Tuesday, March 28, 2023
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Professor
Departments of Neurology and Ophthalmology
Founding Director, Division of Headache Medicine
University of Texas Southwestern Medical Center
Dallas, Texas
Medscape, LLC staff have disclosed that they have no relevant financial relationships.
This activity has been peer reviewed and the reviewer has disclosed no relevant financial relationships.
This activity is intended for neurologists, migraine specialists, primary care physicians, and other healthcare providers who care for patients with frequent migraine.
The goal of this activity is to improve the ability of clinicians to recognize patients who are candidates for preventative therapies and utilize an appropriate calcitonin gene-related peptide (CGRP) monoclonal antibody (mAb).
Upon completion of this activity, participants will:
As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.
Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.
Professor
Departments of Neurology and Ophthalmology
Founding Director, Division of Headache Medicine
University of Texas Southwestern Medical Center
Dallas, Texas
Medscape, LLC staff have disclosed that they have no relevant financial relationships.
This activity has been peer reviewed and the reviewer has disclosed no relevant financial relationships.
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CME / ABIM MOC Released: 5/5/2021
Valid for credit through: 5/5/2022
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The following cases are modeled on the interactive grand rounds approach. The questions within the activity are designed to test your current knowledge. After each question, you will be able to see whether you answered correctly and read evidence-based information that supports the most appropriate answer choice. The questions are designed to challenge you; you will not be penalized for answering the questions incorrectly. At the end of the activity, there will be a short post-test assessment based on the material presented.
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Jennifer is a 37-year-old woman with a history of headaches since her 20s. She frequently uses ibuprofen and acetaminophen to manage her headache pain. However, these over-the-counter medications (OTC) are often not effective. Over the past few months, Jennifer's headache frequency has increased, with approximately 2 "severe" headaches a week. She describes the pain as throbbing, moderate to moderately severe in intensity, and often lasting the entire day. There is light and sound sensitivity with these headaches. She is headache-free on other days.
Jennifer attributes the increased frequency and severity of her headaches to stress from working at home and managing her children's schooling during the COVID-19 pandemic. She is concerned because the worsening of her headaches often results in her missing a day of work, and she has difficulty helping her 2 children, ages 9 and 12, with school-related tasks. Jennifer has a history of mild untreated hypertension. Her in clinic blood pressure is 140/90 mm Hg and her heart rate is 83 beats per minute.
