in a person who has
never had a seizure? - ANS Brain tumor
Headache red flags (SNOOP) - ANS 1. Systemic: fever, weight loss
2. Neurologic: confusion, nuchal rigidity, HTN, papilledema
(Photophobia and Phonophobia are the ONLY acceptable abnormalities during primary
headache)
3. Onset: sudden, abrupt, "thunderclap", with exertion
4. Onset: older than 50, younger than 5
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, 5. Previous history
What criteria is needed to attribute headache with hypertension? - ANS Diastolic BP >110
What type of headache is more common in men? - ANS cluster headaches
What type of headache treatment minimizes the risk of headache? - ANS Prophylactic
What type of headache treatment treats acute headaches and should be taken at onset? -
ANS Abortive
Example: Triptans
What is helpful in assessing the pattern of headache in patients? - ANS A headache diary
What type of Neurological imaging shows soft tissue problems like a brain tumor? - ANS MRI
What type of Neurological imaging can show hemorrhage or stroke? - ANS CT without
contrast
What type neurological imaging can show brain tumor or abscess - ANS CT with contrast
What is the #1 migraine prophylactic medication? - ANS Propranolol
When treating Migraine with aura DO NOT give estrogen containing BCP as this increases stroke
risk! - ANS
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