ABSTRACT
During pregnancy, treatment of migraine may include:
A. Ergot/caffeine B. DHE/Reglan C. Cafergot D. Amitriptyline E. Usually not necessary as migraine frequency and
severity is reduced, and the above-listed drugs are contraindicated
The following cranial structures are pain sensitive:
A. Venous sinuses B. Meningeal arteries C. Head and neck muscles D. Large cranial arteries E. All of the above
The following are characteristic of migraine without aura:
A. Bilateral location of pain B. Thunderclap quality to pain onset C. Shock or jolt quality of pain D. Photopsia and microscopia are present E. Headache is associated with nasal congestion,
lacrimation, and Homer syndrome
A. Fortification spectra B. Headache preceding motor weakness C. Headache preceding aphasia D. Amaurosis fugax and scintillating scotoma E. Headache precipitated by emotional stress
The following is characteristic of "cluster-type" headache:
A. Pupillary dilatation B. Relieved by sleep C. Long duration of pain episodes D. Prominent autonomic discharge during headache E. Diplopia during attack
The following is characteristic of trigeminal neuralgia:
A. Usually due to multiple sclerosis B. Episodes may be aborted by certain anti epileptic
or antispasticity medications C. Sensory loss is detected on the face D. Weak masseter muscle function E. Bursts of pain last 30-60 min
Effective treatment strategies for "status migrainous" include:
A. Adequate fluid replacement B. DHE and Reglan C. Imitrex D. Phenothiazines E. All of the above
A 30-year-old man develops "the first and worst headache of his life" after 5 min of weight lifting. The headache is throbbing in quality. It causes him to stop lifting. The headache disappears in 10 min. When he goes to the emergency department (ED), he is
asympto~atic and the exam is entirely normal. What is the most likely diagnosis?
