Question 1

Which of the following best describes the typical pain pattern of a tension-type headache?

Accepted Answer

Bilateral, mild to moderate pain described as a tight band around the head

Question 2

A 28-year-old woman presents with recurrent, moderate to severe, one-sided headaches that are pulsating and aggravated by routine activity. She also reports nausea and sensitivity to light. Which type of headache is most likely?

Accepted Answer

Migraine

Question 3

Which of the following is NOT considered a primary headache disorder?

Accepted Answer

Headache due to acute hypertension

Question 4

A patient presents with brief, extremely severe headaches that recur several times a day, focused around one eye, and are accompanied by a runny nose and drooping eyelid. What is the most likely diagnosis?

Accepted Answer

Cluster headache

Question 5

Which of the following is a danger sign that warrants urgent evaluation in a patient presenting with a headache?

Accepted Answer

Headache with sudden onset and no similar headaches in the past

Question 6

Which medication is commonly used for both the acute management of migraine and cluster headaches due to its action as a serotonin receptor agonist?

Accepted Answer

Sumatriptan

Question 7

A 35-year-old man with a history of migraines reports experiencing flashes of light and tingling on one side of his face before the onset of headache pain. Which phase of migraine is he describing?

Accepted Answer

Aura

Question 8

Which of the following is a recommended first-line treatment for tension-type headaches?

Accepted Answer

Paracetamol

Question 9

Which of the following statements about the epidemiology of headaches is TRUE?

Accepted Answer

About 50% of adults worldwide experience a headache at least once a year

Question 10

A patient with a history of depression presents with chronic, bilateral headaches described as a tight band around the head. Which medication might be considered for both headache and depression management?

Accepted Answer

Amitriptyline

Question 11

Which of the following is a secondary cause of headache?

Accepted Answer

Sinusitis

Question 12

A 45-year-old woman experiences a headache with mood changes, fatigue, and cognitive challenges after the pain has subsided. Which migraine phase is she most likely experiencing?

Accepted Answer

Postdrome

Question 13

Which of the following is NOT a typical symptom associated with cluster headaches?

Accepted Answer

Bilateral pain across the forehead

Question 14

A patient presents with a new, sudden-onset headache and altered mental status. What is the most appropriate next step?

Accepted Answer

Order urgent neuroimaging (MRI or CT scan)

Question 15

Which of the following medications is discouraged for routine use in tension-type headaches due to the risk of rebound headaches?

Accepted Answer

Phenobarbital

Question 16

A 30-year-old woman with a family history of migraines reports headaches that are aggravated by routine activity and associated with nausea. Which of the following is a likely contributing factor to her headaches?

Accepted Answer

Genetics

Question 17

Which of the following is a distinguishing feature of migraine compared to tension-type headache?

Accepted Answer

Pulsating, one-sided pain with nausea

Question 18

A patient with cluster headaches is most likely to benefit from which of the following acute treatments?

Accepted Answer

Sumatriptan

Question 19

Which of the following is a recommended diagnostic approach for a patient with recurrent headaches and no danger signs?

Accepted Answer

Clinical evaluation and thorough history

Question 20

A patient with migraine is prescribed a combination of paracetamol and metoclopramide. What is the primary reason for including metoclopramide?

Accepted Answer

To treat associated nausea

Headaches: Classification, Clinical Features, and Management

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