SECTION I Headache Pain Syndromes

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Questions and Answers

What are the risk factors for reactivation of the dormant varicella zoster virus?

  • Old age, poor immune function, and previous chickenpox infection
  • Old age, poor immune function, and recent chickenpox infection (correct)
  • Young age, strong immune function, and recent chickenpox infection
  • Middle age, strong immune function, and previous shingles infection

Which virus is the causative agent for shingles?

  • Varicella zoster virus (correct)
  • Hepatitis C virus
  • Influenza virus
  • Human papillomavirus

What distinguishes shingles from other oral blistering conditions?

  • It heals within 10-14 days
  • It causes tooth loss
  • It appears as opaque blisters
  • It only involves one side of the mouth (correct)

Which virus is not the same as herpes simplex virus, but belongs to the same family of herpesviruses?

<p>Varicella zoster virus (A)</p> Signup and view all the answers

What is the estimated range of new cases per year of shingles among healthy individuals?

<p>1.2 to 3.4 per 1,000 person-years (B)</p> Signup and view all the answers

What is the term used to describe a person who has all the symptoms of shingles except the characteristic rash?

<p>Zoster sine herpete (A)</p> Signup and view all the answers

Which nerve branch is most commonly involved when the trigeminal nerve is affected by shingles?

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

Which phase of a migraine attack immediately precedes the headache?

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

What is the most common type of aura experienced by people with migraines?

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

What is the term used to describe a migraine attack lasting longer than 72 hours?

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

Which of the following is a distinguishing feature of migraine headaches?

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

What is the first-line treatment for migraine headache?

<p>Simple pain medication such as ibuprofen (C)</p> Signup and view all the answers

Which of the following is a common symptom of a basilar migraine?

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

What percentage of people with migraines experience nausea?

<p>90% (D)</p> Signup and view all the answers

What is the genetic influence of likelihood to develop migraine according to studies of twins?

<p>34% to 51% (A)</p> Signup and view all the answers

Which of the following is the most common type of primary headache?

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

Which age group is tension-type headache most prevalent in?

<p>30-39 years old (D)</p> Signup and view all the answers

What percentage of all headaches are accounted for by tension-type headaches?

<p>90% (C)</p> Signup and view all the answers

What is the definition of chronic tension-type headache (CTTH)?

<p>Headache for 15 days or more per month (C)</p> Signup and view all the answers

Which of the following is a characteristic of frequent tension-type headache (TTH)?

<p>Headache for 10 or more episodes over 1-14 days per month (B)</p> Signup and view all the answers

Which of the following is NOT a potential cause of tension-type headache?

<p>NMDA receptor activation (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of tension-type headaches?

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

Which factor is NOT considered a risk factor for tension-type headaches?

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

Which of the following is NOT a common symptom of cluster headaches?

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

Which of the following is a common symptom of cluster headaches?

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

What is the typical location of the pain during a cluster headache?

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

What is the term used to describe the preliminary sensations of pain in the general area of attack before a cluster headache?

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

Which of the following is not a type of trigeminal autonomic cephalgias

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

Which medication type has the shortest delay between taking it too often and developing medication overuse headaches (MOH)?

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

What is the most probable cause of medication overuse headaches (MOH)?

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

Which medication should be avoided as an abortive treatment for migraine headaches?

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

Which of the following is a common reason that leads to medication overuse headache (MOH)?

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

What is the estimated prevalence of medication overuse headache (MOH) in the general population?

<p>Between 1% and 2% (C)</p> Signup and view all the answers

How is medication overuse headache (MOH) classified according to the International Classification of Headache Disorders (ICHD)?

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

Which nerve is affected in occipital neuralgia?

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

What type of pain is typically associated with occipital neuralgia?

<p>Lancinating or stabbing pain (C)</p> Signup and view all the answers

Which of the following is a risk factor for idiopathic intracranial hypertension (IIH)?

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

What is the most common symptom of IIH?

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

What is the first-line treatment for IIH?

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

Which cranial nerve is most commonly affected in individuals with IIH?

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

What is the fundoscopic finding in IIH?

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

Which of the following is NOT a common cause of secondary intracranial hypertension?

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

Which of the following is the cause of IIH?

<p>Obstruction of draining veins (B)</p> Signup and view all the answers

What is the purpose of performing a lumbar puncture in the diagnosis of IIH?

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

Which of the following criteria is NOT required for the diagnosis of IIH according to the modified Dandy criteria?

<p>Cranial nerve IV palsy (A)</p> Signup and view all the answers

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