©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM
Bates' Chapter 7 Physical Examination
Exam Questions With Correct Answers
What is the most common symptom in clinical practice? - answer✔✔headache
What is the life prevalence of headache (percentage)? - answer✔✔30 %
primary headache - answer✔✔without an identified underlying disease
secondary headache - answer✔✔with an identified underlying disease
Headache warning signs - answer✔✔Progressively frequent or severe over a 3-month period.
Sudden onset like a "thunderclap" or "the worst headache of my life".
New onset after age 50 years.
Aggravated or relieved by change in position.
Precipitated by Valsalva maneuver.
Associated symptoms of fever, night sweats, or weight loss.
Presence of cancer, HIV infection, or pregnancy.
Recent head trauma.
Associated papilledema, neck stiffness, or focal neurologic deficits.
three most important attributes of headache - answer✔✔severity, chronologic pattern, associated
symptoms
examples of primary headaches - answer✔✔migraine
tensions
cluster
chronic daily
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM
examples of secondary headaches - answer✔✔underlying structural
systemic
infectious causes
ex. meningitis
subarachnoid hemorrhage
subarachnoid hemorrhage - answer✔✔Thunderclap headache, usually the worst headache of
their lives.
reaching maximal intensity over several minutes occurring 70 % of patients
sentinel leak headache - answer✔✔vascular leak into the subarachnoid space
If headache is severe and of sudden onset, consider - answer✔✔subarachnoid hemorrhage OR
meningitis
new and persisting, progressively severe headaches raise concerns - answer✔✔tumor
abscess
mass lesion
what time of headaches are episodic and tend to peak over several hours - answer✔✔migraine
and tensions headaches
unilateral headaches occurs in - answer✔✔migraine and cluster headachess
tensions headaches arise in what area of the head - answer✔✔temporal areas
cluster headaches arise in what are of the head - answer✔✔retro orbital
nausea and vomiting are associated with what headaches - answer✔✔migraine
brain tumors
subarachnoid hemorrhage
spark photospisas - answer✔✔flashes of light
fortifications - answer✔✔zig-zag arcs of light
scotomas - answer✔✔areas of visual loss with surrounding normal vision
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM
acute sinusitis - answer✔✔valsalva maneuvers and leaning forward may increase pain
valsalva and lying down may increase pain from - answer✔✔mass lesions due to changing
intracranial pressure
medication for overuse headacche may cause headaches if - answer✔✔they present for more
than 15 days a month for 3 months and reverts to less than 15 days when medication is
discontinued
percentage of genetic inheritance with migraine - answer✔✔30 to 50 percent
hyperopia - answer✔✔farsightedness
presbyopia - answer✔✔impaired vision as a result of aging
myopia - answer✔✔nearsightedness
If sudden visual loss is unilateral and painless consider - answer✔✔vitreous hemorrhage from
diabetes or trauma
macular degeneration
retinal detachment
retinal vein occlusion
central retinal artery occlusion
vitreous hemorrhage - answer✔✔Sudden loss of vision with floaters, usually secondary to
diabetic retinopathy
macular degeneration - answer✔✔progressive damage to the macula of the retina
retinal detachment - answer✔✔two layers of the retina separate from each other
Retinal vein occlusion - answer✔✔Blockage of central or branch retinal vein due to compression
from nearby arterial atherosclerosis. Retinal hemorrhage and venous engorgement, edema in
affected area.
Bates' Chapter 7 Physical Examination
Exam Questions With Correct Answers
What is the most common symptom in clinical practice? - answer✔✔headache
What is the life prevalence of headache (percentage)? - answer✔✔30 %
primary headache - answer✔✔without an identified underlying disease
secondary headache - answer✔✔with an identified underlying disease
Headache warning signs - answer✔✔Progressively frequent or severe over a 3-month period.
Sudden onset like a "thunderclap" or "the worst headache of my life".
New onset after age 50 years.
Aggravated or relieved by change in position.
Precipitated by Valsalva maneuver.
Associated symptoms of fever, night sweats, or weight loss.
Presence of cancer, HIV infection, or pregnancy.
Recent head trauma.
Associated papilledema, neck stiffness, or focal neurologic deficits.
three most important attributes of headache - answer✔✔severity, chronologic pattern, associated
symptoms
examples of primary headaches - answer✔✔migraine
tensions
cluster
chronic daily
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM
examples of secondary headaches - answer✔✔underlying structural
systemic
infectious causes
ex. meningitis
subarachnoid hemorrhage
subarachnoid hemorrhage - answer✔✔Thunderclap headache, usually the worst headache of
their lives.
reaching maximal intensity over several minutes occurring 70 % of patients
sentinel leak headache - answer✔✔vascular leak into the subarachnoid space
If headache is severe and of sudden onset, consider - answer✔✔subarachnoid hemorrhage OR
meningitis
new and persisting, progressively severe headaches raise concerns - answer✔✔tumor
abscess
mass lesion
what time of headaches are episodic and tend to peak over several hours - answer✔✔migraine
and tensions headaches
unilateral headaches occurs in - answer✔✔migraine and cluster headachess
tensions headaches arise in what area of the head - answer✔✔temporal areas
cluster headaches arise in what are of the head - answer✔✔retro orbital
nausea and vomiting are associated with what headaches - answer✔✔migraine
brain tumors
subarachnoid hemorrhage
spark photospisas - answer✔✔flashes of light
fortifications - answer✔✔zig-zag arcs of light
scotomas - answer✔✔areas of visual loss with surrounding normal vision
, ©THEBRIGHT EXAM STUDY SOLUTIONS 8/22/2024 12:54 PM
acute sinusitis - answer✔✔valsalva maneuvers and leaning forward may increase pain
valsalva and lying down may increase pain from - answer✔✔mass lesions due to changing
intracranial pressure
medication for overuse headacche may cause headaches if - answer✔✔they present for more
than 15 days a month for 3 months and reverts to less than 15 days when medication is
discontinued
percentage of genetic inheritance with migraine - answer✔✔30 to 50 percent
hyperopia - answer✔✔farsightedness
presbyopia - answer✔✔impaired vision as a result of aging
myopia - answer✔✔nearsightedness
If sudden visual loss is unilateral and painless consider - answer✔✔vitreous hemorrhage from
diabetes or trauma
macular degeneration
retinal detachment
retinal vein occlusion
central retinal artery occlusion
vitreous hemorrhage - answer✔✔Sudden loss of vision with floaters, usually secondary to
diabetic retinopathy
macular degeneration - answer✔✔progressive damage to the macula of the retina
retinal detachment - answer✔✔two layers of the retina separate from each other
Retinal vein occlusion - answer✔✔Blockage of central or branch retinal vein due to compression
from nearby arterial atherosclerosis. Retinal hemorrhage and venous engorgement, edema in
affected area.
