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Examen

Clinical Medicine – Headaches (2025/2026) – 100+ Q&A | Migraine, SAH, Cluster HA, ICP, CSF

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30
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A+
Subido en
29-12-2025
Escrito en
2025/2026

This document features over 100 verified and exam-relevant questions and answers on the topic of headaches, tailored for Clinical Medicine courses in the 2025/2026 academic year. It is a high-yield, concept-rich study resource designed to help medical students and healthcare trainees master headache classification, diagnosis, and clinical management. It thoroughly covers both primary headache disorders (e.g., tension headaches, migraines, cluster headaches) and secondary causes such as subarachnoid hemorrhage (SAH), intracranial hemorrhage, mass lesions, and meningeal irritation. The document explains red flags using the SSNOOP mnemonic, explores diagnostic strategies including CT, MRI, and lumbar puncture, and highlights key findings like papilledema, photophobia, serotonin involvement, and neurologic deficits. Key clinical areas include: CSF findings in meningitis and hemorrhage ICP signs and brain herniation Differentiating headache types by duration, triggers, and physical exam Indications for imaging and lumbar puncture Pharmacologic treatment (NSAIDs, triptans, ergotamines, antiemetics) and non-pharmacologic strategies Emergency considerations like “worst headache of life,” and thunderclap headache This resource is best suited for: Medical students in internal medicine or neurology rotations Nursing students studying neuro assessment and acute care Physician assistant and nurse practitioner students Clinical residents preparing for exams or patient evaluations involving headaches Healthcare professionals revising diagnostic frameworks for headache etiologies The structured Q&A format aids in clinical reasoning and exam prep, and it includes both basic definitions and advanced decision-making logic applicable to OSCEs, shelf exams, and real patient encounters. Keywords: headache classification, migraine, cluster headache, tension headache, subarachnoid hemorrhage, CSF analysis, ICP, meningitis, SSNOOP, papilledema, serotonin, neuro exam, cranial imaging, lumbar puncture, AV malformation, intracranial bleed

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Institución
Clinical Medicine
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Información del documento

Subido en
29 de diciembre de 2025
Número de páginas
30
Escrito en
2025/2026
Tipo
Examen
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Clinical Medicine – Headaches
2025/2026 Exam Questions and Verified
Answers | Already Graded A+



Are headaches with a gradual onset more likely to be benign or serious? - 🧠

ANSWER ✔✔Benign


What type of neurological findings are you most likely to find during your

physical examination of someone with a benign headache? - 🧠 ANSWER

✔✔None.


What do you suspect will happen to one's CSF glucose and protein levels if

he or she were to develop meningitis? - 🧠 ANSWER ✔✔Glucose levels go

down and protein levels go up.

,What is the preferred test for hemorrhage? CT or MRI? - 🧠 ANSWER

✔✔CT scan


The CT scan came back negative for hemorrhage and ICP. However, you

still suspect the patient has SAH from trauma that occurred last week. You

order a MRI scan. Why? - 🧠 ANSWER ✔✔MRI is more sensitive for bleeds

that are more than 4 days old. The longer interval between symptom onset

& CT scan, the less likely the CT scan will show the bleed.

What is a primary headache disorder that presents with bilateral pain,

tightness, or band-like pressure around the head with no photophobia that

is commonly caused by stress? - 🧠 ANSWER ✔✔Tension headache


The sudden headache that precedes a SAH? - 🧠 ANSWER ✔✔Sentinel

headache


Migraines are (unilateral/bilateral) - 🧠 ANSWER ✔✔Bilateral


Cluster headaches are (unilateral/bilateral) - 🧠 ANSWER ✔✔Unilateral


Tension headaches are (unilateral/bilateral) - 🧠 ANSWER ✔✔Bilateral


What usually lasts longer: migraines or tension headaches? - 🧠 ANSWER

✔✔Tension headaches can last for days to weeks at a time.

, What's a major sign of ICP on physical examination. - 🧠 ANSWER

✔✔Papilledema


What is believed to be the cause of nausea and vomiting in patients with

migraine headaches? - 🧠 ANSWER ✔✔Decreased levels of serotonin.


What neurotransmitter is associated with migraine headaches? - 🧠

ANSWER ✔✔Serotonin


Photophobia is usually associated with what type of headache? - 🧠

ANSWER ✔✔Migraine headache


Ataxia, diplopia, and unilateral weakness are all signs of what? - 🧠

ANSWER ✔✔CVA


Primary headache disorders are classified as benign or serious? - 🧠

ANSWER ✔✔Benign


Secondary headache disorders are classified as benign or serious? - 🧠

ANSWER ✔✔Serious, potentially life-threatening.


What's the most common cause of tension headaches? - 🧠 ANSWER

✔✔Stress



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