Head

Question 1

headache without an identified underlying disease

Answer 1

Primary headache

Question 2

headache WITH an identified underlying structural, systemic, or infectious diease

Answer 2

secondary headache

Question 3

migraines, tension, cluster, chronic daily are what type of headaches?

Answer 3

primary

Question 4

meningitis, mass lesion, subarachnoid hemorrhage are what type of headache

Answer 4

secondary

Question 5

what does everyheadache warrant

Answer 5

EVALUATION FOR LIFE THREATENING SECONDARY CAUSES

Question 6

important questions for headaches?

Answer 6

• unilateral or bilateral?
• Severe with sudden onset (thunderclap)
• steady or throbbing?
• continuous or intermittent

Question 7

most important symptom attributes for headache

Answer 7

• severity
• chronological order
• associated symptoms (double vision, vision changes, numbness, weaknesss, N/V, fever, stiff neck)

Question 8

what is an unusual feeling such as euphoria, craving for food, fatigue, dizziness, sensitivity to light or sound

Answer 8

Prodrome

Question 9

what is neurologic symptoms such as change in vision, numbness, tingling, or weakness?

Answer 9

Aura

Question 10

what are the 4 phases of a migraine?

Answer 10

1. prodrome
2. aura
3. migraine headache
4. post drome

Question 11

what phase of a migraine has irritability, head throbbing, nausea/vertigo, sensitivity

Answer 11

migraine headache

Question 12

what phase of migraines is hungover feeling and fatigue?

Answer 12

post drome

Question 13

what are some headache warning signs?

Answer 13

• progressive frequent (3 mths)
• thunderclap feeling
• new onset >50yo
• aggravated/alleviated by change in position
• precipitated by valsalva maneuvar
• fever, night sweats, weight loss
• cofactors of cancer, HIV, pregnancy
• recent heard trauma
• changes
• no prior experiences
• papilledema, neck stiffness, focal neurologic deficits

Question 14

sudden vertigo with rolling onto the affected side/tilting head; may have n/v or nystagmus

Answer 14

BPPV

Question 15

spinning sensation within the patient or of the surroundings

Answer 15

vertigo

Question 16

what disease has a trio of vertigo, sensorineural hearing loss, tinnitus

may also have ear pressure, n/v, nystagmus

Answer 16

Meniere’s Disease

Question 17

what disease is from compression of cranial never VIII causing vertigo, tinnitus, loss of hearing in one ear

Answer 17

Acoustic neuroma

Question 18

what happens to the hair with hyperthyroidism

Answer 18

thinning hair

Question 19

what are the 5 components of a head examination

Answer 19

1. hair
2. scalp
3. skull
4. face
5. skin

Question 21

what should you exam the face for?

Answer 21

facial expressions, contours for asymmetry, involuntary movements, edema, masses

Question 21

what to exam the hair for?

Answer 21

quantity, distribution, texture, pattern of hair loss

Question 21

what should you exam the scalp for?

Answer 21

scaliness, lumps, nevi, lesions

Question 21

what should you exam the skull for?

Answer 21

size & contour
deformities, depressions, lumps/tenderness

Question 22

what should you exam the skin for?

Answer 22

color, pigmentation, texture, thickness, hair distribution, lesions

Question 23

what is buildup of CSF in the ventricles deep in the brain? | common in children

Answer 23

hydrocephalus

Question 24

what pathology is an enlarge head with hearing loss or headaches?

Answer 24

paget disease of the bone

Question 25

what does cushing syndrome do to your face

Answer 25

moon face with red cheeks ## Footnote may have excess hair growth on the face

Question 26

what does nephrotic syndrome do to the face

Answer 26

edematous and pale face swelling around the eyes in the morning

Question 27

what is characterized by dull, puffy faces with dry skin; nonpitting edema around the eyes; dry coarse hair with loss of lateral eyebrowns

Answer 27

myxedma

Question 28

when is myxedma seen?

Answer 28

in severe hypothyroidism

Question 29

what happens to the eyebrowns in cases of severe hypothyroidism/myxedma

Answer 29

loss of the lateral 3rd of the eyebrow

Question 30

what can cause parotid gland enlargement?

Answer 30

* mumps * neoplasm * Sialolithiasis * Obesity * diabetes * cirrhosis

Question 31

what do you tell a pt who has sialolithiasis

Answer 31

to eat warheads

Question 32

what causes acromegaly

Answer 32

increased growth hormone

Question 33

what pathology is an elongated head, bony predominance of the forehead/nose/lower jaw, and soft tissue of the nose/lips/ears?

Answer 33

acromegaly

Question 34

what disease causes "mask-like" expressions

Answer 34

parkinson disease

Question 35

what pathology is characterized by facial mobility, decreased blinking, staring, and possibly drooling

Answer 35

parkinson

Question 36

what is the most common type of headache?

