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Unit 5-CMN 568; 129 Questions with Complete Solutions 100% Solved
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Unit 5-CMN 568; 129 Questions with Complete Solutions 100% Solved
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Unit 5-CMN 568; 129 Questions with CompleteSolutions 100% Solved
essentials for diagnosis for acute HA? CORRECT ANS-older than 40, rapid onset and SEVERE
intensity, "thunderclap", fever, vision changes, neck stiffness, HIV infection, current or past hx
HTN, neuro findings
Just because imaging is normal for HA does not exclude what possible dx? CORRECT ANS-
SAH
what are the 3 critical components of exam for HA? CORRECT ANS-vital signs, neuro exam,
vision testing with funduscopic exam
when doing visual exam for HAs, what is crucial to assess for vision? CORRECT ANS-visual
acuity, ocular gaze, visual fields, pupillary defects, optic disc and retinal vein pulsations.
If you find any abnormality on neuro exam for HA then what? CORRECT ANS-emergency
neuroimaging
, Unit 5-CMN 568; 129 Questions with Complete
Solutions 100% Solved
what is the criteria for the OTTAWA SAH clinical decision rule? CORRECT ANS-40 or older,
neck pain/stiffness, witnessed LOC, onset during exertion, thunderclap HA, limited neck
flexion (on exam)
what medications are avoided as 1st line for HA? CORRECT ANS-morphine/hydromorphine
what are the characteristics of migraines? CORRECT ANS-pulsatile HA lasts 4-72 hours,
unilateral, aggravated by routine physical activity, photophobia, phonophobia, common for
no aura with HA
To avoid over use of medications for HA, what is the recommendation for limited analgesics?
CORRECT ANS-less than 15 days/month, combo analgesics to less then 10 days/month
who can not take Ergotamines for migraines? CORRECT ANS-pregnant, CV disease or RF,
pts taking CYP3A4 inhibitors
what is the most common primary HA disorder? CORRECT ANS-tension-type HA
, Unit 5-CMN 568; 129 Questions with Complete
Solutions 100% Solved
how are tension type HA described? CORRECT ANS-vise-like or tight, not pulsatile, not
associated with focal neuro symptoms.
what medication do you NOT give to tension type HAs? CORRECT ANS-triptans
First line tx of cluster HAs? CORRECT ANS-sumatriptan sub-q/intranasal or inhaled 100%
o2 via 12-15 L/min non-rebreather for 15 mins
what medications lead to overuse headache if taken more than 10 days per month?
CORRECT ANS-ergotamines, triptans, meds with butalbital, and opioids.
what medications can lead to overuse HA if taken more than 15 days per month? CORRECT
ANS-acetaminophen, acetylsalicyclic acid, and NSAIDs
what diagnostic imaging should be done on all primary cough HA and why? CORRECT ANS-
CT or MRI due to possible intracranial lesions, brain tumors.
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