EMQs in Clinical Medicine.pdf - Peshawar Medical College

76 Neurology
30 Headache
A
B
C
D
E
F
G
cluster headache
uveitis
scleritis
acute glaucoma
subdural haematoma
subarachnoid haemorrhage
benign intracranial hypertension
H
I
J
K
L
M
migraine
meningitis
space-occupying lesion
migrainous neuralgia
trigeminal neuralgia
febrile convulsion
For each clinical scenario below, give the most likely cause for the clinical findings.
Each option may be used only once.
1 A 56-year-old woman complains of unilateral stabbing pain on the surface of
her scalp and around her eye. The pain is precipitated by washing or touching
the specific area.
2 A 28-year-old woman complains of headache and double vision which is worse
when lying down. Examination reveals papilloedema but no focal signs. There
are no abnormal findings on CT.
3 A 30-year-old man complains of a dull headache that is worse when lying down
or when coughing. He has recently suffered a seizure.
4 A 65-year-old woman complains of a constant aching pain around the right eye
radiating to the forehead. There is reduced vision in the eye, which is red and
congested with a dilated pupil.
5 A 70-year-old woman complains of headache, drowsiness and unsteadiness over
the last couple of days. On examination she is found to have papilloedema. She
remembers falling over 3 weeks ago.
Answers: see page 91.