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Question
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In a patient with orgasmic headache, which of these statements is not true?
Explanation
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In a patient who has new onset headache associated with sexual activity, subarachnoid hemorrhage should be excluded. Reversible cerebral vasoconstriction syndrome may cause recurrent thunderclap headache with sexual activity. Primary headache associated with sexual activity is more common in males and Indomethacin 30 to 60 minutes prior to activity is preventive. Beta blockers and sumatriptan (after ruling out RCVS) have been tried. It is an Indomethacin responsive syndrome, not likely to respond to other NSAIDS,
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Reference
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Smith JH. Other Primary headache Disorders. Continuum202127(3 Headache)652-664.
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Option 1
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Is Correct (Option 1):
Primary headache with sexual activity is more common in males
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Option 2
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Is Correct (Option 2):
Aneurysmal subarachnoid hemorrhage should be excluded
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Option 3
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Is Correct (Option 3):
Reversible cerebral vasoconstriction syndrome is a potential cause
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Option 4
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Is Correct (Option 4):
Prophylactic Naproxen 500 mg is useful
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