University:
West Coast University
Course:
PHAR 835 | IPC Neurology/Psychiatry
Academic year:

2024
Views:

413

Pages:

4
Author:

Asal A.

Headache Practice Questions 1. Which medication class is considered first-line treatment for mild to severe migraine attacks? A) NSAIDS B) Opioids C) Triptans D) Ergot derivatives 2. What is a common side effect of triptan therapy? A) Dry mouth Paresthesia C) Weight gain D) Hypotension 3. Which phase of migraine is associated with symptoms like irritability and depression, occurring hours to days before the headache? A) Aura B) Prodrome C) Headache D) Postdrome 4. Which type of migraine is characterized by visual disturbances such as seeing spots or flickering lights? A) Migraine without aura B) Hemiplegic migraine Migraine with aura D) Cluster headache. 5. Which of the following lifestyle modifications is recommended to reduce the frequency of migraines? (A) Reducing caffeine intake B) Increasing salt intake C) Skipping meals D) Exercising excessively 6. What is the most common form of primary headache? A) Migraine B) Cluster headache C) Tension-type headache D) Sinus headache 7. What is the recommended acute treatment for a cluster headache? A) Oral Zomig B) High-flow oxygen C) Tylenol® D) FioricetⓇ Trip 8. ML is a 38-year-old female who presents to your pharmacy with a history of migraine with aura, She experiences migraines three times per month, with each episode lasting about 48 hours if untreated. Her migraines are characterized by unilateral pulsating pair nausea photophobia, and visual aura. She reports using Imitrex (50 mg) as an abortive therapy, which provides partial relief but doesn't eliminate the headache completely. Her blood pressure today is 128/96 mmHg, and her pulse is 72 beats per minute. She has no history of cardiovascular disease and does not smoke. However, she recently started experiencing more frequent migraines. She asks if there is anything else she can do to reduce her migraine attacks. Which of the following would be the best next step in her management plan? A) Increase the dose of Imitrex to 100 mg for better efficacy B) Add daily Inderal for migraine prophylaxis C) Switch to Cafergot for abortive treatment D) Recommend daily Advil 400 mg q6 hours PRN for migraine prevention 9. JS is a 45-year-old male who presents with severe, excruciating headaches that occur in clusters over several weeks. He describes the pain as sharp and stabbing, localized around his left eye. These attacks typically last for 45 minutes, occur multiple times a day, and often wake him from sleep. His physical exam is notable for conjunctival injection and lacrimation on the left side during an attack. He currently uses sumatriptan nasal spray but is still experiencing significant pain during the attacks. He is otherwise healthy and does not use tobacco. Which of the following is the most appropriate next step in the management of his cluster headaches? A) Increase the frequency of Imitrex nasal spray use B) Prescribe high-flow oxygen therapy C) Initiate a daily dose of topiramate for acute management