Understanding Headache: Neurologic Complaints and Causes
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Questions and Answers

What is the primary source of head pain?

  • Skull
  • Brain tissues
  • Dura mater
  • Scalp, blood vessels, and muscles (correct)

What is the classification of headaches caused by underlying health disorders?

  • Secondary headache (correct)
  • Primary headache
  • Vascular headache
  • Tension headache

What type of headache is caused by psychological problems related to tension or stress?

  • Tension headache (correct)
  • Vascular headache
  • Hypertensive headache
  • Migraine headache

What is the purpose of a careful physical examination with appropriate neurologic assessment?

<p>To determine the source of recurring headache (D)</p> Signup and view all the answers

What is a common characteristic of primary headaches?

<p>Not attributable to a physiological disorder (A)</p> Signup and view all the answers

What type of headache is migraine an example of?

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

Why is it challenging to determine the exact mechanism of head pain?

<p>The scalp, blood vessels, and muscles do not feel pain (C)</p> Signup and view all the answers

What is the main source of pain that arises in headaches?

<p>Cervical cranial nerves (C)</p> Signup and view all the answers

What characterizes a primary headache?

<p>Is not attributable to a physiological disorder (C)</p> Signup and view all the answers

What is a common cause of secondary headaches?

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

How do blood vessels contribute to headaches?

<p>By dilating and becoming congested with blood (D)</p> Signup and view all the answers

What category of headaches arises from psychological problems related to tension?

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

Which headache type is an example of a primary headache?

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

What is the role of cervical cranial nerves in the mechanism of head pain?

<p>They are a source of pain (A)</p> Signup and view all the answers

What type of headaches are caused by cervical arthritis?

<p>Primary tension headaches (A)</p> Signup and view all the answers

What is the relationship between blood vessels and headaches?

<p>Dilated blood vessels cause headaches (B)</p> Signup and view all the answers

What is a characteristic of secondary headaches?

<p>They are caused by underlying health disorders (A)</p> Signup and view all the answers

What is the purpose of a neurologic assessment in headache diagnosis?

<p>To identify the underlying cause of the headache (C)</p> Signup and view all the answers

What is the function of the dura mater in headaches?

<p>It is a source of pain (B)</p> Signup and view all the answers

What is the significance of the scalp in headaches?

<p>It is a source of pain (D)</p> Signup and view all the answers

What is a characteristic of vascular headaches?

<p>They are a type of primary headache (D)</p> Signup and view all the answers

Why is it challenging to determine the exact mechanism of head pain?

<p>Because the exact mechanism is not known (A)</p> Signup and view all the answers

What is the significance of hypertension in headaches?

<p>It is an underlying health disorder that causes secondary headaches (C)</p> Signup and view all the answers

What is the primary role of serotonin in migraine headaches?

<p>Abnormal metabolism contributing to migraines (D)</p> Signup and view all the answers

What is the typical age range when migraines typically peak?

<p>30s to 40s (B)</p> Signup and view all the answers

Which of the following is NOT a common migraine trigger?

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

What occurs 24 hours before the onset of migraine pain?

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

What is the primary purpose of evaluating headaches that are not transient?

<p>To rule out underlying health disorders (A)</p> Signup and view all the answers

What is the primary function of lumbar puncture in diagnosing headaches?

<p>To assess increased intracranial pressure (C)</p> Signup and view all the answers

Which of the following foods is likely to trigger a migraine?

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

What is the term for neurological symptoms that occur prior to the onset of migraine pain?

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

What is the typical pattern of migraine headache pain?

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

What is the primary role of dietary counseling in managing migraines?

<p>To identify migraine triggers (B)</p> Signup and view all the answers

What distinguishes cluster headaches from migraines in terms of gender distribution?

<p>Cluster headaches occur more commonly in men. (C)</p> Signup and view all the answers

What common symptom often accompanies a cluster headache?

<p>Tearing and nasal stuffiness (C)</p> Signup and view all the answers

What is a frequent presenting sign noted if a health care provider is present during a cluster headache attack?

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

Which type of headache is likely to include exertion, heat, and high altitudes as triggering factors?

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

What is a common distinguishing factor between cluster headaches and tension headaches?

<p>Average duration of the headaches (D)</p> Signup and view all the answers

What distinguishes a cluster headache from a tension headache in terms of pain management medication?

<p>Cluster headaches are typically managed without opioids. (C)</p> Signup and view all the answers

What is a key aspect of the presentation of Horner syndrome during a cluster headache attack?

<p>Eyelid drooping on one side (D)</p> Signup and view all the answers

What distinguishes a tension headache from a migraine in terms of analgesic use?

<p>Nonopioid analgesics are often used for migraine headaches. (B)</p> Signup and view all the answers

What is a potential consequence of using opioids to manage tension headaches?

<p>Increased risk of substance abuse (C)</p> Signup and view all the answers

What distinguishes the frequency of headaches in migraine patients and their ability to function normally?

<p>Migraine patients have frequent headaches but minimal functional disruption. (A)</p> Signup and view all the answers

What method may help patients with headaches develop awareness of stress or triggering factors?

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

How do triptans work in managing headaches?

<p>Inhibiting neuropeptide release (A)</p> Signup and view all the answers

What distinguishes cluster headaches from other types of headaches?

<p>They involve a unilateral burning pain (B)</p> Signup and view all the answers

Which medication combination is effective for managing migraine pain by preventing blood vessel expansion?

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

What is the primary purpose of using beta-adrenergic blockers in preventing migraine headaches?

<p>Reducing migraine frequency (A)</p> Signup and view all the answers

Which type of headaches are commonly managed with over-the-counter medications like ibuprofen?

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

What is a notable characteristic of rebound headaches?

<p>Caused by using medications frequently (B)</p> Signup and view all the answers

What medication type is used to reduce migraine incidence and duration?

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

What is a potential side effect associated with triptans for acute migraine treatment?

<p>Flushing and chest pain (C)</p> Signup and view all the answers

How do Botox injections help in the management of migraine headaches?

<p>By reducing trigeminal nerve sensitivity (D)</p> Signup and view all the answers

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