PANCE Exam Practice Questions: Quiz 862

A 25-year-old white female presents to your office for an annual examination. She is a G2P2 and had a bilateral tubal ligation after her last child was born (3 years ago). Her menstrual periods are regular; her LMP was 2 weeks before her visit. On review of systems she describes two to three headaches per month for the past year, usually unilateral and occasionally associated with nausea. The headaches last for several hours. She denies visual changes or other neurological changes when the headaches occur. She had migraine headaches in high school, but they stopped when she was about 20. She has not noted that foods, alcohol, stress, or fatigue trigger the headaches. Her headaches usually happen within the same several-day period and are not spread out over the month. Her last bout with the headaches occurred about 21/2 weeks ago. What is the most likely diagnosis?
- a. Tension headache
- b. Cluster headache
- c. Sinus headache
- d. Menstrual migraine

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