Beta Blockers for Migraine Prevention
75 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the maximum daily dose of propranolol in adults?

  • 240 mg (correct)
  • 120 mg
  • 200 mg
  • 160 mg

    • Which beta blocker has a level A recommendation for effectiveness in migraine prevention?

  • Pindolol
  • Atenolol
  • Nebivolol
  • Propranolol (correct)

    • What is the suggested starting dose range for propranolol in adults?

  • 20-40 mg/day
  • 60-80 mg/day (correct)
  • 40-60 mg/day
  • 80-100 mg/day

    • Which patient group should beta blockers be used cautiously in due to potential limitations?

    <p>Patients with asthma (C)</p> Signup and view all the answers

    What is the general timeline suggested for maintaining the dose of beta blockers before deeming the medication a failure?

    <p>3 months (A)</p> Signup and view all the answers

    What is the proposed mechanism of action of beta blockers in migraine prevention?

    <p>Affecting the central catecholaminergic system and brain serotonin receptors (B)</p> Signup and view all the answers

    What is the maximum recommended dose for propranolol in pediatric patients?

    <p>0.5 to 1 mg/kg/d (A)</p> Signup and view all the answers

    Which symptom suggests that the maximum dosage of a medication has been reached in adults?

    <p>Pulse below 50 (A)</p> Signup and view all the answers

    Why should pediatric patients be monitored closely when taking propranolol?

    <p>To assess for side effects (A)</p> Signup and view all the answers

    What is a common adverse effect of amitriptyline used for migraine prevention?

    <p>Constipation (B)</p> Signup and view all the answers

    Why is propranolol not recommended as the first-line drug in depressed patients?

    <p>It can worsen depression (B)</p> Signup and view all the answers

    Which condition is a contraindication for using propranolol?

    <p>Chronic obstructive pulmonary disease (D)</p> Signup and view all the answers

    What is the FDA indication for topiramate (Topamax) regarding migraine?

    <p>Has an indication for migraine prophylaxis (C)</p> Signup and view all the answers

    Which tricyclic antidepressant (TCA) may be used for migraine prevention and causes less drowsiness than amitriptyline?

    <p>Nortriptyline (Pamelor) (C)</p> Signup and view all the answers

    What is the recommended dosing strategy for NSAIDs in treating menstrual migraines?

    <p>Start daily dosing a week before menses and continue for a week after (B)</p> Signup and view all the answers

    Which of the following is a potential concern with the use of NSAIDs in older patients?

    <p>Increased risk of nephrotoxicity or GI problems (B)</p> Signup and view all the answers

    What is the level of evidence supporting the efficacy of calcium channel blockers for migraine prevention?

    <p>The data are weak and conflicting (B)</p> Signup and view all the answers

    What is the proposed mechanism by which calcium channel blockers may prevent migraine?

    <p>Inhibiting vasospasm of the cerebral arteries and preventing cerebral hypoxia (D)</p> Signup and view all the answers

    Which of the following is the most common calcium channel blocker used for migraine prevention?

    <p>Verapamil (B)</p> Signup and view all the answers

    What is the level of recommendation from AAN and AHS for the use of ACE inhibitors and angiotensin receptor blockers (ARBs) for migraine prevention?

    <p>Level C recommendation (C)</p> Signup and view all the answers

    Which of the following statements about botulinum toxin injection for migraine treatment is true?

    <p>It is effective for chronic migraine but not episodic migraine (B)</p> Signup and view all the answers

    What is the recommended dosing strategy for onabotulinumtoxinA (Botox) in the treatment of chronic migraine?

    <p>An injection of 155 units in 31 sites divided across seven head and neck muscle areas, repeated every 12 weeks (A)</p> Signup and view all the answers

    Which of the following is considered an important non-pharmacological management strategy for migraine?

    <p>Identifying and avoiding migraine triggers (D)</p> Signup and view all the answers

    What percentage of patients who seek alternative therapy for migraine never discuss it with their health-care provider?

    <p>70% (A)</p> Signup and view all the answers

    Which of the following is NOT recommended as a potential alternative therapy for migraine prevention?

    <p>Chemotherapy (A)</p> Signup and view all the answers

    What is a potential mechanism by which biofeedback may help relieve migraine symptoms?

    <p>It modulates spontaneous discharge rates of cortical neurons (A)</p> Signup and view all the answers

    Which of the following statements about transcranial direct current stimulation (tDCS) is TRUE according to the text?

