NEET PG / USMLE – MCQ 27
A 20-year-old woman comes to the physician because of a 5-year history of increasingly severe, unilateral, throbbing headaches. The headaches, which are associated with nausea and occasional vomiting, are exacerbated by loud noises and last approximately 4 hours. Physical and neurologic examinations show no abnormalities. Treatment with which of the following at the onset of a headache is most likely to provide pain relief in this patient?
A. Amitriptyline
B. Divalproex
C. Oxygen
D. Phenytoin
E. Sumatriptan
Correct answer : E. Sumatriptan
The history is characteristic of migraine headache. The treatment of choice is sumatriptan.
9 Comments
E
c) oxygen
case of migraine
e sumatriptan
its E, sumatriptan.
E sumatriptan controls acute attacks of migraine
E.SUMATRIPTAN
yes sumatryptan should be given as soon as diagnosis of acute attack of migraine..
for oxygen sm reference 4m harri 18th :
” Many patients with acute cluster headache respond very well to oxygen inhalation. This should be given as 100% oxygen at 10–12 L/min for 15–20 min. It appears that high flow and high oxygen content are important. Sumatriptan 6 mg SC is rapid in onset and will usually shorten an attack to 10–15 min; there is no evidence of tachyphylaxis “
e
e