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【单选题】

Headaches Explained
A headache is a symptom, not a disease.A headache is rarely the symptom of a serious illness, but severe or frequent headaches can be exhausting and can affect daily life.There are three basic types of headaches: vascular headache, muscle contraction headache, and inflammatory headache.
Vascular headaches
The vascular headache occurs when blood vessels in the head enlarge and press on nerves, causing pain.The most common vascular headache is the migraine(偏头痛).One theory about migraine headaches is that they occur when the blood vessels in the head expand and press on the nerves, causing pain.Another theory is that they result from the blood vessels constricting and thus blocking blood flow to parts of the brain; this may cause the visual suffering that often accompany or precede a migraine headache.The blood vessels then become full of blood and press on surrounding nerves, causing pain.
Women are more easy to suffer migraines than are men, and a certain personality type compulsive, perfectionist, and very success oriented seems to be more likely to be affected with migraine headaches.
Causes
A number of physical and emotional factors may contribute to migraine headaches.Migraines may be triggered by a sharp reduction in caffeine intake or by allergies to certain foods.Emotional stress can also cause migraine headaches, as can drinking alcohol, smoking, or an interruption in routine eating and sleeping habits (all of which may be responsible for 'weekend' headaches suffered by some patients).Cyclical, seasonal, or emotional factors may also be associated with the tendency to develop migraine headaches.A tendency to develop this type of headache may be inherited.
Symptoms
The predominant symptom of a migraine headache is a sharp pain on one or both sides of the head.Paleness, sweating, and sensitivity to light may accompany the pain.A warning sensation may indicate an approaching migraine headache.Before the pain begins, some individuals may see flashing lights or 'shooting stars', hear noises, or have an uncomfortable feeling in the arms or legs.
Diagnosis
Vascular headaches are diagnosed by a careful review of the circumstances surrounding the headaches as well as by a physical examination to rule out any other disorder that might be causing the symptoms.Elimination tests may be done to identify the exact cause of migraines suffered by people who seem to react to certain foods or changes in eating and sleeping habits.In an elimination test, all the substances that are suspected of causing the trouble are eliminated and then reintroduced one at a time to identify the specific cause of the migraine headaches.
Treatment
Treatment of a migraine already in progress usually consists of a drug therapy program chosen from a variety of painkillers, tranquilizers, and special prescribed medications.
Prion
Prion of migraines is possible with several types of medication.Antidepressant drugs and beta-blockers have been shown to pr migraines in some patients.These drugs work in the body to block what are called the beta effects, one of which is expansion of the blood vessels.While it is not yet known exactly how these drugs provide relief research suggests that they act by pring the initial constriction of blood vessels that causes migraine.
Muscle Contraction Headaches
A muscle contraction headache occurs when muscles of the face, neck, or scalp remain tightened for long periods of time.These muscles are then said to be in spasm(痉挛).A tension headache is an example of a muscle contraction headache.
Causes
A muscle contraction headache usually occurs after a specific that has caused the muscles to tense.The tension is then translated into physical discomfort in the form.of a clenched jaw, aching neck,

