Update ) Primary Care of
the Maturing & Aged Family
Practicum | Summary Questions
and Answers | Grade A | 100%
Correct – Chamberlain
Question:
Migraine duration
Answer:
4-72h
Question:
patho of migraine
Answer:
believed To be the result of activation of the trigeminal nucleus resulting in
inflammation and increased pain sensitivity
,Question:
aura patho
Answer:
related to cortical depression spreading related to cortical depression
spreading
Question:
Predomo phase of migraine
Answer:
Related to changes in serotonin consists of tiredness yawning cognitive
dysfunction mood change neck discomfort food cravings
Question:
Headache Phase of Migraine
Answer:
Related to Trigeminal vascular activation with CGRP (inflammatory and
vasodilatory) release
,Question:
Postdrum phase of migraine
Answer:
Related to central sensitization and serotonin depletion, tired weary problem
concentrating mild neck discomfort can last hours to a day
Question:
Chronic Migraine
Answer:
15+ HA days per month
Question:
Ergotamine, Sumatrioptin
Answer:
Tripitin used in acute Migraine
, Question:
medications for Migraine preventions
Answer:
Antiepileptic (Topiramate and Divalproex Sodium)
Beta Blocker (Propranolol, metoprolol, timolol)
Antidepressants (Amitriptyline, venlafaxine)
ACE/ARB (lisinopril, candesartan)
Monoclonal Antibodies (erenumab, Fremanexumab)
Oral Mag (400-600mg/d)
Question:
Metoclopramide
Answer:
Dopamine Receptor Antagonist that is Adjunct therapy in migraines to
improve G absorption due to slowed GI motility during attack
Question:
When should preventative treatment be considered
Answer:
Patients with four or more attacks per month started on a low dose treatment
gradually increase until effects tolerable Often lag of two to 12 weeks before
effects are seen Consider Propranolol and tryptoline or topiramate