Question 1

A patient presents to the ED with acute migraine and 3 episodes of vomiting. They were given subq sumatriptan but it was ineffective. What is the next step for management?

Accepted Answer

Give IV DHE

Question 2

A patient presenting to the ED with a mild acute migraine HA without nausea or vomiting that has lasted 4 hours could recieve what abortive treatment:

Accepted Answer

Ketorolac

Question 3

What medication could be used prophylactically for a 60 y/o patient with a PMH of anxiety presenting with severe headaches that occur 6 times/week with photophobia, nausea and vomiting

Accepted Answer

Venlafaxine

Question 4

What medication is given to prevent recurrence of early headache recurrence in the ED?

Accepted Answer

Dexamethasone

Question 5

This medication can be given orally or subcutaneously for migraine headache

Accepted Answer

Sumatriptan

Question 6

You should avoid 5-HT Receptor Agonists if your patient has:

Accepted Answer

Cerebral Vascular Disease

Question 7

What medication should be avoided as prophylaxis when treating a 26 year old patient complaining of increased frequency of headache?

Accepted Answer

Valproate

Question 8

A patient presenting with severe HA + N/V that isn't retractable with abortive therapy (PO sumatriptan) needs help! You can't get IV access for this patient. What medication could be used?

Accepted Answer

Dihydroergotamine

Question 9

A 70 year old patient with HTN requesting migraine prophylaxis who smokes 1/2 pack a day should avoid the use of which drug class?

Accepted Answer

Beta Blockers

Question 10

A common adverse effect of DHE is:

Accepted Answer

diaphoresis

Question 11

A patient presenting with a bilateral headache, characterized by persistent tightening around their head and photophobia should be given

Accepted Answer

Tylenol

Question 12

A medcation that is not approved as prophylaxis for cluster headache is:

Accepted Answer

Rimegepant

Question 13

These two drug classes contraindicated in pregnancy:

Accepted Answer

5-HT Receptor Agonists, Dihydroergotamine

Question 14

What medication should be used in conjunction with metoclopramide to avoid dystonic reactions?

Accepted Answer

Diphenydramine

Question 15

This medication is contraindicated in patiens c/o HA with a PMH of Peripheral Vascular Disease:

Accepted Answer

Dihydroergotamine (DHE)

Headache

2) A patient presenting to the ED with a mild acute migraine HA without nausea or vomiting that has lasted 4 hours could recieve what abortive treatment:

3) What medication could be used prophylactically for a 60 y/o patient with a PMH of anxiety presenting with severe headaches that occur 6 times/week with photophobia, nausea and vomiting

4) What medication is given to prevent recurrence of early headache recurrence in the ED?

5) This medication can be given orally or subcutaneously for migraine headache

6) You should avoid 5-HT Receptor Agonists if your patient has:

7) What medication should be avoided as prophylaxis when treating a 26 year old patient complaining of increased frequency of headache?

8) A patient presenting with severe HA + N/V that isn't retractable with abortive therapy (PO sumatriptan) needs help! You can't get IV access for this patient. What medication could be used?

9) A 70 year old patient with HTN requesting migraine prophylaxis who smokes 1/2 pack a day should avoid the use of which drug class?

10) A common adverse effect of DHE is:

11) A patient presenting with a bilateral headache, characterized by persistent tightening around their head and photophobia should be given

12) A medcation that is not approved as prophylaxis for cluster headache is:

13) These two drug classes contraindicated in pregnancy:

14) What medication should be used in conjunction with metoclopramide to avoid dystonic reactions?

15) This medication is contraindicated in patiens c/o HA with a PMH of Peripheral Vascular Disease: