1. Relaxation techniques may be helpful for treating the headache.

Which of the following

is most suitable to treat with this technique?
a. Migraine with aura
b. Migraine without aura
c. Tension Type Headache
d. Cluster Headache
e. Common migraine
2. A 29-year-old librarian complaints about having a pulsating headache since 1 hours ago,
and only occur at the right side of her head. Its severe enough to affect her activity, and
aggravated whenever she trying to return the heavy book to the shelf. She also report
nausea, photophobia, and blurring at her visual field over 10 minutes before the headache
occur. Whats your likely diagnosis?
a.
Classic migraine
b.
Common migraine
c.
Tension Type Headache
d.
Cluster Headache
e.
Encephalitis
3. A 23-year-old man come with severe, sudden-onset headache. The doctor find out that
there are headache danger sign: focal neurologic sign for SAH are found, and doctor
suggest CT scan to confirm if there are SAH. What should be done for patient when there
are negative CT findings but still clinically suspected for SAH?
a. MRI
b. Lumbal Punction
c. MRA
d. Surgery
4. A 22-year-old woman reports a scotoma progressing across her left visual field over the
course of 30 min, followed by left hemicranial throbbing pain, nausea, and photophobia.
Her brother and mother have similar headaches. Which of the following is present in
classic migraine but not in common migraine?
a. Photophobia
b. Familial pattern
c. Visual aura
d. Hemicranial pain
e. Nausea

5. A 23-year-old woman has had 1 week of worsening facial pain. She describes it as an
intense shooting pain that comes and goes. It is only present on her right face. Which of
the following is most likely to be this patients underlying problem?
a. Multiple sclerosis
b. Tolosa-Hunt syndrome
c. Migraine
d. Anterior communicating artery aneurysm
e. Falx meningioma

6. Both trigeminal neuralgia and atypical facial pain involve pain that may be
a. Lancinating
b. Paroxysmal
c. Associated with anesthetic patches
d. Abolished with resection of the gasserian ganglion
e. Unilateral
7. A 22-year-old dance instructor routinely develops headaches on the weekend. The
headaches are almost always limited to the right side of her head and centered about the
right temple. She knows that a headache is coming because of changes in her vision that
precede the headache by 20 to 30 min. She sees scintillating lights just to the left of her
center of vision. This visual aberration then expands and interferes with her vision. The
blind spot that it creates appears to have a scintillating margin. As the blind spot clears,
the headache starts. It rarely lasts more than 1 h, but is usually associated by nausea and
vomiting.
a. Classic migraine
b. Cluster headache
c. Common migraine
d. Trigeminal neuralgia
e. Sinusitis

8. A 29-year-old woman comes to the emergency room with complaints of facial pain of
new onset. She has stabbing pains on the left side of her face just below her eye. These
last less than 1 s at a time, but are so severe that she winces involuntarily with each pain.
The pain seems to be triggered by drinking cold fluids. The only other problems she has
noticed are clumsiness in her right hand and blurred vision in her right eye. Both of these
have been present for more than 2 years and have not interfered with her normal
activities.
a. Classic migraine
b. Cluster headache
c. Common migraine
d. Trigeminal neuralgia
e. Sinusitis

9. A 35-year-old man complains of severe throbbing pain waking him from sleep at night
and persisting into the day. This pain is usually centered about his left eye and appears on
a nearly daily basis for several weeks or months each year. It occurs most prominently at
night within a few hours of falling asleep and is associated with a striking personality
change in which the man becomes combative and agitated. He never vomits or develops
focal weakness.
a. Classic migraine
b. Cluster headache
c. Common migraine
d. Trigeminal neuralgia
e. Sinusitis

10. A 29-year-old man relates that he has had recent headaches only when standing up. The
headaches resolve quickly when he lies down, and are accompanied by mild nausea. His
examination is normal.
a.
Trigeminal neuralgia
b.
Sinusitis
c.
Temporal arteritis
d.
Vertebrobasilar migraine

e.

Hemiplegic migraine