CE/CME questions
17. A work-up of a headache patient in the ED should always include:
A. complete problem-focused history.
B. neurological examination.
C. lumbar puncture.
D. Both a and b
18. Which of the following statements is false?
A. Most cerebral aneurysms that cause subarachnoid hemorrhage (SAH) arise from arteries located in the circle of Willis.
B. Approximately 35% of cerebral aneurysms arise from the anterior circulation.
C. When ruling out SAH, a negative CT scan should be followed by a lumbar puncture.
D. A lumbar puncture is more sensitive than a CT scan for the detection of SAH.
19. Which of the following statements is true regarding SAH?
A. SAH is more common in women.
B. A family history of SAH in a first-degree relative is a risk factor for SAH.
C. A prior SAH is a risk factor for a subsequent SAH.
D. All of the above
20. Appropriate questions to ask a patient presenting to the ED with headache include:
A. When and where did the pain start and how has it progressed?
B. Have you had similar, or worse, headaches in the past?
C. Have you had a fever?
D. All of the above
CE/CME objectives
[For information on subscribing to the CE/CME program, contact customer service at (800) 688-2421 or e-mail [email protected].]
The participants will be able to:
• identify important elements in the work-up of a headache patient presenting in the ED;
• recognize the initial location of many cerebral aneurysms and identify effective means of detecting cerebral aneurysms;
• identify risk factors associated with subarachnoid hemorrhage;
• recognize important questions to ask a patient who presents to the ED with a headache.
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