Final Exam: NU641 / NU 641 (Latest
Update 2025 / 2026) Advanced Clinical Pharmacology | Questions with Verified Answers | Grade A | 100% Correct - Regis
Question:
Headache History
Answer:
- How often?
- How severe?
- How often is pain medication being taken?
- Headache diary
- Family history
- Social history-use of ETOH
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Question:
Types of Headaches
Answer:
-Primary: Headaches with unidentifiable cause
-Tension -Cluster -Migraine
-Secondary: Headaches with identifiable causes
Question:
causes of secondary headache
Answer:
-HTN -Hyperthyroidism -Tumors -Infection -HEENT disorders
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Question:
SNOOP; Red flag symptoms associated with serious headaches
Answer:
-S: systemic symptoms (fever, weight loss) or Secondary risk factors (HIV,
malignancy)
-N: neurologic symptoms or abnormal signs (eye pain, visual loss, confusion,
impaired alertness or consciousness) -O: onset: sudden (thunderclap) -O: older: new onset and progressive headache, especially in patients > greater 50 years old (giant cell arteritis).
-P: previous headache history; first or worst headache or different (change in
severity or clinical features)
Question:
Tension Headaches Characteristics
Answer:
-Bilateral -Non-throbbing, "headband" distribution -Mild to moderate pain -Daytime occurrence -Minimal impact on daily life -Precipitated by eye strain, aggravation
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Question:
treatment tension headaches
Answer:
-Non-opioid, NSAID or acetaminophen -Amitriptyline (Elavil) for prophylaxis - is a TCA
Question:
Cluster Headaches
Answer:
-Neuronal disorder originating in the hypothalamus that alters the biologic "clock" -Unilateral, behind the right or left eye -Throbbing, piercing pain severe pain -Lasts 15 min - 2 hours every day for 2-3 months -Occurs during the night -Lacrimation, conjunctival redness, nasal congestion, rhinorrhea, ptosis, miosis -Unidentifiable triggers, no aura or nausea -More common in males
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