Migraine — MRCPCH FOP MCQ
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Correct answer: C — Migraine without aura
Recurrent throbbing headache with nausea, photophobia, normal examination and family history is most consistent with migraine. Raised intracranial pressure is suggested by early morning vomiting, papilloedema or progressive neurological signs. Tension-type headache is usually bilateral and pressing rather than throbbing with photophobia. The pearl is that a normal neurological examination supports primary headache but red flags must be actively sought.
Reference: NICE CKS Headache; RCPCH Progress syllabus