Migraine Headache Symptoms Classification

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Which characteristic is used to distinguish migraines from other headaches?

Lightheadedness
At least one reversible aura symptom (correct)
Severe throbbing pain
Nausea and vomiting

What does the acronym SOCRATES stand for in headache history taking?

Similarity, Observation, Continuation, Remediation, Analysis, Time, Experiences, Specifics
Severity, Observation, Continuity, Radiation, Assistance, Time, Experiences, Support
Signalment, Observation, Circumstances, Risk factors, Analysis, Treatment, Experiences, Systems involved
Symptoms, Onset, Character, Radiation, Associated symptoms, Time course, Exacerbating/relieving factors, Severity (correct)

What is NOT considered a danger sign in headache assessment?

Progressive headache
Presence of papilledema
History of neoplasm
Gradual pattern change (correct)

Which characteristic would NOT be seen in a migraine without aura?

Reversible aura symptoms (C) Signup and view all the answers

What type of headache is characterized by the presence of autonomic features?

Cluster headache (C) Signup and view all the answers

What management approach is NOT recommended for migraine headaches?

Painkiller overuse at the onset of a headache (B) Signup and view all the answers

Which of the following is a common autonomic feature in cluster headaches?

Ipsilateral, consistent, and severe autonomic features (B) Signup and view all the answers

Which method is used to evaluate the history of a patient with neck and back pain?

SOCRATES method (B) Signup and view all the answers

What are the danger signs (red flags) in patients with neck and back pain?

All of the above (D) Signup and view all the answers

Which of the following treatments is used for tension-type headaches?

Simple analgesics (Paracetamol, Aspirin, NSAIDs) and combination of analgesics plus caffein (D) Signup and view all the answers

Which of the following is NOT a characteristic of migraines?

Pain intensified by routine physical activity (D) Signup and view all the answers

What are the triggering factors for cluster headaches?

Nitroglycerin, histamine, and strong smells (A) Signup and view all the answers

What is the location of pain in tension-type headaches?

Bilateral in location (D) Signup and view all the answers

Which of the following management options is NOT used for migraines?

Oxygen and sumatriptan (A) Signup and view all the answers

What are the mechanisms behind tension-type headaches?

Excessive pericranial muscle contractions that may lead to ischemia and release of noxious substances such as substance P (C) Signup and view all the answers

What is the duration of cluster headache attacks?

15-180 mins (A) Signup and view all the answers

What are the cranial autonomic features associated with headaches?

Lacrimation, conjunctival injection, periorbital edema, ptosis, pupillary changes, nasal congestion, rhinorrhea, tinnitus (C) Signup and view all the answers

What does the 'O' in the SOCRATES method stand for in headache history taking?

Onset (C) Signup and view all the answers

What are the danger signs associated with headaches?

Flashing lights, tingling, numbness, nausea, vomiting, blurring of vision, sensory hypersensitivity, visual changes, numbness, weakness, speech impairment, cognitive impairment (D) Signup and view all the answers

What is the most appropriate management approach for a patient with a headache?

Pain medication and lifestyle changes (D) Signup and view all the answers

What is the meaning of the 'T' in the SOCRATES method?

Timing (D) Signup and view all the answers

What should be done if a patient presents with danger signs associated with headaches?

Refer to a neurologist for further evaluation (B) Signup and view all the answers