568 unit 5 Prep Exam Questions With
Complete Solutions.
Migraine preventative therapy indication - Answer If migraine occurs more than 2-3
times/month or significant disability
What are migraine prophylactic meds? - Answer Topiramate, valporic acid, propranolol,
amitriptyline, venlafaxine
Is migraine treatment lifelong? - Answer No, if symptom free for several months, may taper
dose and withdrawal
When should triptans be avoided? - Answer Pregnancy, hemiplegia, basilar migraine,
uncontrolled hypertension, prior stroke or TIA, DM, hypercholesterolemia, and obesity
When are triptans contraindicated? - Answer In patients with coronary or peripheral vascular
disease
Why would the Practitioner avoid opioids for migraine? - Answer Due to high rates of rebound
headaches and overuse
Can you use triptans in controlled HTN? - Answer Yes
What type of headache is pulsatile, lasts 4-72 hours, and can be unilateral or generalized? -
Answer Migraine
What type of headache is accompanied by nausea, vomiting, photophobia, and phonophobia? -
Answer Migraine
Migraine with an aura suggests what? - Answer Stroke
cryptorchidism - Answer undescended testicles
, What labs help determine if testes are present in infants 2-6 months in age? - Answer LH, FSH,
inhibin B, and testosterone
What test can be done after the age of six months to determine the presence or absence of a
functional abdominal teste? - Answer HCG stimulation test
What treatment is recommended for retractile testes? - Answer None
What should be performed if testes descent has not occurred by 6 to 12 months of age? -
Answer Surgical orchidopexy
When should ergotamine meds be avoided? - Answer During pregnancy, anyone with or at risk
for cardiovascular disease, and those taking CYP 3A4 inhibitors (drugs ending in mycine, azole,
and avir)
When treating a migraine, what is the max amount of days per month a patient should use
simple analgesics? - Answer 15
When treating a migraine, what is the max amount of days per month a patient should use
combo analgesics? - Answer 10
Report of a sudden-onset headache that reaches
maximal and severe intensity within seconds or a few minutes is the classic description of what -
Answer thunderclap headache
A thunderclap headache warrants what workup? - Answer should precipitate workup for sub-
arachnoid hemorrhage,
since the estimated prevalence of sub-arachnoid hemorrhage in patients with thunderclap
headache is 43%.
True or False? Under most circumstances (including a
normal neurologic examination), new headache in a
patient older than 50 years or with HIV infection warrants
immediate neuroimaging - Answer True
Complete Solutions.
Migraine preventative therapy indication - Answer If migraine occurs more than 2-3
times/month or significant disability
What are migraine prophylactic meds? - Answer Topiramate, valporic acid, propranolol,
amitriptyline, venlafaxine
Is migraine treatment lifelong? - Answer No, if symptom free for several months, may taper
dose and withdrawal
When should triptans be avoided? - Answer Pregnancy, hemiplegia, basilar migraine,
uncontrolled hypertension, prior stroke or TIA, DM, hypercholesterolemia, and obesity
When are triptans contraindicated? - Answer In patients with coronary or peripheral vascular
disease
Why would the Practitioner avoid opioids for migraine? - Answer Due to high rates of rebound
headaches and overuse
Can you use triptans in controlled HTN? - Answer Yes
What type of headache is pulsatile, lasts 4-72 hours, and can be unilateral or generalized? -
Answer Migraine
What type of headache is accompanied by nausea, vomiting, photophobia, and phonophobia? -
Answer Migraine
Migraine with an aura suggests what? - Answer Stroke
cryptorchidism - Answer undescended testicles
, What labs help determine if testes are present in infants 2-6 months in age? - Answer LH, FSH,
inhibin B, and testosterone
What test can be done after the age of six months to determine the presence or absence of a
functional abdominal teste? - Answer HCG stimulation test
What treatment is recommended for retractile testes? - Answer None
What should be performed if testes descent has not occurred by 6 to 12 months of age? -
Answer Surgical orchidopexy
When should ergotamine meds be avoided? - Answer During pregnancy, anyone with or at risk
for cardiovascular disease, and those taking CYP 3A4 inhibitors (drugs ending in mycine, azole,
and avir)
When treating a migraine, what is the max amount of days per month a patient should use
simple analgesics? - Answer 15
When treating a migraine, what is the max amount of days per month a patient should use
combo analgesics? - Answer 10
Report of a sudden-onset headache that reaches
maximal and severe intensity within seconds or a few minutes is the classic description of what -
Answer thunderclap headache
A thunderclap headache warrants what workup? - Answer should precipitate workup for sub-
arachnoid hemorrhage,
since the estimated prevalence of sub-arachnoid hemorrhage in patients with thunderclap
headache is 43%.
True or False? Under most circumstances (including a
normal neurologic examination), new headache in a
patient older than 50 years or with HIV infection warrants
immediate neuroimaging - Answer True
