QuestionSBA
QuestionChoice
This classically presents as a temporal headache alongside  jaw claudication (pain on chewing food) and scalp tenderness. It can also lead to blindness if not treated promptly. The patient may also describe a thickened tender temporal artery on examination. You should also look out for a patient with symmetrical proximal muscle weakness and oligoarthritis as giant cell arteritis is often associated with polymyalgia rheumatica.
10025164
e
Giant cell arteritis
QuestionChoice
Cluster headaches present as unilateral headaches that are worse around the eye. They occur in attacks, or clusters over time. Patients would typically describe associated symptoms such as a bloodshot eye, rhinorrhea, lid swelling and facial flushing. The length of attacks is a lot shorter than migraines, typically lasting between 15 minutes and three hours.
10025162
c
Cluster headache
QuestionChoice
This presents as short episodes of stabbing pain, affecting one side of the face, in the trigeminal nerve distribution. They are triggered by talking, eating or touching the face. The headache in this patient is not described as following the trigeminal nerve distribution, and no triggers are given that would indicate trigeminal neuralgia being the most likely diagnosis.
10025163
d
Trigeminal Neuralgia
QuestionChoice
You would expect a tension headache to present as a bilateral, non-pulsatile headache. They can feel tight, like around the head. They are not associated with aura’s or photophobia, and therefore do not fit this woman’s symptoms.
10025161
b
Tension headache
QuestionChoice
This is a typical presentation of a migraine. The question describes a unilateral headache associated with photophobia and phonophobia. Migraines can last anything from four to 72 hours at a time. Episodes of migraine can be preceded by an aura, such as a visual aura, like in this patient, or can present with sensory symptoms like paraesthesia. Migraines can have various triggers, which include medications such as aspirin and naproxen and certain foods like cheese or chocolate.
10025160
a
Migraine
Concept
Chapter
2693
5824
Headache
Topic
152
Neuroscience
17430
A 37-year-old female attends the GP practice complaining of episodes of throbbing pain on the left side of her head. Before these episodes, her vision can go funny. The episodes can last from 10- 24 hours at a time.  She has a past medical history of osteoarthritis and is currently taking naproxen.

Which of the following is the most likely diagnosis?
a