    <p>It shifts neuronal resting membrane potential, thereby modulating spontaneous discharge rates (C)</p> Signup and view all the answers

    Based on the information provided, what can be inferred about the recommendation for butterbur as a treatment for migraine?

    <p>It is no longer recommended due to safety and quality concerns (A)</p> Signup and view all the answers

    What is the primary purpose of keeping a headache diary for migraine patients?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following statements about the PREMICE study is TRUE?

    <p>All of the above (D)</p> Signup and view all the answers

    Based on the information provided, which of the following statements about acupuncture for migraine treatment is TRUE?

    <p>It is more effective than oral pharmacologic placebos (A)</p> Signup and view all the answers

    Which of the following is a common food that can potentially trigger a migraine?

    <p>Chocolate (C)</p> Signup and view all the answers

    Which of the following is NOT mentioned in the text as a potential lifestyle change that may help prevent migraines?

    <p>Regular exercise (B)</p> Signup and view all the answers

    Which of the following alternative therapies has the strongest level of recommendation from the AAN and AHS?

    <p>Vitamins and minerals like riboflavin, magnesium, and feverfew (A)</p> Signup and view all the answers

    Which medication has been shown in studies to be effective in the management of tension-type headache (TTH)?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the recommended daily dosage of gabapentin for the treatment of tension-type headache?

    <p>2,400 mg (B)</p> Signup and view all the answers

    Which of the following nonpharmacological therapies is NOT mentioned in the text as helpful for the preventive treatment of tension-type headache?

    <p>Cognitive-behavioral therapy (D)</p> Signup and view all the answers

    What is the primary purpose of keeping a headache diary for patients with tension-type headache?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following statements about new daily persistent headache (NDPH) is NOT true according to the text?

    <p>It is typically diagnosed in individuals with a prior history of migraine or tension-type headache (D)</p> Signup and view all the answers

    What is the minimum duration of headache required for the diagnosis of new daily persistent headache (NDPH)?

    <p>3 months (B)</p> Signup and view all the answers

    Which of the following therapies is NOT mentioned in the text as a potential treatment option for tension-type headache?

    <p>Transcranial magnetic stimulation (B)</p> Signup and view all the answers

    What should be the frequency of monitoring for the effectiveness of acute or preventive medication prescribed for tension-type headache at the beginning of treatment?

    <p>Every 1 to 2 months (B)</p> Signup and view all the answers

    Which of the following is NOT mentioned in the text as an important aspect of patient education for the treatment of tension-type headache?

    <p>Potential side effects of medications (C)</p> Signup and view all the answers

    What is the primary reason for monitoring the use of combination drugs like butalbital and isometheptene compounds in the treatment of tension-type headache?

    <p>To safeguard against potential medication overuse headache developing from overuse (A)</p> Signup and view all the answers

    What is the defining characteristic of New Daily Persistent Headache (NDPH)?

    <p>Sudden onset of daily headache (A)</p> Signup and view all the answers

    What are the two subtypes of NDPH mentioned in the text?

    <p>Self-limiting and refractory (B)</p> Signup and view all the answers

    Which of the following is true about the incidence and prevalence of NDPH?

    <p>The incidence and prevalence in the general population are unknown (B)</p> Signup and view all the answers

    Which of the following viruses has been studied in relation to the potential etiology of NDPH?

    <p>Epstein-Barr virus (A)</p> Signup and view all the answers

    What is the proposed pathogenesis of NDPH according to the text?

    <p>Persistent inflammation in the nervous system (D)</p> Signup and view all the answers

    Which of the following statements about the treatment of NDPH is true according to the text?

    <p>The best approach is to manage symptoms based on chronicity and severity (A)</p> Signup and view all the answers

    Which of the following medications has been recommended for the pharmacological treatment of NDPH?

    <p>Amitriptyline (D)</p> Signup and view all the answers

    What is the recommended approach for monitoring patients with primary NDPH according to the text?

    <p>Monitor for efficacy of therapy, side effects, and refractory symptoms (C)</p> Signup and view all the answers

    What should be done if a suspected primary NDPH fails to improve with treatment?

    <p>Consider the possibility of a secondary headache and refer for further evaluation (A)</p> Signup and view all the answers

    What is recommended in the text regarding patient tracking of symptoms and treatment outcomes for NDPH?

    <p>Patients should track symptoms and treatment outcomes, as the therapeutic window might be narrow (B)</p> Signup and view all the answers

    What is the primary focus of patient education for treating NDPH?

