A 29-year-old woman has 10 migraine days per month despite trigger avoidance and uses sumatriptan 6 days monthly. Neurologic examination is normal.

Question

A 29-year-old woman has 10 migraine days per month despite trigger avoidance and uses sumatriptan 6 days monthly. Neurologic examination is normal. Pregnancy test is negative. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start preventive migraine therapy

Answer

Order emergent head CT

Answer

Stop acute therapy and provide reassurance

Answer

Use sumatriptan every day

Answer

Begin opioid therapy for severe attacks

Chronic migraine — USMLE Step 3 MCQ

A 29-year-old woman has 10 migraine days per month despite trigger avoidance and uses sumatriptan 6 days monthly. Neurologic examination is normal. Pregnancy test is negative. Which of the following would you recommend at the follow-up visit?