Headaches Explained
A headache is a symptom, not a disease. A headache is rarely the symptom of a serious illness, but severe or frequent headaches can be exhausting and can affect daily life. There are three basic types of headaches: vascular headache, muscle contraction headache, and inflammatory headache.
Vascular headaches
The vascular headache occurs when blood vessels in the head enlarge and press on nerves, causing pain. The most common vascular headache is the migraine(偏头痛). One theory about migraine headaches is that they occur when the blood vessels in the head expand and press on the nerves, causing pain. Another theory is that they result from the blood vessels constricting and thus blocking blood flow to parts of the brain; this may cause the visual suffering that often accompany or precede a migraine headache. The blood vessels then become full of blood and press on surrounding nerves, causing pain.
Women are more easy to suffer migraines than are men, and a certain personality type compulsive, perfectionist, and very success oriented seems to be more likely to be affected with migraine headaches.
Causes
A number of physical and emotional factors may contribute to migraine headaches. Migraines may be triggered by a sharp reduction in caffeine intake or by allergies to certain foods. Emotional stress can also cause migraine headaches, as can drinking alcohol, smoking, or an interruption in routine eating and sleeping habits (all of which may be responsible for 'weekend' headaches suffered by some patients). Cyclical, seasonal, or emotional factors may also be associated with the tendency to develop migraine headaches. A tendency to develop this type of headache may be inherited.
Symptoms
The predominant symptom of a migraine headache is a sharp pain on one or both sides of the head. Paleness, sweating, and sensitivity to light may accompany the pain. A warning sensation may indicate an approaching migraine headache. Before the pain begins, some individuals may see flashing lights or 'shooting stars', hear noises, or have an uncomfortable feeling in the arms or legs.
Diagnosis
Vascular headaches are diagnosed by a careful review of the circumstances surrounding the headaches as well as by a physical examination to rule out any other disorder that might be causing the symptoms. Elimination tests may be done to identify the exact cause of migraines suffered by people who seem to react to certain foods or changes in eating and sleeping habits. In an elimination test, all the substances that are suspected of causing the trouble are eliminated and then reintroduced one at a time to identify the specific cause of the migraine headaches.
Treatment
Treatment of a migraine already in progress usually consists of a drug therapy program chosen from a variety of painkillers, tranquilizers, and special prescribed medications.
Prion
Prion of migraines is possible with several types of medication. Antidepressant drugs and beta-blockers have been shown to pr migraines in some patients. These drugs work in the body to block what are called the beta effects, one of which is expansion of the blood vessels. While it is not yet known exactly how these drugs provide relief research suggests that they act by pring the initial constriction of blood vessels that causes migraine.
Muscle Contraction Headaches
A muscle contraction headache occurs when muscles of the face, neck, or scalp remain tightened for long periods of time. These muscles are then said to be in spasm(痉挛). A tension headache is an example of a muscle contraction headache.
Causes
A muscle contraction headache usually occurs after a specific that has caused the muscles to tense. The tension is then translated into physical discomfort in the form. of a clenched jaw, aching neck,

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参考答案:
举一反三

【多选题】偏头痛的特点包括?

A.
可有典型先兆
B.
老年人多见
C.
伴流泪、鼻塞、流涕
D.
活动可加重头痛
E.
持续时间4-72小时

【单选题】偏头痛的临床特点是

A.
搏动性头痛
B.
长期反复发作的头痛
C.
头痛程度较轻
D.
一侧头痛
E.
常伴意识障碍

【单选题】下列痉挛的特点,除外()

A.
肌张力高
B.
运动迟缓
C.
下肢伸肌痉挛有助于截瘫患者的行走
D.
偏瘫患者早期即应该采用抗痉挛体位
E.
多先发生弛缓性瘫痪

【单选题】严重的痉挛性脑瘫易出现()

A.
髋关节脱臼
B.
肩关节脱臼
C.
膝关节脱臼
D.
肘关节脱臼
E.
以上均不对

【单选题】偏头痛的病因是()。

A.
感染性发热、鼻窦炎的前驱症状
B.
眼睛疾病引起眼压升高导致
C.
血管收缩与舒张功能发生障碍及某些物质暂时性改变所致
D.
主观因素引起头颈部肌纤维持续紧张导致
E.
范围局限,常无预兆,可由洗脸、刷牙、咀嚼、吞咽诱发

【多选题】关于热痉挛正确的是

A.
高热
B.
肌痉挛
C.
肌痛
D.
神志不清
E.
实验室检查见低钠、低氯

【单选题】痉挛的治疗方法不包括()。

A.
经皮脊髓电刺激
B.
抑制异常反射性模式
C.
肌电生物反馈
D.
化学去神经技术
E.
神经溶解技术

【单选题】慢性偏头痛是指

A.
偏头痛每月发作超过15天,持续1个月以上
B.
偏头痛每月发作超过14天,持续2个月以上
C.
偏头痛每月发作超过15天,持续3个月以上
D.
偏头痛每月发作超过14天,持续3个月以上
E.
偏头痛每月发作超过15天,持续2个月以上

【多选题】偏头痛发病的特点是()

A.
女性为多见
B.
发病多始于青春期
C.
大多数有偏头痛的家族
D.
头痛呈搏动性
E.
伴恶心、呕吐

【单选题】偏头痛().

