22 Questions
What is the typical duration of a cluster headache?
15 minutes to 2 hours
How many attacks per day can a patient experiencing cluster headaches have?
One to three
Where does the pain of a cluster headache typically occur?
Behind or around one eye
Which gender is more affected by cluster headaches?
Men
What is one of the symptoms associated with a cluster headache?
Tearing
What is the primary goal of management for cluster headaches?
Relieving the pain and decreasing the length of time of the cluster
What is the primary basis for the treatment of cluster headaches?
Empiric evidence from clinical trials and observations
Which of the following is NOT a fast-acting treatment option for acute cluster headache attacks?
Oral ergotamine derivatives
What is the proposed mechanism of action for intranasal lidocaine in treating cluster headaches?
Local anesthesia by blocking conduction of the vidian nerve or sphenopalatine ganglion
Which of the following is NOT a potential side effect of intranasal lidocaine administration?
Severe headache
What is the recommended starting dose of topiramate for the prevention of cluster headaches?
25 mg/day
Which of the following is NOT a potential side effect of topiramate that should be monitored?
Weight gain
What is the recommended maximum daily dose of lithium for the prevention of cluster headaches?
900 mg
Which of the following statements about glucocorticoids in the treatment of cluster headaches is TRUE?
More than 80% of patients with cluster headaches respond to glucocorticoid therapy
Which of the following activities should be avoided by patients during a cluster headache episode?
All of the above
What is the recommended dose of melatonin for the treatment of refractory cluster headaches?
10 mg nightly
Which of the following statements about cluster headaches is true?
The intense pain and sleep loss from cluster headaches can significantly impact quality of life.
Which of the following is recommended for monitoring the effectiveness of acute and preventive therapy for cluster headaches?
Keeping a headache diary
Which of the following statements about patient education for cluster headaches is true?
Patients should be educated on the importance of adhering to their prescribed medications.
Which of the following statements about the treatment of cluster headaches is true, according to the text?
Modifications in pharmacological management should be based on the headache diary.
Which of the following statements about cluster headaches is true, according to the text?
Cluster headaches are a benign condition, despite the severe pain experienced during attacks.
Which of the following is recommended for patients experiencing cluster headaches?
Be able to self-medicate for acute attacks, as the headache may resolve before reaching a medical clinic.
Learn about cluster headaches, a type of primary headache disorder characterized by intense pain lasting for 15 minutes to 2 hours. These headaches occur in clusters for several weeks or months, followed by periods of remission.
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