Migraine red flags — GPhC CRA MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: A — do not supply sumatriptan and refer urgently for assessment
Sudden thunderclap onset during exertion is a red flag and requires urgent assessment for serious intracranial pathology. The raised blood pressure also makes triptan supply unsuitable without review. Sumatriptan is appropriate only where migraine diagnosis and contraindication screening support safe supply. Opioids and ergotamine combinations are not appropriate counter-management.
Reference: BNF; NICE CKS: Headache