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Chapter 35. Headache

Student Questions

How many headache days in a 1-month period must occur in order for a patient to be classified as having a chronic tension-type headache (TTH)?

A. 15

B. 4

C. 10

D. 7

Answer: A

Option A: Correct. According to diagnostic criteria a patient must experience more than 15 days of TTHs per month for a 3-month span to be diagnosed as having chronic TTH.

Option B: Incorrect. The patient must experience more than 4 TTHs in 1 month for it to be considered chronic.

Option C: Incorrect. The patient must experience more than 10 TTHs in 1 month for it to be considered chronic.

Option D: Incorrect. The patient must experience more than 7 TTHs in 1 month for it to be considered chronic.

A 20-year-old college sophomore presents to the student health department with the "worst headache of my life." She provides a history of migraine headache treated with triptans. On physical examination, she is running a fever, her neck is stiffened, and a rash is noted. This type of headache disorder is classified as which of the following?

A. Treatment emergent

B. Primary

C. Secondary

D. Uncomplicated

Answer: C

Option A: Incorrect. This patient's headache is not considered treatment emergent because it is not an adverse effect of a medication.

Option B: Incorrect. The patient's headache is not considered primary because there is an underlying cause noted in her history. Primary headaches are a health condition themselves; they are not due to another cause.

Option C: Correct. The patient is experiencing a headache secondary to an underlying medical disorder. In this case she is experiencing a headache secondary to an infection.

Option D: Incorrect. This patient's headache is not considered an uncomplicated headache because she is describing it as an intense pain, and it is associated with other symptoms.

Serotonin receptor agonists (triptans) are available in all of the following dosage forms except:

A. Intranasal spray

B. Rectal suppository

C. Orally disintegrating tablet

D. Subcutaneous injection

Answer: B

Option A: Incorrect. Sumatriptan and Zolmitriptan ...

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