A.
月经期发作频繁
B.
头痛伴剧烈呕吐
C.
头痛伴视力障碍
D.
头痛伴癫痫发作
E.
头痛伴神经功能紊乱者

【单选题】偏头痛临床主要特点为()

A.
半侧头痛
B.
有先兆
C.
搏动性跳痛
D.
周期性发作性头痛
E.
以上均不正确

【单选题】少阳经头痛的部位是()

A.
头后部,下连于项
B.
前额部及眉棱处
C.
头之两侧,并连及耳部
D.
巅顶部位,或连于目系
E.
以上都不是

【单选题】典型偏头痛的特点是()

A.
搏动性头痛.伴恶心呕吐、畏光畏声,活动后加重
B.
搏动性头痛,不伴恶心呕吐、畏光畏声,活动后加重
C.
紧缩性头痛,伴恶心呕吐、畏光畏声,活动后加重
D.
胀痛,伴恶心呕吐、畏光畏声,活动后加重
E.
胀痛,不伴恶心呕吐、畏光畏声,活动后加重

【单选题】婴儿痉挛首选()

A.
哌甲酯
B.
卡马西平
C.
氟哌啶醇
D.
丙戊酸钠
E.
ACTH

【单选题】预防喉痉挛,一般不用()

A.
先吸净口、咽气管内的分泌物
B.
预过度吸氧1分钟
C.
静注利多卡因1~1.5mg/kg
D.
静注阿托品0.5mg
E.
通气正常、神志尚未完全清醒时拔管

【多选题】食管痉挛的叙述正确的是()。

A.
食管造影的X线表现可多样
B.
一般在食管半充盈情况时出现
C.
食管可呈螺旋状、波浪形或串珠状较为对称的狭窄
D.
表现为间隔1~2cm的4~5个较深的环形收缩
E.
狭窄食管僵硬,狭窄近端扩张

【单选题】风湿头痛的特点为

A.
以腹部胀大为主,四肢肿不甚明显
B.
面色红赤
C.
面色咣白
D.
面色青晦,面颈部有血痣赤缕
E.
其浮肿多从眼睑开始,继则延及头面,或下肢先肿,后及全身

【多选题】痰浊头痛的主症为

A.
头痛如裹
B.
胸脘满闷
C.
纳呆呕恶
D.
舌苔白腻

【单选题】关于面肌痉挛,应除外()

A.
男性多于女性
B.
不自主的一侧面部肌肉抽搐
C.
神经系统检查无阳性体征
D.
精神紧张或疲劳可诱发
E.
晚期面肌无力,萎缩及瘫痪
相关题目:
【多选题】偏头痛的特点包括?
A.
可有典型先兆
B.
老年人多见
C.
伴流泪、鼻塞、流涕
D.
活动可加重头痛
E.
持续时间4-72小时
【单选题】偏头痛的临床特点是
A.
搏动性头痛
B.
长期反复发作的头痛
C.
头痛程度较轻
D.
一侧头痛
E.
常伴意识障碍
【单选题】下列痉挛的特点,除外()
A.
肌张力高
B.
运动迟缓
C.
下肢伸肌痉挛有助于截瘫患者的行走
D.
偏瘫患者早期即应该采用抗痉挛体位
E.
多先发生弛缓性瘫痪
【单选题】严重的痉挛性脑瘫易出现()
A.
髋关节脱臼
B.
肩关节脱臼
C.
膝关节脱臼
D.
肘关节脱臼
E.
以上均不对
【单选题】偏头痛的病因是()。
A.
感染性发热、鼻窦炎的前驱症状
B.
眼睛疾病引起眼压升高导致
C.
血管收缩与舒张功能发生障碍及某些物质暂时性改变所致
D.
主观因素引起头颈部肌纤维持续紧张导致
E.
范围局限,常无预兆,可由洗脸、刷牙、咀嚼、吞咽诱发
【多选题】关于热痉挛正确的是
A.
高热
B.
肌痉挛
C.
肌痛
D.
神志不清
E.
实验室检查见低钠、低氯
【单选题】痉挛的治疗方法不包括()。
A.
经皮脊髓电刺激
B.
抑制异常反射性模式
C.
肌电生物反馈
D.
化学去神经技术
E.
神经溶解技术
【单选题】慢性偏头痛是指
A.
偏头痛每月发作超过15天,持续1个月以上
B.
偏头痛每月发作超过14天,持续2个月以上
C.
偏头痛每月发作超过15天,持续3个月以上
D.
偏头痛每月发作超过14天,持续3个月以上
E.
偏头痛每月发作超过15天,持续2个月以上
【多选题】偏头痛发病的特点是()
A.
女性为多见
B.
发病多始于青春期
C.
大多数有偏头痛的家族
D.
头痛呈搏动性
E.
伴恶心、呕吐
【单选题】偏头痛().
A.
月经期发作频繁
B.
头痛伴剧烈呕吐
C.
头痛伴视力障碍
D.
头痛伴癫痫发作
E.
头痛伴神经功能紊乱者
【单选题】偏头痛临床主要特点为()
A.
半侧头痛
B.
有先兆
C.
搏动性跳痛
D.
周期性发作性头痛
E.
以上均不正确
【单选题】少阳经头痛的部位是()
A.
头后部,下连于项
B.
前额部及眉棱处
C.
头之两侧,并连及耳部
D.
巅顶部位,或连于目系
E.
以上都不是
【单选题】典型偏头痛的特点是()
A.
搏动性头痛.伴恶心呕吐、畏光畏声,活动后加重
B.
搏动性头痛,不伴恶心呕吐、畏光畏声,活动后加重
C.
紧缩性头痛,伴恶心呕吐、畏光畏声,活动后加重
D.
胀痛,伴恶心呕吐、畏光畏声,活动后加重
E.
胀痛,不伴恶心呕吐、畏光畏声,活动后加重
【单选题】婴儿痉挛首选()
A.
哌甲酯
B.
卡马西平
C.
氟哌啶醇
D.
丙戊酸钠
E.
ACTH
【单选题】预防喉痉挛,一般不用()
A.
先吸净口、咽气管内的分泌物
B.
预过度吸氧1分钟
C.
静注利多卡因1~1.5mg/kg
D.
静注阿托品0.5mg
E.
通气正常、神志尚未完全清醒时拔管
【多选题】食管痉挛的叙述正确的是()。
A.
食管造影的X线表现可多样
B.
一般在食管半充盈情况时出现
C.
食管可呈螺旋状、波浪形或串珠状较为对称的狭窄
D.
表现为间隔1~2cm的4~5个较深的环形收缩
E.
狭窄食管僵硬,狭窄近端扩张
【单选题】风湿头痛的特点为
A.
以腹部胀大为主,四肢肿不甚明显
B.
面色红赤
C.
面色咣白
D.
面色青晦,面颈部有血痣赤缕
E.
其浮肿多从眼睑开始,继则延及头面,或下肢先肿,后及全身
【多选题】痰浊头痛的主症为
A.
头痛如裹
B.
胸脘满闷
C.
纳呆呕恶
D.
舌苔白腻
【单选题】关于面肌痉挛,应除外()
A.
男性多于女性
B.
不自主的一侧面部肌肉抽搐
C.
神经系统检查无阳性体征
D.
精神紧张或疲劳可诱发
E.
晚期面肌无力,萎缩及瘫痪
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