Answer 36

tension

Question 37

what headache is bilateral or generalized to the back of head or neck

Answer 37

tension headache

Question 38

how would somenone describe/rate a tension headache?

Answer 38

tightening, steady and mild-moderate

Question 39

what is the onset of a tension headache

Answer 39

gradual onset lasting 30 min to 7 days

Question 40

scalp or muscle tenderness are associated symptoms with

Answer 40

tension headache

Question 41

what can trigger tension headaches

Answer 41

sustained muscle tension, stress, sleep disturbances

Question 42

what relieves a tension headache

Answer 42

massage, relaxation

Question 43

are migraines more common in men or women?

Answer 43

women

Question 44

where are migraines typically located

Answer 44

unilateral is mc; bifrontal or global otherwise

Question 45

what headache is throbbing with preceding aura

Answer 45

migraine

Question 46

what is the onset of migraines?

Answer 46

rapid onset & recurrent

Question 47

prodrome, n/v, photophobia and phonophobia are associated symptoms of

Answer 47

migraine headache

Question 48

what can trigger migraine headaches

Answer 48

alcohol, certain foods, stress, menses

Question 49

how do you relieve migraines

Answer 49

quiet dark rooms, sleep

Question 50

what headache is more common in men

Answer 50

cluster headaches

Question 51

what is the location of cluster headaches? bilateral or unilateral?

Answer 51

unilateral behind/around the eye or temple

Question 52

what headache is sharp, continuous and severe in intensity

Answer 52

cluster

Question 53

what headache has abrupt onset that lasts 15min to 3hrs

Answer 53

cluster

Question 54

why is cluster headache called cluster>

Answer 54

headaches are clustered to several each day for weeks

Question 55

unilateral lacrimation, rhinorrhea, miosis, ptosis is what type of headache?

Answer 55

Cluster

Question 56

what can aggravate cluster headaches?

Answer 56

alcohol

Question 57

how do you alleviate cluster headaches?

Answer 57

oxygen

Question 58

what eye disorders are associated with headaches?

Answer 58

astigmatism and farsightedness

Question 59

where are headaches from eye disorders olocated?

Answer 59

around/over the eyes and radiates to occipital area

Question 60

eye fatigue with a "sandy sensation" and redness of the conjunctiva describes

Answer 60

eye disorder headaches

Question 61

what are the aggravator/alleviators of eye disorder headaches

Answer 61

Aggravator: close work Alleviator: rest of eyes

Question 62

what is a sudden increase in IOP causing sudden severe pain in/around one eye?

Answer 62

acute glaucoma

Question 63

blurred vision, N/V, halos around lights, reddening of eyes is associated with . . .

Answer 63

acute glaucoma

Question 64

local tenderness, nasal congestion, discharge, fever is associated with what headache?

Answer 64

sinusitis headaches

Question 65

what sinuses typically cause sinusitis headaches

Answer 65

frontal/maxillary sinuses

Question 66

what headache is aggravated by leaning forward, coughing, sneezign, jarrying head

Answer 66

sinusitis headache

Question 67

what headache is generalized, steady, throbbing and severe

Answer 67

menigitis

Question 68

what are some s/sx of meningitis headaches

Answer 68

* fever * stiff neck * photophobia * change in mental status

Question 69

thunderclap headache

Answer 69

subarachnoid hemorrhage

Question 70

what is bleeding from ruptured cerebral aneurysm

Answer 70

subarachnoid hemorrhage

Question 71

how would you describe a subarachnoid hemorrhage

Answer 71

* generalized and sudden/sever * "worst headache of my life" * n/v, loss of conciousness, neck pain

Question 72

what is the cause of a headache that is progressive, achey, steady, dull, and worse on awakening

Answer 72

brain tumorr

Question 73

what symptoms are associated with brain tumor headaches

Answer 73

* seizures * hemiparesis * field cuts in vision * personality changes * n/v * vision changes * gait changes

Question 74

is giant cell arteritis more common in men or women

Answer 74

women older than 50

Question 75

where is giant cell arteritis headaches located

Answer 75

localized over the temporal artery

Question 76

what s/sx are associated with giant cell arteritis headaches

Answer 76

* tenderness of temporal artery * fever * fatigue * weight loss * jaw claudication * visual loss * polyarticular joint pain

Question 77

how quickly is the onset of a post concussion headache

Answer 77

within 7days-3 months of an injury

Question 78

how long can postconcussion headaches last

Answer 78

weeks-years

Question 79

what s/sx are associated with post concussion headaches

Answer 79

* drowsiness * poor concentration * confusion * memory loss * blurred vision * dizziness * irritabilyt * restlessness * fatigue *

Question 80

what headache is shock like, stabbing, buring in the cheek/jaws/lips/gums that is paroxysmal and lasts seconds

Answer 80

trigeminal neuralgia (CN V)

Question 81

what can trigger trigeminal neuralgia headaches

Answer 81

touching certain areas of the lower face/mouth, talking, brushing teeth