Primary headache syndromes and epilepsy classification with first-line treatment, distinct from the lesion-localization focus of USMLE Neuro.
35 cards · basic cards · AI-written, checked twice. Edit anything.
- How long does a typical untreated migraine attack last?
Show answer
4 to 72 hours- What is the classic pain quality and laterality of migraine headache?
Show answer
Unilateral, throbbing (pulsating) pain- Which gastrointestinal symptom commonly accompanies a migraine attack?
Show answer
Nausea and vomiting- Which sensory symptoms commonly accompany a migraine attack?
Show answer
Photophobia and phonophobia- What is the most common visual aura symptom in migraine with aura?
Show answer
Scintillating scotoma (a shimmering, expanding visual disturbance)- What is the first-line abortive drug class for moderate to severe migraine attacks?
Show answer
Triptans- What is the mechanism of action of triptans?
Show answer
Selective agonists at serotonin 5-HT1B and 5-HT1D receptors, causing vasoconstriction- Triptans are contraindicated in patients with which condition?
Show answer
Coronary artery disease or other vasospastic/ischemic conditions- Name a first-line beta-blocker used for migraine prophylaxis.
Show answer
Propranolol- How is a tension-type headache classically described?
Show answer
Bilateral, band-like or pressing pain of mild to moderate intensity- What is the first-line treatment for tension-type headache?
Show answer
NSAIDs or acetaminophen- How is cluster headache pain classically described?
Show answer
Severe, unilateral periorbital or retro-orbital pain- What ipsilateral autonomic symptoms accompany cluster headache?
Show answer
Lacrimation, rhinorrhea, ptosis, miosis, and conjunctival injection- What is the first-line acute treatment for a cluster headache attack?
Show answer
100% oxygen by mask- Which triptan formulation is used for acute treatment of cluster headache?
Show answer
Subcutaneous sumatriptan
FlashKeepers