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Medication-overuse headache — MCCQE Part 1 MCQ

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ModerateHeadacheMedication-overuse headacheMCCQE Part 1

A 30-year-old woman has bilateral pressure-like headaches 3-4x/week x 2 months. No nausea/photophobia. Normal neuro exam. Takes acetaminophen daily. Most likely diagnosis?

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Correct answer: D — Medication-overuse headache

Daily analgesic use (>=15 days/month >3 months) = medication-overuse headache. Key management: gradual withdrawal of the overused analgesic.

Reference: Canadian Headache Society