Headache Disorders Assessment and Diagnosis Quiz
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Questions and Answers

What is an essential component of the diagnostic evaluation for headaches?

  • Physical assessment of the extremities
  • Complete respiratory examination
  • Detailed history (correct)
  • Complete cardiovascular examination
  • How may headaches manifest in the same person over a lifetime?

  • Differently (correct)
  • More frequently
  • With increasing severity
  • Consistently
  • What is the focus of the health history in assessing headaches?

  • Assessing the abdominal pain
  • Assessing the joint pain
  • Assessing the headache itself (correct)
  • Assessing the lower back pain
  • What can daily use of over-the-counter or prescribed pain medications for 8 to 10 days out of a month lead to?

    <p>Chronic headache due to medication overuse</p> Signup and view all the answers

    What type of medications can provoke headaches?

    <p>Antihypertensive agents, diuretic medications, antiinflammatory agents, and monoamine oxidase (MAO) inhibitors</p> Signup and view all the answers

    What can emotional factors do in precipitating headaches?

    <p>Play a role</p> Signup and view all the answers

    What does the medication history provide insight into?

    <p>The patient’s overall health status</p> Signup and view all the answers

    What are some categories of medications that can provoke headaches?

    <p>Antihypertensive agents, diuretic medications, antiinflammatory agents, and monoamine oxidase (MAO) inhibitors</p> Signup and view all the answers

    What is an essential component of the patient database in assessing headaches?

    <p>General health history</p> Signup and view all the answers

    What should be covered in the health history in assessing headaches?

    <p>Major medical and surgical illness as well as a body systems review</p> Signup and view all the answers

    What is the goal of nursing management for migraine and other types of headaches?

    <p>Pain relief</p> Signup and view all the answers

    In which type of patients is the abortive approach best used?

    <p>Patients with less frequent attacks</p> Signup and view all the answers

    What is the first priority in the medical management of migraine and other types of headaches?

    <p>Treat the acute event of the headache</p> Signup and view all the answers

    What is an example of nonpharmacologic treatment for migraine and tension headaches?

    <p>Avoidance of triggers</p> Signup and view all the answers

    What is a symptomatic pain relief measure for tension headaches?

    <p>Application of local heat or massage</p> Signup and view all the answers

    What is an example of a noninvasive neuromodulation device that may provide relief for migraine?

    <p>Cranial electrotherapy stimulation</p> Signup and view all the answers

    What is the medical management for an acute attack of cluster headaches?

    <p>100% oxygen by facemask for 15 minutes</p> Signup and view all the answers

    What is the medical management of cranial arteritis?

    <p>Early administration of a corticosteroid</p> Signup and view all the answers

    What is an important nonpharmacologic therapy for the patient with tension headaches?

    <p>Stress reduction techniques</p> Signup and view all the answers

    What is important for patient education about self-care for migraines?

    <p>Patient education about the type of headache and its mechanism</p> Signup and view all the answers

    What is an important factor in migraine headaches, including sleep patterns, stress levels, recreational interests, and family stressors?

    <p>Genetic predisposition</p> Signup and view all the answers

    What may have a direct relationship with headaches, and can be uncovered through careful questioning?

    <p>Toxic substance exposure</p> Signup and view all the answers

    What type of testing is often not helpful in investigating headaches, but may be used in patients with abnormalities to detect underlying causes?

    <p>CT scan</p> Signup and view all the answers

    What may reveal sustained muscle contractions related to headaches?

    <p>Electromyography (EMG)</p> Signup and view all the answers

    What is a key approach in the preventive medical management of migraines?

    <p>Avoiding specific triggers</p> Signup and view all the answers

    What may precipitate cluster headaches, and eliminating it can help prevent the headaches?

    <p>Nitrites</p> Signup and view all the answers

    What is involved in the medical management of migraine headaches?

    <p>Abortive (symptomatic) approaches</p> Signup and view all the answers

    What type of agents are thought to block the physiologic events leading to an attack in preventive medical management of migraines?

    <p>Preventive agents</p> Signup and view all the answers

    What is a symptomatic pain relief measure for tension headaches?

    <p>Abortive (symptomatic) approaches</p> Signup and view all the answers

    What is a nonpharmacologic therapy for the patient with tension headaches?

    <p>Avoiding specific triggers</p> Signup and view all the answers

    What is a major factor in migraine headaches according to the text?

    <p>Work-related stress</p> Signup and view all the answers

    What can aid in the diagnosis of headache disorders?

    <p>Detailed description of the headache</p> Signup and view all the answers

    What type of testing is often not helpful in investigating headaches?

    <p>Genetic testing</p> Signup and view all the answers

    What is involved in the preventive medical management of migraines?

    <p>Daily use of agents thought to block physiologic events</p> Signup and view all the answers

    What may help prevent cluster headaches according to the text?

    <p>Nitrites exposure</p> Signup and view all the answers

    What type of testing may reveal sustained muscle contractions?

    <p>Electromyography (EMG)</p> Signup and view all the answers

    What is a relevant factor in assessing occupational history?

    <p>Workplace stress</p> Signup and view all the answers

    What may have a direct relationship with headaches according to the text?

    <p>Exposure to toxic substances</p> Signup and view all the answers

    What is involved in the treatment regimens for headache disorders?

    <p>Close monitoring</p> Signup and view all the answers

    What law provides employees with access to material safety data sheets for substances they come in contact with in the workplace?

    <p>Right-to-Know Law</p> Signup and view all the answers

    Study Notes

    Headache Disorders: Assessment and Diagnosis

    • Stress is a major factor in migraine headaches, and various lifestyle factors are relevant, including sleep patterns, stress levels, recreational interests, and family stressors.
    • There is a strong familial tendency for headache disorders, and a positive family history can aid in diagnosis.
    • Exposure to toxic substances may have a direct relationship with headaches, and careful questioning can uncover relevant chemical exposures.
    • Employees have access to material safety data sheets for substances they come in contact with in the workplace under the Right-to-Know Law.
    • Occupational history includes assessing the workplace as a possible source of stress and for a possible ergonomic basis of muscle strain and headache.
    • Detailed description of the headache is crucial, including age at onset, frequency, location, duration, type of pain, precipitating factors, and associated symptoms.
    • Diagnostic testing is often not helpful in investigating headaches, and in patients with abnormalities, CT scan, cerebral angiography, or MRI scan may be used to detect underlying causes.
    • Electromyography (EMG) may reveal sustained muscle contractions, and laboratory tests may include complete blood count, electrolytes, and thyroid hormone levels.
    • Prevention involves avoiding specific triggers known to initiate the headache syndrome and daily use of agents thought to block the physiologic events leading to an attack in preventive medical management of migraines.
    • Treatment regimens vary, and close monitoring is necessary.
    • Alcohol, nitrites, vasodilators, and histamines may precipitate cluster headaches, and their elimination can help prevent the headaches.
    • Medical management of migraine headaches involves both abortive (symptomatic) and preventive approaches.

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    Description

    Test your knowledge of headache disorders assessment and diagnosis with this quiz. Explore factors such as stress, familial tendencies, toxic substance exposure, and workplace considerations. Learn about diagnostic testing, prevention, and treatment regimens for migraine and cluster headaches.

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