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Headache – Tension-Type (PG)
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Course Curriculum
1. What is the typical character of a tension-type headache?
*
Throbbing
Sharp stabbing
Tight band-like pressure
Pulsating
2. Which location is most commonly affected in tension-type headache?
*
One side of the head
Around one eye
Neck and shoulders
Bilateral forehead or occipital region
3. What is a key distinguishing feature of tension-type headache compared to migraine?
*
Photophobia
Aura
Unilateral pain
Lack of nausea or vomiting
4. What is the usual duration of an episode of tension-type headache?
*
Seconds
5–30 minutes
30 minutes to 7 days
Over 1 week
5. Which of the following is NOT a typical symptom of tension-type headache?
*
Tightness around the head
Pulsing pain
Mild-to-moderate intensity
No aggravation by routine activity
6. Which class of medication is typically used for acute relief of tension-type headaches?
*
Triptans
Beta-blockers
Paracetamol or NSAIDs
Antidepressants
7. What non-pharmacological method is recommended to help prevent tension-type headaches?
*
High salt diet
Neck-strengthening exercises
Caffeine intake
Stress management techniques
8. When should imaging be considered in a person with headaches?
*
Always
Only with chronic tension-type headache
If abnormal neurological signs are present
If no response to analgesia
9. What type of headache is most common in the general population?
*
Migraine
Cluster headache
Tension-type headache
Rebound headache
10. What is the typical intensity of pain in tension-type headaches?
*
Mild-to-moderate
Moderate-to-severe
Severe
Unbearable
11. Which of the following may trigger tension-type headaches?
*
Stress
Head trauma •
Reading
Sinus infection
12. What is the first-line preventive treatment for frequent episodic tension-type headaches?
*
Opioids
Amitriptyline
Sumatriptan
Ibuprofen
13. Which lifestyle factor may help reduce the frequency of tension-type headaches?
*
Irregular sleep
Alcohol bingeing
Good posture and hydration
Skipping meals
14. Which of the following is NOT a recognised subtype of tension-type headache?
*
Infrequent episodic
Chronic
Clustered
Frequent episodic
15. Which feature should prompt reconsideration of a tension-type headache diagnosis?
*
Fever and neck stiffness
Photophobia without other migraine symptoms
Bilateral pain
Dull aching head pain
16. How is chronic tension-type headache defined?
*
More than 2 per week
More than 15 days per month for 3+ months
Daily for a week
Accompanied by aura
17. Which of the following is a red flag requiring urgent review?
*
Mild headache after stress
Headache with vomiting and visual disturbance
Tight band-like pressure
Pain with posture changes
18. Which examination finding is typical in tension-type headaches
*
Normal examination
Neurological deficit
Neck stiffness
Papilloedema
19. What is the typical response of tension-type headaches to physical activity?
*
No aggravation
Always relieved
Worsens significantly
Causes aura
20. What is the main aim of treatment for tension-type headaches?
*
Cure the underlying tumour
Reduce seizure frequency
Prevent cluster attacks
Relieve pain and reduce attack frequency