    <p>Emphasizing the biological origin of the disorder and the importance of avoiding medication overuse (D)</p> Signup and view all the answers

    What is the key message regarding the use of nonpharmacological therapies in the treatment of NDPH?

    <p>Nonpharmacological therapies should be used to complement pharmacological treatments. (A)</p> Signup and view all the answers

    What is the primary reason for closely monitoring patients with NDPH for mood alterations?

    <p>To determine if the patient is experiencing prolonged and refractory symptoms (C)</p> Signup and view all the answers

    Which of the following is NOT a key aspect of patient education for NDPH?

    <p>Providing information about the general timeline for maintaining the dose of beta blockers (B)</p> Signup and view all the answers

    What is the primary role of patient education in the treatment of NDPH?

    <p>To ensure the patient understands the overall treatment plan and adheres to the prescribed drug therapy (B)</p> Signup and view all the answers

    Which of the following medications requires patients to have their liver function and complete blood count (CBC) tested every 2 weeks for a total of 6 weeks?

    <p>Divalproex (C)</p> Signup and view all the answers

    What is the primary goal of migraine treatment according to the passage?

    <p>To minimize the impact of migraine headaches on patients' quality of life, social functioning, and ability to work (D)</p> Signup and view all the answers

    How is the success of preventive therapy for frequent migraine sufferers evaluated?

    <p>Both b and c (B)</p> Signup and view all the answers

    What is the recommended approach for patients who are unable to determine if a specific item is a migraine trigger?

    <p>Eliminate the item from their diet for 2 weeks and then reintroduce it (B)</p> Signup and view all the answers

    What is the recommended treatment duration before changing the regimen for preventive therapy in frequent migraine sufferers?

    <p>2 to 3 months (A)</p> Signup and view all the answers

    Which of the following is a characteristic of tension-type headaches (TTH) according to the passage?

    <p>Bilateral, persistent, and dull pain (C)</p> Signup and view all the answers

    What is the recommended approach for patients to have a rescue strategy in place for acute migraines?

    <p>All of the above (D)</p> Signup and view all the answers

    According to the passage, what is the lifetime prevalence range of tension-type headaches (TTH) in the general population?

    <p>30% to 78% (D)</p> Signup and view all the answers

    What is a key difference between migraine and tension-type headaches (TTH) mentioned in the passage?

    <p>Migraine is worsened by physical activity, while TTH is not (A)</p> Signup and view all the answers

    What is the recommended approach for patients who are unable to identify their migraine triggers?

    <p>Eliminate one item at a time from the common triggers list and monitor for improvements (A)</p> Signup and view all the answers

    What is the primary goal of treatment for tension-type headaches?

    <p>Decrease headache frequency and severity (B)</p> Signup and view all the answers

    Which neurotransmitters are modulated by TCAs to reduce the incidence of tension-type headaches?

    <p>Serotonin and norepinephrine (A)</p> Signup and view all the answers

    Why should preventive therapy be considered for tension-type headache patients with increased frequency and disability?

    <p>To prevent medication overuse headaches (MOH) (B)</p> Signup and view all the answers

    What role does nitric oxide (NO) play in the pathophysiology of tension-type headaches?

    <p>Key role (C)</p> Signup and view all the answers

    Which medications have shown limited evidence for use in chronic tension-type headaches without any related harmful effects?

    <p>Topiramate and gabapentin (D)</p> Signup and view all the answers

    What is the plausible reason behind the shift towards parenteral therapies like ketorolac in treating tension-type headaches?

    <p>Superiority over placebo shown in low-quality trials (D)</p> Signup and view all the answers

    More Like This

    Beta-Blockers Pharmacokinetics and Effects Quiz
    37 questions

    Beta Blockers Quiz: Pharmacokinetics and Effects

    ImpressivePanther avatar
    ImpressivePanther
    Pharmacological Differences of Beta Blockers Quiz
    18 questions

    Pharmacological Differences of Beta Blockers Quiz

    ReasonableSavanna avatar
    ReasonableSavanna
    Beta Blockers in Ophthalmology
    16 questions

    Beta Blockers in Ophthalmology

    FineLookingRhodochrosite7083 avatar
    FineLookingRhodochrosite7083
    Drug Class: Beta Blockers
    11 questions

    Drug Class: Beta Blockers

    CleanHolly avatar
    CleanHolly
    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser