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Migraine (PG)
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Course Curriculum
1. What is the most common type of migraine?
*
Hemiplegic migraine
Retinal migraine
Migraine with aura
Migraine without aura
2. Which of the following is a typical feature of migraine aura?
*
Diarrhoea
Tremor
Rash
Visual disturbances (e.g. zigzag lines)
3. What is the recommended first-line treatment for acute migraine attacks?
*
Codeine
Propranolol
Amitriptyline
Oral triptan + NSAID or paracetamol
4. Which migraine symptom helps distinguish it from tension-type headache?
*
Dull pain
Nausea or vomiting
Bilateral pain
No photophobia
5. What is the typical duration of an untreated migraine attack?
*
Less than 30 minutes
4–72 hours
Over a week
Constant for 2 weeks
6. Which of the following is NOT considered a red flag in headache assessment?
*
Photophobia in a known migraine sufferer
Headache with papilloedema
Sudden onset thunderclap headache
New headache in a person over 50
7. Which medication is recommended as first-line for migraine prophylaxis in adults?
*
Propranolol
Amitriptyline
Topiramate
Gabapentin
8. How many days per month should acute treatments be limited to in migraine management?
*
No restriction
≤10 days per month
15–20 days
Only during weekends
9. What is a common side effect of triptans?
*
Insomnia
Constipation
Chest tightness or tingling
Sedation
10. What lifestyle factor is NOT typically a trigger for migraine?
*
High-fibre diet
Stress
Sleep disturbance
Certain foods like chocolate or cheese
11. In which patient group is topiramate contraindicated?
*
Men with hypertension
Adolescents
Women of childbearing potential not using effective contraception
Athletes
12. What advice should be given to patients starting propranolol for migraine prevention?
*
Take with NSAIDs
Stop if headaches continue for 3 days
May take several weeks to show benefit
Use during acute attacks only
13. What feature would most suggest hemiplegic migraine?
*
Temporary unilateral weakness
Aura with tinnitus
Tension in neck muscles
Headache that worsens with exertion
14. What is a suitable acute treatment for migraine in pregnancy?
*
Paracetamol
Ergotamine
Triptan
Naproxen (3rd trimester)
15. Which visual aura feature is most common in migraine?
*
Complete blindness
Scintillating scotoma
Eye redness
Ocular swelling
16. What is the definition of chronic migraine?
*
More than 5 episodes per month
Migraine with aura only
≥15 headache days/month for >3 months, with ≥8 being migrainous
Headaches unresponsive to paracetamol
17. Which of the following is NOT used for migraine prevention?
*
Amitriptyline
Topiramate
Propranolol
Triptans
18. When should a migraine diary be recommended?
*
Only if starting new medication
To identify triggers and monitor treatment response
Only for cluster headache
Not necessary in primary care
19. What is the risk of medication overuse headache in migraine?
*
None
Can occur if analgesics are used >10 days/month
Only if codeine is used
Only with caffeine-based medications
20. Which treatment is considered for refractory chronic migraine under specialist care?
*
Duloxetine
Tramadol
Botulinum toxin type A
Carbamazepine