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MIGRAINE (5) 25/03/24
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1) Which of these characteristics is included in the diagnosis of migraine without aura?
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1 point
a. Headache duration of a minimum of 2 hours and a minimum of three attacks
b. Associated neck pain or stiffness
c. Pulsating quality
d. A dull pain that often spreads to the forehead
2) Which of these is most supported by evidence as a trigger for migraine headaches?
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1 point
a. Magnesium supplements
b. Recurrent urinary tract infection
c. Eating seeds and nuts
d. Weather changes
3) True regarding prodrome in patients with migraine headache
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1 point
a. Excessive yawning is a common symptom of migraine prodrome
b. Prodromic symptoms are more common in men vs women
c. Angina is common in patients with migraine prior to headache
d. The prodromic period commonly lasts 72 hours or longer
4) Which of these is an indication for neuroimaging in patients with migraine headaches?
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1 point
a. Onset of migraine after age 30 years
b. Confusion or papilledema
c. Migraine symptoms present 15 days per month
d. All patients with chronic migraine should initially undergo neuroimaging
5) Which is recommended for migraine headache prophylaxis?
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1 point
a. Prophylactic therapy is recommended only for patients with more than five attacks per month
b. Amitriptyline is recommended over divalproex and topiramate for migraine headache prevention
c. Selective serotonin reuptake inhibitors should be routinely recommended for migraine headache prophylaxis
d. Metoprolol and propranolol are recommended as first-line medications for migraine prophylaxis
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