CMN 568 - Unit 5
1. Diminution of headache in re- Subarachnoid hemorrhage or meningitis
sponse to typical migraine thera-
pies (e.g. seratonin receptor antag- Mcphee p 39
onists or ketorolac) does not rule
out _________________ as underlying
cause?
2. IMMEDIATE TREATMENT: Vascular + Intracranial hemorrhage
events + Thrombosis
+ Cavernous sinus thrombosis
+ Vasculitis
+ Malignant hypertension
+ Arterial dissection
+ Aneurysm
McPhee p 39
3. IMMEDIATE TREATMENT: Infections + Abscess
+ Encephalitis
+ Meningitis
Mc Phee p 39
4. Causes of headache that require IM- + Vascular events
MEDIATE TREATMENT + Infections
+ Intracranial masses
+ Preeclampsia
+ Carbon monoxide poisioning
McPhee p 39
5. "Thunderclap headache" is the clas- Subarachnoid hemorrhage! Should precipitate IM-
sic presentation of what condition? MEDIATE workup!
, CMN 568 - Unit 5
McPhee p 39
6. New headache in a pa- + > 50years
tient > ________________ years or + HIV infection
with ___________________ (condition)
should warrant IMMEDIATE neu- McPhee p 39
roimaging.
7. Headache patients with hx of hy- Malignant hypertension
pertension (esp uncontrolled htn)
should be examined for other fea- McPhee p 39
tures of WHAT?
8. Headache associated with pregnan- Preeclampsia
cy?
McPhee p 39
9. Episodic headache associated with Pheochromocytoma
triad of hypertension, heart palpi-
tations and sweats is suggestive of McPhee p 39
__________________.
10. Symptoms for diagnosis or ruling Symtoms: Nausea, photophobia, phonophobia and
out migraine in the absence of "clas- exacerbation with physical activtiy
sic" presentation (e.g. scintillating
scotomoa, unilateral ha, photopho- THREE OR MORE = MIGRAINE
bia and n/v)? < THREE = r/o MIGRAINE
McPhee p 39
11. Critical components of physical + Vital signs
exam for complaint of HA? + Complete neuro exam
+ Vision testing (with funduscopic exam)
, CMN 568 - Unit 5
McPhee p 40
12. Kernig and Brudzinski signs are in- Meningeal irritation
dicative of what?
McPhee p 40
13. Scalp and temporal artery tender- > 60
ness should be performed on pts
with HA who are > ______________ McPhee p 40
years.
14. Components of visual exam for pt + Visual acuity (Snellen)
presenting with HA? + Ocular gaze (Motor test - 9 positions)
+ Visual fields (Cover test - central/periph vision)
+ Pupillary defects (Size, dilation)
+ Optic disks
+ Retinal vein pulsations
McPhee p 40
15. Pt with HA and *diminished visual + Glaucoma
acuity* suggests.... + Temporal arteritis
+ Optic neuritis
McPhee p 40
16. Pt with HA and *ophthalmoplegia or + Venous sinus thrombosis
visual field defects* suggests.... + Tumor
+ Aneurysm
, CMN 568 - Unit 5
McPhee p 40
17. Pt with HA and *hypertension, "cot- + Acute severe hypertensive retinopathy
ton wool spots", flame hemorrhages
and disk swelling* suggests.... McPhee p 40
18. Pt with HA and *ipsilateral ptosis Horner syndrome AND/OR carotid artery dissection
and miosis* suggests....
McPhee p 40
19. Pt with HA and *papilledema or ab- ‘ICP
sent retinal venous pulsations* sug- + Follow with neuroimaging prior to performing
gests.... lumbar puncture
McPhee p 40
20. ANY abnormality on neuro exam + EMERGENT neuroimaging
(esp mental status) of pt with HA
warrants.... McPhee p 40
21. Ottawa criteria for evaluation of pts + e40 years of age
presenting with acute non-traumat- + Neck pain/stiffness
ic headache for signs of subarach- + Witnessed loss of consciousness
noid hemorrhage + Onset during exertion
+ Thunderclap headache
+ Limited neck flexion on examination
McPhee p 41
22. What kind of early treatment of di- + NSAIDs (e.g. ketorolac)
agnosed migraine or migraine-like + Triptans
headache can abort or provide sig-
nificant relief of symptoms? McPhee p 41
1. Diminution of headache in re- Subarachnoid hemorrhage or meningitis
sponse to typical migraine thera-
pies (e.g. seratonin receptor antag- Mcphee p 39
onists or ketorolac) does not rule
out _________________ as underlying
cause?
