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Retired NBME 24 Answers

nbme24/Block 1/Question#19 (reveal difficulty score)
A 35-year-old man comes to the physician ...
Cluster headache ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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 +6  upvote downvote
submitted by โˆ—sympathetikey(1600)
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Buzzword: excessive tearing

Cluster headaches, in questions, always come with autonomic symptoms.

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jsanmiguel415  Also unilateral and periorbital;, can differentiate from migraines because of it's short duration (30 minutes to a few hours vs migraines which is hours to days). Relationship to seasonal/allergies as well +



 +2  upvote downvote
submitted by โˆ—m-ice(370)
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The patient in this question has cluster headaches. These headaches can be differentiated from migraines and tension headaches, as they tend to come in episodes across several years, with absent periods in between. Cluster headaches are often described as excruciatingly painful (sometimes called "suicide headaches").

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 +0  upvote downvote
submitted by โˆ—makingstrides(16)
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On top of the previous post, migraines last for 4+ hours. and Tension headaches are bilateral.

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