EMQs in Clinical Medicine.pdf - Peshawar Medical College

Headache 75
29 Headache
A
B
C
D
E
F
G
tension headache
migraine
amaurosis fugax
epilepsy
subdural haematoma
subarachnoid haemorrhage
encephalitis
H
I
J
K
L
M
meningitis
sinusitis
cluster headache
analgesic headache
giant cell arteritis
episcleritis
For each clinical scenario below, give the most likely cause for the clinical
findings. Each option may be used only once.
1 A 40-year-old man complains of severe headache of sudden onset 4 h ago,
likened to being kicked in the back of the head. He has vomited twice and is
now feeling stiff in his neck.
2 A 40-year-old businesswoman complains of a headache that feels like a tight
band around her head.
3 A 55-year-old woman presents with a headache that has lasted a few weeks.
She gets pain in her jaw during meals and her scalp is tender on palpation.
4 A 30-year-old man complains of rapid-onset pain around his left eye every
night for the last 2 weeks, associated with lid swelling, watery eye and flushing.
He suffers from these bouts every 3 months.
5 A 24-year-old woman complains of a unilateral throbbing headache lasting
6 hours associated with vomiting and photophobia. She has had several episodes
in the past.
Answers: see page 89.