2. IMMEDIATE TREATMENT: Vascular + Intracranial hemorrhage
events + Thrombosis
+ Cavernous sinus thrombosis
+ Vasculitis
+ Malignant hypertension
+ Arterial dissection
+ Aneurysm
McPhee p 39
3. IMMEDIATE TREATMENT: Infections + Abscess
+ Encephalitis
+ Meningitis
Mc Phee p 39
4. Causes of headache that require IM- + Vascular events
MEDIATE TREATMENT + Infections
+ Intracranial masses
+ Preeclampsia
+ Carbon monoxide poisioning
McPhee p 39
5. "Thunderclap headache" is the clas- Subarachnoid hemorrhage! Should precipitate IM-
sic presentation of what condition? MEDIATE workup!
, CMN 568 - Unit 5
McPhee p 39
6. New headache in a pa- + > 50years
tient > ________________ years or + HIV infection
with ___________________ (condition)
should warrant IMMEDIATE neu- McPhee p 39
roimaging.
7. Headache patients with hx of hy- Malignant hypertension
pertension (esp uncontrolled htn)
should be examined for other fea- McPhee p 39
tures of WHAT?
8. Headache associated with pregnan- Preeclampsia
cy?
McPhee p 39
9. Episodic headache associated with Pheochromocytoma
triad of hypertension, heart palpi-
tations and sweats is suggestive of McPhee p 39
__________________.
10. Symptoms for diagnosis or ruling Symtoms: Nausea, photophobia, phonophobia and
out migraine in the absence of "clas- exacerbation with physical activtiy
sic" presentation (e.g. scintillating
scotomoa, unilateral ha, photopho- THREE OR MORE = MIGRAINE
bia and n/v)? < THREE = r/o MIGRAINE
McPhee p 39
11. Critical components of physical + Vital signs
exam for complaint of HA? + Complete neuro exam
+ Vision testing (with funduscopic exam)
, CMN 568 - Unit 5
McPhee p 40
12. Kernig and Brudzinski signs are in- Meningeal irritation
dicative of what?
McPhee p 40
13. Scalp and temporal artery tender- > 60
ness should be performed on pts
with HA who are > ______________ McPhee p 40
years.
14. Components of visual exam for pt + Visual acuity (Snellen)
presenting with HA? + Ocular gaze (Motor test - 9 positions)
+ Visual fields (Cover test - central/periph vision)
+ Pupillary defects (Size, dilation)
+ Optic disks
+ Retinal vein pulsations
McPhee p 40
15. Pt with HA and *diminished visual + Glaucoma
acuity* suggests.... + Temporal arteritis
+ Optic neuritis
McPhee p 40
16. Pt with HA and *ophthalmoplegia or + Venous sinus thrombosis
visual field defects* suggests.... + Tumor
+ Aneurysm
, CMN 568 - Unit 5
McPhee p 40
17. Pt with HA and *hypertension, "cot- + Acute severe hypertensive retinopathy
ton wool spots", flame hemorrhages
and disk swelling* suggests.... McPhee p 40
18. Pt with HA and *ipsilateral ptosis Horner syndrome AND/OR carotid artery dissection
and miosis* suggests....
McPhee p 40
19. Pt with HA and *papilledema or ab- ‘ICP
sent retinal venous pulsations* sug- + Follow with neuroimaging prior to performing
gests.... lumbar puncture
McPhee p 40
20. ANY abnormality on neuro exam + EMERGENT neuroimaging
(esp mental status) of pt with HA
warrants.... McPhee p 40
21. Ottawa criteria for evaluation of pts + e40 years of age
presenting with acute non-traumat- + Neck pain/stiffness
ic headache for signs of subarach- + Witnessed loss of consciousness
noid hemorrhage + Onset during exertion
+ Thunderclap headache
+ Limited neck flexion on examination
McPhee p 41
22. What kind of early treatment of di- + NSAIDs (e.g. ketorolac)
agnosed migraine or migraine-like + Triptans
headache can abort or provide sig-
nificant relief of symptoms? McPhee p 41
