Neurology · NEET PG Preparation Medicine
A 28-year-old woman presents with episodes of severe, throbbing right-sided headaches lasting 12 hours, associated with nausea, vomiting, photophobia…
Practice question from Neurology (NEET PG Preparation Medicine), with the correct answer and a step-by-step solution.
easy · MCQ · Q-4B68C9
A 28-year-old woman presents with episodes of severe, throbbing right-sided headaches lasting 12 hours, associated with nausea, vomiting, photophobia, and phonophobia. She reports seeing jagged lines of light in her left visual field for about 20 minutes before the headache begins. Which of the following is the most appropriate acute treatment for this patient's headache?
- A.SumatriptanCorrect answer
- B.Carbamazepine
- C.Indomethacin
- D.Propranolol
Solution
The patient has migraine with aura. Triptans (such as sumatriptan), which act as selective serotonin 5-HT 1B/1D agonists, are first-line abortive therapy for moderate to severe migraine attacks. Propranolol is used for prophylaxis, carbamazepine for trigeminal neuralgia, and indomethacin for paroxysmal hemicrania.
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