Primary Care Network

Migraine: Clinical Advances in Successful Treatment

In order to receive CME credit for this activity, please enter your name and address as indicated and answer the following questions. Your responses will be recorded and forwarded to Primary Care Network.

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Post Test

Please answer the following questions by selecting the response you feel is correct for each question. Completion of this post-test will assist Primary Care Network in the measurement of educational outcomes. Thank you.

Emily is 26. She comes in with menstrual headaches that are severe. She misses work and occasionally vomits with these headaches. She also has her regular headaches that almost always start on the left, become holocranial, and cause light and sound sensitivity. With these she does have some nausea, but has never vomited. You do a complete evaluation and diagnose her with migraine. As part of her initial treatment plan you advise her to:

A. Treat her headaches when the pain is still mild

B. Exercise three days a week

C. Gradually reduce the use of caffeine over several weeks

D. Always try an OTC before taking the prescription migraine medication

E. A and C

F. B and D

G. A, B, and C

H. All of the above

Regarding early intervention for migraine (treating when migraine pain is still mild), which of the following is FALSE?

A. Pain-free outcome is higher when medication is taken early

B. The presence of central sensitization allows for better treatment outcome

C. Early intervention needs to be balanced with treating two days a week, or less (on average)

D. Treating when the migraine process is predominantly peripheral is the basis of early intervention