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30 Cards in this Set
- Front
- Back
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in whom are migraines more common, men or women?
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women 18%, men 7% have migraines
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when do migraines typically begin?
-childhood -adolescence -young adulthood -adulthood |
adolescence
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in what time do women typically have h/a's?
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with their menses
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migraines lead to how many missed work days per year?
1-3 days 4-6 days 7-9 days |
4-6 days per year
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is there an increased or decreased incidence of migraines if a family member has h/a?
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increased, also increased among monozygotic twins but no dizygotic twins
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in what chromosome has a migraine subtype like familial hemiplegic migrains been linked?
-#23 -#21 -#19 |
19
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what other condition can bring about a migraine?
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dehydration
red wine sleep deprivation nitrates monosodium glutamate (MSG) menses stress or relief or stress certain odors bright lights |
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often migraines are assoc with __ of cerebral blood vessels?
-dialation -constriction |
dialation causes migraines
constrictors are suppose to help with them |
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a h/a located frontally/occipitally, feels like a tight band is a ???
-migraine -tension -cluster |
tension
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a orbital or temporal h/a, that is unilateral, and moderate to severe in pain is a ??
-migraine -tension -cluster |
cluster
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t/f
a tension h/a worsens with activity |
false; activity does not worsen it
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a h/a that lasts 15-180 minutes that causes nasal drainage, tearing and can happen in groups is a ???
-tension -cluster |
cluster h/a
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t/f
n/v is usually assoc with a tension h/a |
false; n/v is assoc with a migraine
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what are red flag sx's of a h/a?
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new or severe onset
focal neuro sx's as in papilledema onset before 5 or after 50 hx of CA or HIV h/a that wakes you up tx of trauma h/a with mental status change change in h/a pattern |
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what are medical conditions that are reason for concern when it comes to a h/a?
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meningitis
cva glaucoma temporal arteritis malignant htn trauma co poisoning av malformation tumor/neoplasm |
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t/f
a h/a with fever in absence of other illness, or h/a with pain/stiffness of the neck upon flexion |
true, watch it!
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a unilateral, moderate to severe h/a assoc. with throbbing, n/v, photophobia, and worse with activity is what type of h/a?
-migraine -tension -cluster |
migraine
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what is a scotoma?
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partial visual field loss
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what percentage of pt's experience an aura with their migraine?
5% 20% 50% |
20%
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t/f
in primary migraines, pe will be normal between attacks |
true
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during a migraine how does the typical pt appear?
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fatigued
desire for darkness n/v wants to lie still |
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in the absence of red flag sx's what are the labs/radiology to test in a migraine pt?
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none are needed
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in the event of red flag symptoms (neuro sx's, change in h/a pattern) what test is indicated?
-LP -CT -MRI |
CT
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what are medication tx's of a migraine h/a?
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nsaids
tylenol DHE 1mg IM or SQ anti-emetics triptans narcotics |
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what is vital to pt migraine management?
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identifying triggers
pt education pt self management |
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what are preventative medications to treat migraines? all except 1.
-propranolol -lortab -valproic acid -elavil -verapamil |
not lortab
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what is cafergot?
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ergotamine/caffeine
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what narcotic nasal spray can be used in the tx of migraines?
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stadol
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isometheptene/dichloralphenazone/acetomenaphin is really called what?
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midrin
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acetaminophen/butalbital/caffeine combo is called what?
-midrin -fioricet -fiorinal |
fioricet
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