Recurrent headaches: Test your skills with these 5 questions
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Herbert L. Muncie Jr., MD, is a Professor of Family Medicine in the Department of Family Medicine, LSU Health, New Orleans, LA. Dr. Muncie is also a faculty member of the National Family Medicine Board Review course.

Question 1 of 5

A 19-year-old woman was diagnosed with migraine headaches 2 years ago. Her headaches had previously responded to early use of a nonsteroidal anti-inflammatory drug (NSAID) and rest. However, that treatment had become less effective and she was given a triptan prescription as a therapeutic trial.

She has come to your clinic because she says her pain did not get better when she used that triptan for 2 recent migraine headaches.

What is the next most appropriate prescription for her acute migraines?

A different triptan.

A combination pill of butalbital, acetaminophen, and caffeine.

A low-dose, immediate-release narcotic.

Moderate-dose daily propranolol.

This quiz is not accredited for CME.

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