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Previous Topic | Next Topic  Good Case of Headache, Anyone? 




 
Kaplan Qbank USMLE



Author10 Posts
  #1

A 58 yo F has been suffering from daily headaches for months. They are not associated with an aura,nausea,vomiting, or photophobia. They last for 6 hours per day and occur about half the month. Her PMH is significant only for arthritis, for which she has been taking high doses of NSAIDs and acetominophen based analgesics daily for the past several months. She has been gradually escalating her analgesic dose to manage her condition. Her PE is within normal limits. Which of the following is the most likely to be effective in preventing her daily headaches?

A Behavioral modification therapies
B Controlling her analgesic use
C Prophylactic treatment with B blockers
D Treatment with SSRI's
E Treatment with TCA's

  #2

C Prophylactic treatment with B blockers


Edited by kpmle2 on 01/22/08 - 07:40 PM

  #3

Sounds like C


___________________
If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)

  #4

b

  #5

The answer is B control of the analgesic use wink

  #6

Nice question. Do you mind giving us the complete answer for instance what kind of headache it is? Thanks


___________________
If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)

  #7

analgesic rebound headache

  #8

Analgesic rebound headache is correct herowink

  #9

ok, thanks guys wink


___________________
If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)

  #10

Good one! ARH is unresponsive to any antimigraine medications.

___________________
"Nature magically suits a man to his fortunes, by making them the fruit of his character".







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