Cluster Headache Treatment Quiz

What is the primary purpose of abortive therapy for migraine headaches?

To reduce the frequency and severity of migraines
To treat the symptoms of migraine headache (correct)
To reverse the chronicity of migraines
To prevent the development of a migraine headache

Which medication is considered an effective analgesic adjuvant in the acute treatment of migraine headache?

Caffeine (correct)
Acetaminophen
Ergot alkaloids
Triptans

What is the initial pharmacotherapy for acute treatment of migraine?

Intravenous metoclopramide
Ketorolac administered intramuscularly
Administration of triptans subcutaneously (correct)
Prochlorperazine

What is the primary purpose of preventive therapy for migraine headaches?

To prevent the development of a migraine headache (B) Signup and view all the answers

Which medication is used for the initial abortive therapy for women with acute menstrual migraines?

Triptans (C) Signup and view all the answers

What is the pharmacologic treatment for tension-type headaches?

Acetaminophen and aspirin (A) Signup and view all the answers

What has been shown to be effective in relieving migraine-associated symptoms in eligible adults in an emergency department?

Intravenous metoclopramide (D) Signup and view all the answers

What medication has been found to lead to a small decrease in the number of tension-type headaches per month?

Botulinum toxin type A (D) Signup and view all the answers

What is the role of tricyclic drugs in the treatment of tension-type headaches?

Reverse the central sensitization and chronicity of these headaches (A) Signup and view all the answers

What is the primary purpose of nonpharmacologic methods in the acute therapy for tension-type headaches?

Rest, relaxation techniques, or stress reduction strategies (D) Signup and view all the answers

What is the primary purpose of preventive medications for people suffering from migraines?

To reduce the frequency, severity, and disability of migraines (A) Signup and view all the answers

What is the initial treatment for a cluster headache?

Subcutaneous sumatriptan and high-flow oxygen (B) Signup and view all the answers

Why should the resumption of high-flow oxygen shortly after relief of a cluster headache be avoided?

Overuse of high-flow oxygen may increase the frequency of cluster headaches in some patients (D) Signup and view all the answers

What are the other effective treatments for acute cluster headaches mentioned in the text?

Ergot derivatives, lidocaine, and octreotide (D) Signup and view all the answers

What is the main factor guiding drug therapy to manage a migraine?

Severity of the attacks (D) Signup and view all the answers

In cluster headache treatment, why is high-flow oxygen administered for 15 minutes to determine effectiveness?

Because the adverse effects of oxygen use are less than those of sumatriptan (D) Signup and view all the answers

What nonpharmacologic options are mentioned for the treatment of cluster headaches?

Occipital and vagal nerve stimulation (D) Signup and view all the answers

What has been suggested as an effective treatment for cluster headaches in new guidelines?

Sumatriptan and zolmitriptan nasal spray, augmented by high-flow oxygen (D) Signup and view all the answers

In migraine management, what patient-specific factor is mentioned as important?

The patient’s medication preference (D) Signup and view all the answers

Besides sumatriptan, what other drug is mentioned as effective in the treatment of cluster headaches?

Zolmitriptan nasal spray (A) Signup and view all the answers

What should be avoided in the treatment of cluster headaches to prevent an increase in headache frequency?

Resuming the use of high-flow oxygen within a short period of time following relief of the headache (C) Signup and view all the answers

What is the reason for avoiding the overuse of high-flow oxygen in cluster headache treatment?

Evidence shows that the frequency of cluster headaches may increase in some patients with overuse of high-flow oxygen (C) Signup and view all the answers