Chapter 7 - The Head and Neck University of New Hampshire NURS 807 .

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Bates’ Guide to Physical Examination and History Taking, 11th Edition Chapter 7: The Head and Neck Multiple Choice 1. A 38-year-old accountant comes to your clinic for evaluation of a headache. T... he throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a few hours ago, and she has noted nausea with sensitivity to light; she has had headaches like this in the past, usually less than one per week, but not as severe. She does not know of any inciting factors. There has been no change in the frequency of her headaches. She usually takes an overthe-counter analgesic and this results in resolution of the headache. Based on this description, what is the most likely diagnosis of the type of headache? A) Tension B) Migraine C) Cluster D) Analgesic rebound Ans: B Chapter: 07 Page and Header: 196, The Health History Feedback: This is a description of a common migraine (no aura). Distinctive features of a migraine include phonophobia and photophobia, nausea, resolution with sleep, and unilateral distribution. Only some of these features may be present. 2. A 29-year-old computer programmer comes to your office for evaluation of a headache. The tightening sensation is located all over the head and is of moderate intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-the-counter medication; it has dulled the pain but not taken it away. Based on this description, what is your most likely diagnosis? A) Tension B) Migraine C) Cluster D) Analgesic rebound Ans: A Chapter: 07 Page and Header: 196, The Health History Feedback: This is a description of a typical tension headache. [Show More]

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