4th Year HA

Question 1

where do acoustic neuromas typically arise?

Answer 1

vestibular nerve at the cerebellopontine angle

Question 2

management of trigeminal neuralgia

Answer 2

carbamazepine

Question 3

presentation of trigeminal neuralgia

Answer 3

paroxysmal stabbing pain lasting seconds
usually unilateral
tic douloureux

Question 4

what is tic douloureux?

Answer 4

face screwing up in response to pain

Question 5

what can trigger pain in trigeminal neuralgia?

Answer 5

touching the area

Question 6

what headache can mimic stroke?

Answer 6

hemiplegia migraine

Question 7

what is used when migraine starts to develop?

Answer 7

triptans

Question 8

long-term management of migraines

Answer 8

propranolol

topiramate

Question 9

when are triptans contraindicated?

Answer 9

hypertension

Question 10

presentation of cluster HA

Answer 10

rapid onset excruciating pain around one eye with lid swelling
lacrimation
facial flushing
rhinorrhoea
miosis

Question 11

management of cluster HA

Answer 11

oxygen
sumatriptan
avoid alcohol