Headaches Multiple Choice Questions :-
1. This headache is more common in children. Symptoms include unilateral, throbbing pain, sometimes with nausea. Physical findings indicate photophobia and photophobia.
- Cluster headache
- Migraine without aura (common)
- Tension-type headache (muscle)
- MIxed headache
- Migraine with aura (classic)
2. The symptoms are the sudden onset of a headache that is progressive, exacerbated by coughing or exercise, and is worse in the morning. Physical examination show papill.d.ma. vomiting, asymmetrical reflexes, weakness, sensory deficit, or other neurological deficit.
- Carbon monoxide poisoning
- Dietary ingestion
- Severe hypoglycemia
- Intracranial tumor
- Drug withdrawal
3. The symptoms are a severe headache, chills, myalgias and a stiff neck. Physical findings include positive Kerning’s and Brudzinski’s signs; fever, photophobia. petechial rash and mental status changes.
- Temporal arthritis
- Meningitis
- Cervical spine disorders
- Optic neuritis
- Trigeminal neuralgia
4. The symptoms associated with this headache are sudden onset related to physical exertion, Valsalva or coitus. The physical examination is normal.
- Pharyngitis
- Benign evectional headache
- Dental disorders
- Sinusitis
- Otitis med a
5. These headaches are more likely in persons over 50 years of age, with AIDS, taking anticoagulation therapy or with hypertension. If the patient is conscious, there will be abnormal neurological findings correlated with the extent of the lesion.
- Intracerebral hemorrhage
- Hydrocephalus
- Subciural hematoma
- Pseudo tumor cerebra
- Brain abscess
6. In minor head trauma, the headache is generalized and persistent.
- True
- False
7. These headaches are more common in people over 50 years of age. The symptoms are a sharp, localized temporal pain; malaise, anorexia and a history of polymyalgia rheumatica. The physical findings show fever, weight loss and it is tender over a nodular temporal artery.
- Trigeminal neuralgia
- Meningitis
- Cervical spine disorders
- Optic neuritis
- Temporal arteritis
8. These headaches are more common in patients over 55 years of age. The symptoms are bursts of sharp pain over the face innervated by affected nerve: triggered by stimulus to affected nerve. The physical examination is normal but stimulation of triggers may provoke pain.
- Trigeminal neuralgia
- Cervical spine disorders
- Meningitis
- Temporal arteritis
- Optic neuritis
9. The physical findings may be normal or show some pain associated with neck motion. The patient may have had a history or trauma, occipital pain and muscle stiffness.
- Meningitis
- Optic neuritis
- Temporal arteritis
- Trigeminal neuralgia
- Cervical spine disorders
10. This headache is rare in children. The symptoms are abrupt, night-time onset; unilateral per orbital pain that is severe. Physical findings include ipsilateral rhino rhea. nasal stuffiness, conjunctivas injection, sweating and ptosis.
- Tension-type headache (muscle)
- Migraine without aura (common)
- Mixed headache
- Migraine with aura (classic)
- Cluster headache
11. This headache is accompanied by nausea and vomiting, photophobia and photophobia. The pain is precipitated by environmental stimuli: visual disturbances (scintillating scotoma) precede pain.
- Tension-type headache (muscle)
- Cluster headache
- Migraine with aura (classic)
- Mixed headache
- Migraine without aura (common)
12. Tension headaches may have an aura that precedes them.
- False
- True
13. The symptoms are a throbbing headache and mild dyspnea. The physical findings show nausea, vomiting, change in mental status, lethargy and loss of consciousness.
- Dietary ingestion
- Intracranial tumor
- Carbon monoxide poisoning
- Drug withdrawal
- Severe hypoglycemia
14. Migraines reach their peak pain levels very quickly.
- True
- False
15. Migraine headaches occur after arising and worsen as the day progresses, especially when the person bends forward, but are less painful in the evening.
- True
- False
16. A moderately intense, constant throbbing headache is associated with dilation of the cervical arteries.
- False
- True
17. Foods high in tramline or tryptophan (red wine, chocolate, and ripe cheese) can trigger migraine headaches.
- True
- False
18. The patient may have a history of chronic ear infection or cyanotic heart disease. Physical findings include fever, seizures, and focal neurological deficits.
- Brain abscess
- Subdural hematoma
- Intracerebral hemorrhage
- Hydrocephalus
- Pseudo tumor cerebn
19. Photophobia is often present with tension headaches but not migraine headaches.
- False
- True
20. Stress can trigger any type of secondary headache, and must be considered a co morbid condition.
- False
- True
21. The symptoms are a generalized headache, dizziness and sense of not feeling well. There may be a history of diabetes or medication, alcohol and food ingestion. The physical examination may be normal, or shows pallor, sweating and weakness.
- Dietary ingestion
- Intracranial tumor
- Severe hypoglycemia
- Carbon monoxide poisoning
- Drug withdrawal
22. The symptoms associated with this headache are a sore throat, fever and infection of the posterior pharynx.
- Sinusitis
- Otitis media
- Dental disorders
- Benign exertional headache
- Pharyngitis
23. The symptoms of this headache are localized pain in the jaw and top of the head. Physical examination may show malocclusion, caries, abscesses of teeth or gum disease.
- Sinusitis
- Dental disorders
- Pharyngitis
- Benign exertional headache
- Otitis media
24. A severe headache may indicate an expanding lesion, such as a tumor or hematoma, edema, or enlargement of the ventricles secondary to hydrocephalus.
- False
- True
25. A sudden onset of a severe headache without a history of chronic headaches suggest an intracerebral hemorrhage (ICH).
- False
- True