21 - migraine mcqs

Question 1
Which of these age groups has the highest incidence of migraine?
Teens
20 to 40---------------
Old age (>50)
Any age

Question 2
Which part of the nervous system triggers the pulsating pain felt in the face, forehead and eyes?
Spinal cord
Brain stem
Trigeminal nerve----------
Olfactory nerve

Question 3
The aura that migraine sufferers experience could be:
Rise in body temperature
Lowering of body temperature
Flashing light in the visual field------------
None of the above

Question 4
According to the latest theory migraine is caused by:
Cerebral vasoconstriction
Cerebral vasodilatation
Neuronal dysfunction----------
Ischaemia

Question 5
Which of these is true with regard to migraine headache?
It is always preceded by an aura
It is due to reduced cortical blood flow-------------
It is always unilateral
It does not last for more than one hour

Question 6
Migraine is not provoked by:
Hunger
Lack of sleep
Pregnancy----------------
High altitude

Question 7
Condition that occurs in patients with migraine with a higher prevalence than would be expected is:
Stroke
Raynaud’s syndrome
Affective disorders
All of the above------------------

Question 8
To prevent drug overuse, acute treatment for migraine should not be given for
More than 2-3 days/week-----------------
4-5 days/week
Once a week
Can be given as often as needed

Question 9
Medication not implicated in triggering migraine attacks is:
Nitroglycerine
Oral contraceptive
Ergotamine---------------
Estrogen replacement drugs

Question 10
Which of these statements is not true with regard to Triptans?
They are potent 5HT agonists
They are contraindicated in coronary artery disease
They fall in the category of specific drugs for treating migraine
Triptans can be used concomitantly with ergotamine derivatives-------------

Question 11
Prophylactic therapy for migraine is indicated in the following:
Hemiplegic migraine
Attack duration more than 48 hours
Patient preference
All of the above--------------------

Question 12
What is common between ß-adrenergic blockers, antidepressants and calcium channel antagonists with regard to migraine?
All these drugs are used as preventive therapy for migraine---------------
Are specific drugs used for aborting migraine
Are non- specific drugs used for aborting migraine
Are not used for treating migraine

Question 13
Which of these ß blockers can be used to prevent migraine in patients with pulmonary disorders?
Propranolol
Metoprolol----------------
Nadolol
Timolol

Question 14
Which of the following drugs can be used to prevent migraine in patients with coronary artery disease?
ß blocker-------------
Triptan
Ergotamine
None of the above

Question 15
Oral propranolol is used as a prophylactic therapy for migraine. The initial starting dosage is:
10-20 mg/day
40-80 mg/day------------
120-160 mg/day
160-320 mg/day

Question 16
Although not approved by FDA which of the following toxin has been found to be efficacious in reducing pain of migraine?
Ricin toxin
Botulinum toxin----------------
Tetanus toxin
None of the above

14 - Atrial Fibrillation Mcqs

Question 1
Which of these is not a type of atrial fibrillation?
Paroxysmal atrial fibrillation
Lone atrial fibrillation
Persistent atrial fibrillation
Combined atrial fibrillation-------------

Question 2
Which of these is a feature of atrial fibrillation?
Presence of “p” wave on electrocardiogram
Absence of “p” wave on electrocardiogram----------------
“p” wave of differing morphology on electrocardiogram
None of the above

Question 3
Which of these is not a risk factor for atrial fibrillation?
Hypertension
Diabetes
Hypothyroidism---------------
Congestive cardiac failure

Question 4
Strongest risk factor for stroke in patients with atrial fibrillation is:
Irregular atrial rhythm
Increased ventricular rate
Lack of anticoagulation----------
None of the above

Question 5
The management of atrial fibrillation involves which of the following objectives?
Rate control
Correction of rhythm disturbance
Prevention of thromboembolism
All of the above----------------

Question 6
In patients who have self-limited episodes of atrial fibrillation (AF), antiarrhythmic drugs are unnecessary to prevent recurrence unless AF is associated with severe symptoms related to:
Hypotension
Myocardial Ischemia
Heart failure
Any of the above-------------

Question 7
Which of these drugs should be used unless contraindicated in all patients to prevent postoperative atrial fibrillation during cardiac surgery?
Flecainide
Procainanide
Propafenone
Beta blockers----------------

Question 8
Which of the following drugs should not be used in patients with atrial fibrillation with acute myocardial infarction?
Amiodarone
Propanolol
Propafenone------------
None of the above

Question 9
Antiarrhythmic drug that can be used in patients of atrial fibrillation with heart failure is:
Amiodarone-----------
Flecainide
Propafenone
Sotalol

Question 10
For patients with recurrent paroxysmal atrial fibrillation, with no or minimal heart disease, the recommended initial antiarrhythmic therapy is:
Flecainide
Propafenone
Sotalol
Any of the above-------------

Question 11
The recommended antithrombotic therapy for high-risk patients with atrial fibrillation is:
Warfarin---------------
Aspirin
Warfarin + Aspirin
Clopidogrel + Aspirin

Question 12
The recommended INR range for warfarin therapy in atrial fibrillation is:
2-3-------------
1.5-3
2-4
1.5-4

Question 13
Which of the following are the non-pharmacological treatments for atrial fibrillation?
Maze surgery
Radiofrequency catheter ablation
Implantable cardioverter defibrillators
All of the above------------

Question 14
Electrical cardioversion is contraindicated in patients of atrial fibrillation with:
Heart failure
Myocardial ischemia
Digitalis toxicity------------
All the above

Question 15
Which of the following patients can undergo cardioversion without prior anticoagulation?
Atrial fibrillation lessthan 48
Atrial fibrillation lessthan72
Atrial fibrillation lessthan96
Atrial fibrillation lessthan7