A 35-year-old woman presents with episodic unilateral throbbing headaches lasting 12 hours, associated with photophobia and nausea, relieved by sleep....

Question

A 35-year-old woman presents with episodic unilateral throbbing headaches lasting 12 hours, associated with photophobia and nausea, relieved by sleep. Neurological examination and CT head are normal. She meets criteria for episodic migraine without aura. Which first-line acute treatment is recommended?

Accepted Answer

Acetaminophen or NSAIDs, with a triptan if needed

Answer

Chronic daily opioids

Answer

Systemic corticosteroids for each attack

Answer

Prophylactic beta-blocker only, no acute treatment

Answer

No pharmacologic treatment is indicated

ca-mccqe1 MCQ (SBA): Migraine headache